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Guidelines for the Use of Transesophageal Echocardiography to Assist with Surgical Decision-Making in the Operating Room: A Surgery-Based Approach: From the American Society of Echocardiography in Collaboration with the Society of Cardiovascular Anesthesiologists and the Society of Thoracic Surgeons.

Publication ,  Journal Article
Nicoara, A; Skubas, N; Ad, N; Finley, A; Hahn, RT; Mahmood, F; Mankad, S; Nyman, CB; Pagani, F; Porter, TR; Rehfeldt, K; Stone, M; Taylor, B ...
Published in: J Am Soc Echocardiogr
June 2020

Intraoperative transesophageal echocardiography is a standard diagnostic and monitoring tool employed in the management of patients undergoing an entire spectrum of cardiac surgical procedures, ranging from "routine" surgical coronary revascularization to complex valve repair, combined procedures, and organ transplantation. Utilizing a protocol as a starting point for imaging in all procedures and all patients enables standardization of image acquisition, reduction in variability in quality of imaging and reporting, and ultimately better patient care. Clear communication of the echocardiographic findings to the surgical team, as well as understanding the impact of new findings on the surgical plan, are paramount. Equally important is the need for complete understanding of the technical steps of the surgical procedures being performed and the complications that may occur, in order to direct the postprocedure evaluation toward aspects directly related to the surgical procedure and to provide pertinent echocardiographic information. The rationale for this document is to outline a systematic approach describing how to apply the existing guidelines to questions on cardiac structure and function specific to the intraoperative environment in open, minimally invasive, or hybrid cardiac surgery procedures.

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Published In

J Am Soc Echocardiogr

DOI

EISSN

1097-6795

Publication Date

June 2020

Volume

33

Issue

6

Start / End Page

692 / 734

Location

United States

Related Subject Headings

  • United States
  • Surgeons
  • Operating Rooms
  • Humans
  • Echocardiography, Transesophageal
  • Echocardiography
  • Cardiovascular System & Hematology
  • Anesthesiologists
  • 3201 Cardiovascular medicine and haematology
  • 1102 Cardiorespiratory Medicine and Haematology
 

Citation

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Nicoara, Alina, Nikolaos Skubas, Niv Ad, Alan Finley, Rebecca T. Hahn, Feroze Mahmood, Sunil Mankad, et al. “Guidelines for the Use of Transesophageal Echocardiography to Assist with Surgical Decision-Making in the Operating Room: A Surgery-Based Approach: From the American Society of Echocardiography in Collaboration with the Society of Cardiovascular Anesthesiologists and the Society of Thoracic Surgeons.J Am Soc Echocardiogr 33, no. 6 (June 2020): 692–734. https://doi.org/10.1016/j.echo.2020.03.002.
Nicoara A, Skubas N, Ad N, Finley A, Hahn RT, Mahmood F, Mankad S, Nyman CB, Pagani F, Porter TR, Rehfeldt K, Stone M, Taylor B, Vegas A, Zimmerman KG, Zoghbi WA, Swaminathan M. Guidelines for the Use of Transesophageal Echocardiography to Assist with Surgical Decision-Making in the Operating Room: A Surgery-Based Approach: From the American Society of Echocardiography in Collaboration with the Society of Cardiovascular Anesthesiologists and the Society of Thoracic Surgeons. J Am Soc Echocardiogr. 2020 Jun;33(6):692–734.
Journal cover image

Published In

J Am Soc Echocardiogr

DOI

EISSN

1097-6795

Publication Date

June 2020

Volume

33

Issue

6

Start / End Page

692 / 734

Location

United States

Related Subject Headings

  • United States
  • Surgeons
  • Operating Rooms
  • Humans
  • Echocardiography, Transesophageal
  • Echocardiography
  • Cardiovascular System & Hematology
  • Anesthesiologists
  • 3201 Cardiovascular medicine and haematology
  • 1102 Cardiorespiratory Medicine and Haematology