Poelaert J I, Trouerbach J, De Buyzere M, Everaert J, Colardyn F A
Department of Intensive Care, University Hospital, Ghent, Belgium.
Chest. 1995 Mar;107(3):774-9. doi: 10.1378/chest.107.3.774.
To assess the impact of transesophageal echocardiography (TEE) on therapeutic management in relation to pulmonary artery catheterization (PAC) in the ICU.
Retrospective analysis of 108 consecutive TEE video and related patient files during a 7-month period.
A 33-bed medical and surgical ICU.
All critically ill patients with or without PAC in whom a TEE was performed, excluding postoperative cardiac surgical patients. Patients were divided in a cardiac and a septic group depending on the primary disease on admission to the ICU. The impact of TEE in relation to PAC on ICU management was evaluated in whether therapy changes were performed strictly on the basis of the TEE findings.
Of 64% of patients with a PAC, 44% underwent therapy changes after TEE: 41% in the cardiac and 54% in the septic subgroup. In 41% of patients without a PAC, TEE led to a change in therapy.
TEE results in altered therapeutic management in at least one third of our (noncardiac surgery) ICU patient population independent of the presence of a PAC.
评估经食管超声心动图（TEE）对重症监护病房（ICU）中与肺动脉导管插入术（PAC）相关的治疗管理的影响。
对7个月期间连续108例TEE视频及相关患者病历进行回顾性分析。
一个拥有33张床位的内科和外科ICU。
所有接受TEE检查的重症患者，无论是否使用PAC，不包括心脏手术后的患者。根据入住ICU时的原发疾病，将患者分为心脏组和脓毒症组。根据TEE检查结果是否严格进行治疗调整，评估TEE与PAC对ICU管理的影响。
在使用PAC的患者中，64%的患者在TEE检查后进行了治疗调整：心脏亚组中为41%，脓毒症亚组中为54%。在未使用PAC的患者中，41%的患者因TEE检查而改变了治疗方案。
在我们（非心脏手术）ICU至少三分之一的患者中，TEE导致了治疗管理的改变，且与是否使用PAC无关。
