Arranz J, Riesgo M, Moreno M, García-Fernández M A, Navia J
Servicio de Anestesia y Reanimación, Hospital General Universitario Gregorio Marañón, Madrid.
Rev Esp Anestesiol Reanim. 1998 Jan;45(1):27-9.
Transesophageal echocardiography is a monitoring system that is changing the practice of cardiovascular anesthesia and surgery by providing real time images of cardiovascular anatomy and pathophysiology. Our hospital's anesthesiology and postoperative intensive care departments, in particular the cardiac anesthesia team, initiated a joint project in June 1993 with the echocardiography laboratory team to incorporate this surgical monitoring system. Here we report the wealth of information we obtained and describe the possibility of modifying a therapeutic approach based on the images visualized, even when conventional monitoring gives contradictory information. Two illustrative case reports are included.
经食管超声心动图是一种监测系统，它通过提供心血管解剖结构和病理生理学的实时图像，正在改变心血管麻醉和手术的实践。我们医院的麻醉科和术后重症监护科，特别是心脏麻醉团队，于1993年6月与超声心动图实验室团队启动了一个联合项目，以纳入这种手术监测系统。在此，我们报告所获得的丰富信息，并描述即使在传统监测给出相互矛盾信息的情况下，根据可视化图像修改治疗方法的可能性。文中包含两个说明性病例报告。
