Intraoperative echocardiography during congenital heart operations: Experience from 1,000 cases

Ungerleider, Ross M.; Kisslo, Joseph; Greeley, William J.; Li, Jennifer S.; Kanter, Ronald J.; Kern, Frank H.; Schulman, Scott R.; Nesmith, James W.; Gaynor, J. William; Bengur, A. Resai

doi:10.1016/0003-4975(95)00853-5

Cited by 64 publications

(31 citation statements)

References 10 publications

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“…Increased morbidity, mortality, and costs [2, 3] can be expected when a patient leaves the operating room with significant residual defects. Although the overall incidence of complications for TEE is low, TEE has some disadvantages that have limited its use.…”

mentioning

confidence: 99%

Initial Experience With a Miniaturized Multiplane Transesophageal Probe in Small Infants Undergoing Cardiac Operations

Zyblewski¹,

Shirali²,

Forbus³

et al. 2010

The Annals of Thoracic Surgery

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Purpose There has been reluctance to use intraoperative transesophageal echocardiography (TEE) in small infants. We assessed the utility and safety of a new miniaturized multiplane micro-TEE probe in small infants undergoing cardiac operations. Description Hemodynamic and ventilation variables were prospectively recorded before and after micro-TEE insertion and removal in infants weighing 5 kg or less undergoing cardiac operations. Evaluation The study included 42 patients with a mean weight of 3.6 ± 0.9 kg (range, 1.7 to 5 kg). All probe insertions were successful. There were no complications or clinically significant changes in hemodynamic or ventilation variables. Information provided by TEE resulted in surgical revision in 6 of the 42 patients. Conclusions The micro-TEE provides high quality, useful diagnostic images without hemodynamic or ventilation compromise in small infants undergoing cardiac operations. This advance is important with the growing trend towards complete repair of complex structural heart disease in small infants.

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confidence: 99%

Initial Experience With a Miniaturized Multiplane Transesophageal Probe in Small Infants Undergoing Cardiac Operations

Zyblewski¹,

Shirali²,

Forbus³

et al. 2010

The Annals of Thoracic Surgery

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“…T ransesophageal echocardiography (TEE) aids intraoperative management and improves outcome in patients undergoing cardiac valve repairs (1,2), complex congenital heart corrections (3,4), and highrisk patients undergoing coronary artery bypass surgery (5). For these reasons, TEE has become a standard monitor in many cardiac operating rooms.…”

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confidence: 99%

The Adequacy of Basic Intraoperative Transesophageal Echocardiography Performed by Experienced Anesthesiologists

Miller

Lambert²,

Shapiro³

et al. 2001

Anesthesia &Amp; Analgesia

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“…A number of studies in pediatric cardiac surgery have sought to establish how TEE may influence the perioperative process. An analysis of the four largest studies, containing between 580 and 1002 patients, demonstrates that between 4.4% and 5.7% require a second CPB run in order to achieve the desired surgical result . Interestingly, the study by Ungerleider et al contains the observation that “It was not possible for the surgeon to predict the need for a revision based on his confidence in the repair: in 2.6% of patients thought by the surgeon to have a good repair, intraoperative echocardiography revealed the need for operative revision.”…”

Section: The Role Of Perioperative Tee In Cardiac Surgerymentioning

confidence: 99%

Anesthetist‐delivered intraoperative transesophageal echocardiography in pediatric cardiac surgery

Murphy

2019

Pediatric Anesthesia

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Summary This article reviews the evidence for anesthetist‐delivered perioperative transesophageal echocardiography for children undergoing cardiac surgery. It addresses the additional issues of training, developing practice, accreditation, and the requirement for collaboration with pediatric cardiologists, surgeons and other members of the perioperative team. Finally an overview of the potential structure of an anesthetist‐delivered perioperative transesophageal echocardiography service is presented.

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Intraoperative echocardiography during congenital heart operations: Experience from 1,000 cases

Cited by 64 publications

References 10 publications

Initial Experience With a Miniaturized Multiplane Transesophageal Probe in Small Infants Undergoing Cardiac Operations

Initial Experience With a Miniaturized Multiplane Transesophageal Probe in Small Infants Undergoing Cardiac Operations

The Adequacy of Basic Intraoperative Transesophageal Echocardiography Performed by Experienced Anesthesiologists

Anesthetist‐delivered intraoperative transesophageal echocardiography in pediatric cardiac surgery

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