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• W1963722418 abstract "DESPITE MONITORING OF routine hemodynamic variables, many patients develop complications of cardiovascular origin while undergoing noncardiac surgery. Not only is monitoring of routine hemodynamic variables insufficient to accurately diagnose and treat hemodynamic instability, it does not even ensure maintenance of intravascular volume. Transesophageal echocardiography (TEE) allows multiplane imaging of the myocardium, heart chambers and valves, pericardium, and great vessels and the assessment of blood flow characteristics and the timing of intracardiac events. It is an excellent intraoperative hemodynamic monitor. 1 Poelaert J.I.T. TEE as an intraoperative haemodynamic monitoring tool. Ann Card Anaesth. 2002; 5: 119-126 PubMed Google Scholar TEE has aided in the diagnosis of numerous discrete entities and determination of the etiology of hemodynamic instability, 2 Denault A.Y. Couture P. McKenty S. et al. Perioperative use of transesophageal echocardiography by anesthesiologists: Impact in noncardiac surgery and in the intensive care unit. Can J Anesth. 2002; 49: 287-293 Crossref PubMed Scopus (87) Google Scholar , 3 Suriani R.J. Neustein S. Shore-Lesserson L. et al. Intraoperative transesophageal echocardiography during noncardiac surgery. J Cardiothorac Vasc Anesth. 1998; 12: 274-280 Abstract Full Text PDF PubMed Scopus (65) Google Scholar , 4 Brandt R.R. Oh J.K. Abel M.D. et al. Role of emergency intraoperative transesophageal echocardiography. J Am Soc Echocardiogr. 1998; 11: 972-977 Abstract Full Text Full Text PDF PubMed Scopus (41) Google Scholar , 5 Khoury A.F. Afridi I. Quinones M.A. et al. Transesophageal echocardiography in critically ill patients: Feasibility, safety, and impact on management. Am Heart J. 1994; 127: 1363-1371 Abstract Full Text PDF PubMed Scopus (87) Google Scholar hypoxemia, 6 Hoole S.P. Falter F. Evaluation of hypoxemic patients with transesophageal echocardiography. Crit Care Med. 2007; 35: S408-S413 Crossref PubMed Scopus (13) Google Scholar and cardiac arrest. 7 Memtsoudis S.G. Rosenberger P. Loffler M. et al. The usefulness of transesophageal echocardiography during intraoperative cardiac arrest in noncardiac surgery. Anesth Analg. 2006; 102: 1653-1657 Crossref PubMed Scopus (128) Google Scholar , 8 Blaivas M. Transesophageal echocardiography during cardiopulmonary arrest in the emergency department. Resuscitation. 2008; 78: 135-140 Abstract Full Text Full Text PDF PubMed Scopus (75) Google Scholar Many published reports indicate that the problem was not diagnosed until TEE examination was performed and that TEE directly contributed to patients' survival. The question then arises: should the modern-era general anesthesiologist be trained and certified in TEE? The answer is clearly yes." @default.
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• W1963722418 date "2010-02-01" @default.
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• W1963722418 title "Pro: The General Anesthesiologist Should Be Trained and Certified in Transesophageal Echocardiography" @default.
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