The Effect of Perioperative Rescue Transesophageal Echocardiography on the Management of Trauma Patients. Issue 12 (15th June 2016)

• Record Type: Journal Article
• Authors: Griffee, Matthew J.; Singleton, Andrew; Zimmerman, Joshua M.; Morgan, David E.; Nirula, Raminder
• Is Part Of: A & A case reports. Volume 6:Issue 12(2016:Jun.)
• Publication Date: 2016-06-15
• Subjects: Anesthesiology -- Periodicals; Anesthesia -- Periodicals; Anesthesiology; Analgesia; Anesthesiology; Periodicals; 617.9605
• DOI: 10.1213/XAA.0000000000000320
• Languages: English
• ISSNs: 2325-7237

Abstract

Abstract : To evaluate the effect of rescue transesophageal echocardiography (TEE) on the management of trauma patients, we reviewed imaging and charts of unstable trauma patients at a level I trauma center. Critical rescue TEE findings included acute right ventricular failure, stress cardiomyopathy, type B aortic dissection, mediastinal air, and dynamic left ventricular outflow tract obstruction. Left ventricular filling was classified as low (underfilled) in 57% of all cases. Rescue TEE revealed a variety of new diagnoses and led to a change in resuscitation strategy about half of the time. Abstract : Supplemental Digital Content is available in the text.