From the Department of Pediatric Anesthesiology, Vanderbilt University Medical Center, Nashville, Tennessee.
Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, Massachusetts.
Anesth Analg. 2019 Aug;129(2):e37-e40. doi: 10.1213/ANE.0000000000003569.
Intraoperative transesophageal echocardiography (TEE) is a helpful diagnostic tool when hemodynamic compromise is encountered during noncardiac surgery. At our institution, a Rescue Echo Protocol was created to provide a structured means for requesting and performing a rescue TEE. We analyzed our institutional utilization of this service and found that it was used throughout the spectrum of patients' American Society of Anesthesiologists classifications and surgical services. We demonstrated that 72.9% of rescue examinations resulted in a change in management, supporting the use of TEE as a diagnostic tool during hemodynamic compromise.
术中经食管超声心动图（TEE）在非心脏手术中出现血流动力学障碍时是一种有用的诊断工具。在我们的机构中，创建了一个“抢救性超声心动图协议”，以提供一种请求和进行抢救性 TEE 的结构化方法。我们分析了该服务在我们机构中的使用情况，发现它在患者的美国麻醉师协会分类和手术服务的各个方面都得到了应用。我们证明，72.9%的抢救性检查导致了治疗方式的改变，支持在血流动力学障碍期间将 TEE 用作诊断工具。
