Guidelines for the Use of Transesophageal Echocardiography to Assist with Surgical Decision-Making in the Operating Room: A Surgery-Based Approach From the American Society of Echocardiography in Collaboration with the Society of Cardiovascular Anesthesiologists and the Society of Thoracic Surgeons
Guidelines for the Use of Transesophageal Echocardiography to Assist with Surgical Decision-Making in the Operating Room: A Surgery-Based Approach From the American Society of Echocardiography in Collaboration with the Society of Cardiovascular Anesthesiologists and the Society of Thoracic Surgeons
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DOI：
10.1016/j.echo.2020.03.002
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发表时间：
2020-05-01
影响因子：
6.5
通讯作者：
Swaminathan, Madhav
中科院分区：
文献类型：
--
作者：
Nicoara, Alina;Skubas, Nikolaos;Swaminathan, Madhav
术中经食管超声心动图是一种标准的诊断和监测工具，用于管理接受整个心脏外科手术的患者，范围从“常规”外科冠状动脉血运重建到复杂的瓣膜修复、联合手术和器官移植。在所有手术和所有患者中使用协议作为成像的起点，可以实现图像采集的标准化，减少成像和报告质量的变化，并最终改善患者护理。将超声心动图结果清楚地传达给手术团队，以及了解新发现对手术计划的影响，至关重要。同样重要的是，需要完全了解正在进行的外科手术的技术步骤和可能发生的并发症，以便将术后评价导向与外科手术直接相关的方面，并提供相关的超声心动图信息。本文件的基本原理是概述一种系统方法，描述如何将现有指南应用于开放式、微创或混合心脏手术中术中环境特定的心脏结构和功能问题。
Intraoperative transesophageal echocardiography is a standard diagnostic and monitoring tool employed in the management of patients undergoing an entire spectrum of cardiac surgical procedures, ranging from "routine" surgical coronary revascularization to complex valve repair, combined procedures, and organ transplantation. Utilizing a protocol as a starting point for imaging in all procedures and all patients enables standardization of image acquisition, reduction in variability in quality of imaging and reporting, and ultimately better patient care. Clear communication of the echocardiographic findings to the surgical team, as well as understanding the impact of new findings on the surgical plan, are paramount. Equally important is the need for complete understanding of the technical steps of the surgical procedures being performed and the complications that may occur, in order to direct the postprocedure evaluation toward aspects directly related to the surgical procedure and to provide pertinent echocardiographic information. The rationale for this document is to outline a systematic approach describing how to apply the existing guidelines to questions on cardiac structure and function specific to the intraoperative environment in open, minimally invasive, or hybrid cardiac surgery procedures.