Schulmeyer María Carolina Cabrera, Lazo Carlos Polanco
Hospital Clínico Fuerza Aérea de Chile, Santiago, Chile.
Universidad de Valparaíso, Valparaíso, Chile.
Obes Surg. 2024 Jan;34(1):128-132. doi: 10.1007/s11695-023-06941-4. Epub 2023 Nov 24.
To evaluate the feasibility of an abbreviated focus-assessed transthoracic echocardiography protocol in morbidly obese patients. The purpose of this study was to evaluate whether good images could be obtained from this particularly difficult group of patients for whom acoustic imaging is often poor. Heart imaging could be helpful for cardiopulmonary screening and real-time monitoring.
The study included 186 morbidly obese patients, who underwent laparoscopic bariatric surgery. The mean patient age was 32 years (range 21-52), and there were 95 males. The parasternal long and short axes and apical 4 and 5 chambers were evaluated.
In 95% of the patients, at least one view was obtained. In 78%, two views were obtained, and in 31% of the patients, all views and measurements could be performed.
In obese patients, a modified focused echocardiography examination performed by anesthesiologists in the intraoperative period of morbid obese patients is feasible. The image quality was sufficient to undergo interpretation.
评估简化的重点评估经胸超声心动图方案在病态肥胖患者中的可行性。本研究的目的是评估能否从这一特别困难的患者群体（其声学成像通常较差）中获得良好的图像。心脏成像有助于心肺筛查和实时监测。
该研究纳入了186例接受腹腔镜减肥手术的病态肥胖患者。患者的平均年龄为32岁（范围21 - 52岁），其中男性95例。评估了胸骨旁长轴和短轴以及心尖四腔和五腔视图。
95%的患者至少获得了一个视图。78%的患者获得了两个视图，31%的患者能够进行所有视图的观察和测量。
在肥胖患者中，麻醉医生在病态肥胖患者手术期间进行改良的重点超声心动图检查是可行的。图像质量足以进行解读。
