Transesophageal echocardiography in critically ill patients: Feasibility, safety, and impact on management

Yoğun Bakımda Kardiyopulmoner Monitorizasyonda Günlük Pratiğimizde “Yeni” Bir Araç: Transtorasik Ekokardiyografi ve Akciğer Ultrasonu

“…Ventilasyon tedavisi, özellikle yüksek pozitif ekspirasyon sonu basınç (PEEP) uygulaması, yoğun bakım hastasında TTE görüntülemesinde sınırlı ve yetersiz akustik pencere nedenlerinden biridir. Bu konudaki eski pek çok literatürde yoğun bakım hastalarında bu nedenle TTE'nin yeterli olmayacağı yönünde bildiriler mevcuttu (17,18), ancak görüntüleme teknolojisindeki gelişmelerle hastalar artık TTE ile optimal koşullarda değerlendirilebilmektedir (19,20). Klinik açıdan sakıncası yoksa görüntüleme esnasında PEEP'i azaltmak da akustik pencereye katkıda bulunabilir (21).…”

Transesophageal echocardiography-related complications

“…2 Information obtained from TEE can have a significant impact in cardiac [3][4][5][6][7][8][9] and non-cardiac surgery, [10][11][12] as well as in making decisions in the ICU. 11,13,14 Considering the widespread application of this technique, it is important to address the issue of safety. In this article, we present a comprehensive review of the literature pertaining to TEE complications reported during examinations undertaken in cardiology suites, operating rooms, and ICUs.…”

Des diagnostics cliniques et échocardiographiques contradictoires dans des cas d’instabilité hémodynamique inexpliquée à la suite d’une intervention en cardiochirurgie

“…The use of TEE in the critical care setting has also been increasing and it is frequently used to aid diagnosis and management of patients with acute hemodynamic disturbance. 1,3,13,14 The American Society of Anesthesiologists and Society of Cardiovascular Anesthesiologists' practice guidelines for perioperative transesophageal echocardiography divide indications for TEE into three categories. Category I indications are supported by the strongest evidence or expert opinion.…”

“…In the general critical care setting (medical and surgical ICUs) there are several studies reporting the clinical impact of urgent TEE in hemodynamically unstable patients. 11,13,16 Treatment is changed in between 44-62% of patients with a PAC in situ as a result of TEE examination. The literature on the clinical impact of TEE on the cardiac surgical intensive care population is lacking.…”