KaydedilenlerDerginizi ekleyin

Dergiler / Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi / 2018 / Cilt: 24 - Sayı: 3

Transesophageal Echocardiography: Sine Qua Non in Cardiac Surgery

Transözefageal Ekokardiyografi: Kardiyak Cerrahide Olmazsa Olmaz

Muharrem KOÇYİĞİT
Özgen Ilgaz KOÇYİGİT
Ahmet Ümit GÜLLÜ
Şahin ŞENAY
Cem ALHAN
Sayfa
97–102
DOI
—
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

The results of the TEE assessments before and after CPB affected surgical decisionmaking in 3.5% (n=10) and 2.5% (n=8) of the cases, respectively Conclusion: Perioperative TEE performed by the anesthesiologist can provide important information, may lead to alterations in the surgical strategy and improve the operative outcomes.

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:Objective: Intraoperative transoesophageal echocardiography (TEE) performed during cardiac surgery provides information about the cardiac pathology and the surgical repair.
📊
Temel Bulgular & Veri:Material and Method: We reviewed the data for all patients who underwent cardiac surgery and TEE between January 2015 and December 2016.
💡
Sonuç & Katkı:The results of the TEE assessments before and after CPB affected surgical decisionmaking in 3.5% (n=10) and 2.5% (n=8) of the cases, respectively Conclusion: Perioperative TEE performed by the anesthesiologist can provide important information, may lead to alterations in the surgical strategy and improve the operative outcomes.
🔬Tür:Literatür & Derleme Çalışması
📍Kapsam:2015 Verileri
⚙️Değişkenler:Alan Parametreleri

Özet

Objective: Intraoperative transoesophageal echocardiography (TEE) performed during cardiac surgery provides information about the cardiac pathology and the surgical repair. The aim of this study is to determine the importance of TEE in surgical decision making phase in patients undergoing cardiac surgery. Material and Method: We reviewed the data for all patients who underwent cardiac surgery and TEE between January 2015 and December 2016. Intraoperative TEE examination was performed before and after the cardiopulmonary bypass (CPB). The data collected related to the type of surgery, preoperative echocardiographic findings, TEE findings before and after CPB and any differences between them were evaluated. Results: A total of 284 patients who underwent cardiac surgery during 2 years period were evaluated using TEE. The initial TEE findings of 15.8% (n=45) of the patients differed from those observed before cardiopulmonary bypass (CPB). The results of the TEE assessments before and after CPB affected surgical decisionmaking in 3.5% (n=10) and 2.5% (n=8) of the cases, respectively Conclusion: Perioperative TEE performed by the anesthesiologist can provide important information, may lead to alterations in the surgical strategy and improve the operative outcomes.

Abstract

Amaç: Kardiyak cerrahi sırasında intraoperatif transözefageal ekokardiyografi (TÖE) kardiyak patoloji ve cerrahi onarım hakkında bilgiler verir. Bu çalışmanın amacı, kardiyak cerrahi uygulanan hastalarda cerrahi karar aşamasında TÖE’nin önemini belirlemektir. Gereç ve Yöntem: Ocak 2015 ile Aralık 2016 tarihleri arasında TÖE ile kardiyak cerrahi olan hastaların verileri gözden geçirildi. Kardiyopulmoner baypas öncesi ve sonrası intraoperatif TÖE değerlendirmesi yapıldı. Cerrahinin tipi, ameliyat öncesi ekokardiyografi bulguları, kardiyopulmoner baypas öncesi ve sonrası TÖE bulguları ve aralarında oluşan farklılıklar değerlendirildi. Bulgular: İki yıllık periyotta kalp cerrahisi uygulanan toplam 284 hasta TÖE kullanılarak değerlendirildi. Hastaların %15.8 (n=45)’inde TÖE bulguları kardiyopulmoner baypas öncesi ekokardiyografi bulgular ile farklılık gösteriyordu. TÖE değerlendirme bulguları ile KPB öncesi ve sonrası cerrahi karar verme sırasıyla %3.5 (n=10) ve %2.5 (n=8) oranında etkilenmekteydi. Sonuç: Anestezist tarafından yapılan perioperatif TÖE cerrahi işlemler hakkında önemli bilgiler sağlayabilir, cerrahi işlemlerde değişikliğe neden olabilir ve erken cerrahi sonuçların başarısına katkı sağlayabilir.

🔖

Bu Makaleye Atıf Yap

KOÇYİĞİT, M., KOÇYİGİT, Ö. I., GÜLLÜ, A. Ü., ŞENAY, Ş., ALHAN, C. (2018). Transesophageal Echocardiography: Sine Qua Non in Cardiac Surgery. Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi, Cilt: 24 - Sayı: 3, 97–102. https://ajindex.com/articles/161833

📄 Tam Metin PDF Okuyucu

📄

PDF görüntüleyici hazırlanıyor...

Kaynakça (9)

  1. Eltzschig HK, Rosenberger P, Löffler M, Fox JA, Aranki SF, Shernan SK. Impact of intraoperative transesophageal echocardiography on surgical decisions in 12,566 patients undergoing cardiac surgery. Ann Thorac Surg. 2008;85:845-53.
  2. Flachskampf FA, Badano L, Daniel WG, Feneck RO, Fox KF, Fraser AG et al. Recommendations for transoesophageal echocardiography: update 2010. European Journal of Echocardiography 2010;11:557-76.
  3. Hahn RT, Abraham T, Adams MS, Bruce CJ, Glas KE, Lang RM, et al. Guidelines for performing a comprehensive transesophageal echocardiographic examination: recommendations from the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists. J Am Soc Echocardiogr. 2013;26:921-64.
  4. Akiyama K, Arisawa S, Ide M, Iwaya M, Naito Y. Intraoperative cardiac assessment with transesophageal echocardiography for decision-making in cardiac anesthesia. Gen Thorac Cardiovasc Surg. 2013;61:320-9.
  5. Sharony R, Bizekis CS, Kanchuger M, Galloway AC, Saunders PC, Applebaum R, et al. Off-pump coronary artery bypass grafting reduces mortality and stroke inpatients with atheromatous aortas: A case control study. Circulation 2013;108:Suppl II:15-20
  6. Qaddoura FE, Abel MD, Mecklenburg KL, Chandrasekaran K, Schaff HV, Zehr KJ, et al. Role of intraoperative transesophageal echocardiography in patients having coronary artery bypass graft surgery. Ann Thorac Surg. 2004;78:1586-90.
  7. Buck T, Kortmann K, Plicht B, Kamler M, Tsagakis K, Thielmann M, et al. Critical importance of unsuspected findings detected by intraoperative transesophageal echocardiography for decision making during cardiac surgery. Clin Res Cardiol. 2013;102:351-9.
  8. Galhardo JC, Botelho ESL, Diego LADS. Intraoperative monitoring with transesophageal echocardiography in cardiac surgery. Rev Bras Anestesiol. 2011;61:495- 512.
  9. Kallmeyer IJ, Collard CD, Fox JA, Body SC, Shernan SK. The safety of intraoperative transesophageal echocardiography: a case series of 7200 cardiac surgical patients. Anesth Analg. 2011;92:1126-30.