Transesophageal Echocardiography as the Initial Evaluation of the Widened Mediastinum in Trauma Patients

Saletta, Suzanne; Lederman, E. D.; Kuehler, David H.; Fein, Steven; Singh, Amar B.; Fortune, John B.

doi:10.1097/00005373-199407000-00092

Cited by 18 publications

(20 citation statements)

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“…In chest trauma patients, haemodynamic instability due to external compression of heart (by tension pneumothorax or pericardial effusion), or aortic dissection can be timely detected by TEE and treated [39][40][41][42]. Positive correlation between ECG changes, CPK measurements, CPK monoclonal antibodies values and TEE findings for detection of cardiac damage in 117 blunt chest trauma patients has been shown by Garcia Fernandez et al [39] with TEE having better sensitivity and specificity.…”

Section: Tee In Trauma Patientsmentioning

confidence: 96%

Untitled

2015

JACCOA

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Two dimensional echocardiography of the heart gives the accurate dimensions of cardiac anatomical structures. In addition, Doppler effect by virtue of measuring blood velocity gives critical information regarding functioning of the heart (cardiac output and flow across cardiac valves). Trans-esophageal echocardiography (TEE) has revolutionized surgical and anesthetic management in patients undergoing cardiac surgery ever since its introduction in 1980s, but its intraoperative utility in non-cardiac surgery is a new emergent dimension. We review here, the nascent and lesser studied use of TEE in patients undergoing non-cardiac surgery, concentrating on five basic views which can be rapidly viewed even by lesser trained anesthesiologists in the learning curve to provide valuable information requisite for non cardiac surgery.

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Section: Tee In Trauma Patientsmentioning

confidence: 96%

Untitled

2015

JACCOA

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“…TEE can be performed in as little as 27-30 minutes with high diagnostic accuracy (Kearney, et al, 1993;Smith, et al, 1995). Sensitivity averages 98-100% (Buckmaster, et al, 1994;Goarin, et al, 2000;Kearney, et al, 1993;Smith, et al, 1995;Vignon, et al, 2001;Vignon, et al, 2005), but like most ultrasound techniques can vary widely based on operator experience, with sensitivity as low as 60-63% being reported (Patel, et al, 2003;Saletta, et al, 1995). When directly compared to angiography TEE has comparable sensitivity for surgical lesions, but has a higher sensitivity for minor lesions such as intimal flaps (Buckmaster, et al, 1994;Goarin, et al, 2000;Kearney, et al, 1993;Smith, et al, 1995;Vignon, et al, 2005).…”

Section: Thoracic Aortamentioning

confidence: 99%

Vascular Trauma: New Directions in Screening, Diagnosis and Management

Kobayashi¹,

Coimbra²

2012

Vascular Surgery

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“…[51] Well designed studies in the last two decades sought to provide evidence that transesophageal echocardiogram (TEE) was a reasonable screening test, however, it was no better than CT with regard to all thoracic injuries. [52][53][54] When sensitivity, cost utilization, and quality of life on follow-up are given equal consideration, it is advocated that chest radiograph and aortography continue to be the best diagnostic tools to assess for proximal aortic and root injury. [55] Patients with root injuries often have other major injuries requiring management prior to the root and aorta.…”

Section: Aortic Root Traumamentioning

confidence: 99%