Use of Rapid “Rescue” Perioperative Echocardiography to Improve Outcomes After Hemodynamic Instability in Noncardiac Surgical Patients

A systematic review of transthoracic and transesophageal echocardiography in non-cardiac surgery: implications for point-of-care ultrasound education in the operating room

“…[9][10][11][12][13][14][15][16][17][18][19][20] All the studies were reported as comprehensive examinations, which was reflected in the broad diversity of diagnoses. As described previously, preoperative exams occurred immediately prior to induction of anesthesia and data from pre-assessment clinic exams were not included.…”

Perioperative Management of Adrenalectomy and Inferior Vena Cava Reconstruction in a Patient With a Large, Malignant Pheochromocytoma With Vena Caval Extension

“…73,74 Several studies suggested TEE may be beneficial in noncardiac surgical patients with hemodynamic instability, explaining its strong endorsement for this setting in recent guidelines. [77][78][79] These clinical studies implied that TEE may be a more sensitive tool, not only for quickly and accurately diagnosing the etiology of hemodynamic instability, but also for providing a means to monitor the effects of early intervention. [77][78][79] Although TEE offers major value in this setting, it is accompanied by several disadvantages.…”

“…[77][78][79] These clinical studies implied that TEE may be a more sensitive tool, not only for quickly and accurately diagnosing the etiology of hemodynamic instability, but also for providing a means to monitor the effects of early intervention. [77][78][79] Although TEE offers major value in this setting, it is accompanied by several disadvantages. First, an experienced clinician trained and certified in TEE is required to guide the performance and interpretation of the comprehensive examination.…”

Anesthesia for Thoracic Surgical Procedures

“…The same is done for the AV TVI. TEE assessment of cardiac and intrathoracic structures and function is a clinically established method that plays a critical role in the diagnosis and management of perioperative hemodynamic instability in many institutions [78]. However, its main disadvantage is that its use requires extensive training and a skilled operator [68].…”