Transthoracic echocardiography in the perioperative setting

Jørgensen, Martin Ruben Skou; Juhl-Olsen, Peter; Frederiksen, Christian Alcaraz; Sloth, Erik

doi:10.1097/aco.0000000000000271

Cited by 23 publications

(18 citation statements)

References 73 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Nonetheless, anaesthetist‐led focused echocardiography is not a substitute for detailed assessment by a cardiologist. Theoretically, a reduction in unnecessary medical consultations can help reduce the burden on the whole healthcare system and reinvest resources in improving patient care; however, the overall efficacy and cost‐effectiveness of this anaesthetist‐led service is still lacking and needs further evaluation in large‐scale clinical trials .…”

Section: Cardiac Murmursmentioning

confidence: 99%

Pre‐operative cardiac optimisation: a directed review

Lee

Tsai

et al. 2019

Anaesthesia

View full text Add to dashboard Cite

Cardiac events remain the leading cause of peri-operative morbidity and mortality, and patients undergoing major surgery are exposed to significant risks which may be preventable and modifiable. Proper assessment and management of various cardiac conditions in the peri-operative period by anaesthetists can markedly improve patient safety, especially in high-risk patient populations. This involves understanding and applying current evidence-based practice and international guidelines on the main aspects of cardiac optimisation, including management of patients with hypertension, chronic heart failure, valvular heart diseases and cardiac implantable electronic devices. Peri-operative management of antihypertensive drugs in keeping with the current best evidence is discussed. Pre-operative cardiac risk assessment and cardiac biomarkers can be used to help predict and quantify peri-operative adverse cardiac events. There is an increasing need for anaesthetist-led services, including focused transthoracic echocardiography and management of implantable cardiac electronic devices. Anaesthetists should be encouraged to play a proactive role in pre-operative risk stratification and make timely multidisciplinary referrals if necessary. A personalised approach to pre-operative cardiac optimisation enables a safer peri-operative journey for at-risk patients undergoing major surgery.

show abstract

Section: Cardiac Murmursmentioning

confidence: 99%

Pre‐operative cardiac optimisation: a directed review

Lee

Tsai

et al. 2019

Anaesthesia

View full text Add to dashboard Cite

show abstract

“…Transthoracic echocardiography (TTE) allows intermittent assessment of haemodynamics at the bedside, and provides invaluable information about the anatomy and global function of the heart and the cardiac valves and about the status of the great vessels as well [64]. Furthermore, dynamic parameters obtained from echo-Doppler can be used to assess fluid responsiveness during the breathing circle or fluid challenges [65].…”

Section: Cardiac Ultrasound and Dopplermentioning

confidence: 99%

Contemporary perioperative haemodynamic monitoring

Pang

Hendrickx

Liu

et al. 2019

ait

View full text Add to dashboard Cite

“…Extending this learning to perioperative caregiver caring for noncardiac surgical patients has also led to better patient outcomes. [15][16][17][18] The anesthesia residents usually have access to ultrasound platforms, because of the current practice of ultrasound-guided central venous and arterial access, ultrasound-guided regional nerve blocks, ultrasound-guided gastric volume, and optic nerve sheath and airway measurements. Thus, the only necessity at the moment is a training program in perioperative point-of-care cardiac ultrasound for hemodynamic assessment.…”

Section: Perioperative Point Of Care Cardiac Ultrasound For Anesthetistsmentioning

confidence: 99%