Department of Anesthesiology, University of Arizona College of Medicine, Tucson, AZ.
Department of Anesthesiology, University of Miami Miller School of Medicine, Miami, FL.
J Cardiothorac Vasc Anesth. 2022 Jan;36(1):258-274. doi: 10.1053/j.jvca.2021.02.011. Epub 2021 Feb 8.
Transesophageal echocardiography (TEE) has become an integral part in helping to diagnose, manage, and assess interventions in the cardiac operating room. Multiple guidelines have been created by the American Society of Echocardiography for performing a TEE examination for different cardiac pathologies. The operating room can provide unique challenges when performing a TEE examination, which include hemodynamic instability, time constraints, and use of general anesthesia. The Guideline for the use of TEE to assist in surgical decision- making in the operating room recently was published to provide a starting protocol for conducting a TEE examination for different cardiac surgeries and for using the information obtained to interpret and to communicate findings to the surgical team. This present narrative review focuses and expands upon the relevant portions for the cardiac anesthesiologist.
经食管超声心动图（TEE）已成为帮助诊断、管理和评估心脏手术室干预措施的不可或缺的一部分。美国超声心动图学会已经制定了多项指南，用于对不同的心脏病理进行 TEE 检查。在手术室进行 TEE 检查时会遇到独特的挑战，包括血流动力学不稳定、时间限制和全身麻醉的使用。最近发布了使用 TEE 协助手术室手术决策的指南，为不同心脏手术的 TEE 检查提供了起始方案，并使用获得的信息对发现进行解释和与手术团队进行沟通。本叙述性综述重点介绍并扩展了心脏麻醉师的相关部分。
