PEROPERATIVE TRANSESOPHAGEAL ECHOCARDIOGRAPHY: CLINICAL BENEFIT DURING CARDIAC SURGERY
Objective: To evaluate the benefit of peroperative Transesophageal echocardiography (TEE) during cardiac surgery. Design: An observational analytic study. Place and duration of study: This study was carried out in the department of Cardiac Surgery Civil Hospital, Dow Medical College Karachi and...
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| Format: | Article |
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Dow University of Health Sciences
2008-01-01
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| Series: | Journal of the Dow University of Health Sciences |
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| Online Access: | https://jduhs.com/index.php/jduhs/article/view/1304 |
| _version_ | 1797818378990125056 |
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| author | Sadqa Aftab Shams Rashdi Abdul Bari Mudassir Iqbal Darr Aftab Mehmood |
| author_facet | Sadqa Aftab Shams Rashdi Abdul Bari Mudassir Iqbal Darr Aftab Mehmood |
| author_sort | Sadqa Aftab |
| collection | DOAJ |
| description |
Objective: To evaluate the benefit of peroperative Transesophageal echocardiography (TEE) during cardiac surgery.
Design: An observational analytic study. Place and duration of study: This study was carried out in the department of Cardiac Surgery Civil Hospital, Dow Medical College Karachi and Dow University of Health Sciences, from April 2001 to May 2007.
Subject and M ethods: In 385 patients undergoing cardiac surgery, preoperative transesophageal echocardiography was performed according to ASA guidelines. Category 1 in which TEE considered useful, and category 11 are those where TEE is potentially useful but indications are less clear. All TEE examination was reviewed by cardiologist and anesthesiologist. For each
patient, the diagnostic decision making and patient care was assessed using three criteria 1) Change in m edical therapy; 2) Change in surgical procedure; 3) C onfirm ation o f suspected diagnosis.
Results: TEE had greater utility in category 1 than in category 11 indications 17/70 (25%) versus 57/315 (18%) respectively. The nature of the clinical benefit was as follows: modification of medical therapy in 23/74 (31.08%), modification of planned surgical intervention in 49/74 (66.2%), confirmation of a diagnosis in 2/74 (2.70%). The benefit on therapy was (23.3%) in valvular replacement, (12.6%) in coronary artery bypass surgery and (5%) in congenital heart disease and intracardiac tumors.
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| first_indexed | 2024-03-13T09:07:08Z |
| format | Article |
| id | doaj.art-b3858c1251e2441daef047582e5fc4af |
| institution | Directory Open Access Journal |
| issn | 1995-2198 2410-2180 |
| language | English |
| last_indexed | 2024-03-13T09:07:08Z |
| publishDate | 2008-01-01 |
| publisher | Dow University of Health Sciences |
| record_format | Article |
| series | Journal of the Dow University of Health Sciences |
| spelling | doaj.art-b3858c1251e2441daef047582e5fc4af2023-05-28T03:12:27ZengDow University of Health SciencesJournal of the Dow University of Health Sciences1995-21982410-21802008-01-0131PEROPERATIVE TRANSESOPHAGEAL ECHOCARDIOGRAPHY: CLINICAL BENEFIT DURING CARDIAC SURGERYSadqa Aftab0Shams Rashdi1Abdul Bari2Mudassir Iqbal Darr3Aftab Mehmood4Departmentof Anesthesiologyand Surgical Intensive Care Unit, Civil Hospital Karachi, Dow University of Health Sciences. Karachi, Pakistan.Departmentof Anesthesiologyand Surgical Intensive Care Unit, Civil Hospital Karachi, Dow University of Health Sciences. Karachi, Pakistan Department of Cardiac Surgery Civil Hospital Karachi, Dow University of Health Sciences, Karachi, Pakistan Department of Cardiac Surgery Civil Hospital Karachi, Dow University of Health Sciences, Karachi, PakistanDepartmentof Anesthesiologyand Surgical Intensive Care Unit, Civil Hospital Karachi, Dow University of Health Sciences. Karachi, Pakistan Objective: To evaluate the benefit of peroperative Transesophageal echocardiography (TEE) during cardiac surgery. Design: An observational analytic study. Place and duration of study: This study was carried out in the department of Cardiac Surgery Civil Hospital, Dow Medical College Karachi and Dow University of Health Sciences, from April 2001 to May 2007. Subject and M ethods: In 385 patients undergoing cardiac surgery, preoperative transesophageal echocardiography was performed according to ASA guidelines. Category 1 in which TEE considered useful, and category 11 are those where TEE is potentially useful but indications are less clear. All TEE examination was reviewed by cardiologist and anesthesiologist. For each patient, the diagnostic decision making and patient care was assessed using three criteria 1) Change in m edical therapy; 2) Change in surgical procedure; 3) C onfirm ation o f suspected diagnosis. Results: TEE had greater utility in category 1 than in category 11 indications 17/70 (25%) versus 57/315 (18%) respectively. The nature of the clinical benefit was as follows: modification of medical therapy in 23/74 (31.08%), modification of planned surgical intervention in 49/74 (66.2%), confirmation of a diagnosis in 2/74 (2.70%). The benefit on therapy was (23.3%) in valvular replacement, (12.6%) in coronary artery bypass surgery and (5%) in congenital heart disease and intracardiac tumors. https://jduhs.com/index.php/jduhs/article/view/1304Transesophageal EchocardiographyCardiac SurgeryPerioperative benefit |
| spellingShingle | Sadqa Aftab Shams Rashdi Abdul Bari Mudassir Iqbal Darr Aftab Mehmood PEROPERATIVE TRANSESOPHAGEAL ECHOCARDIOGRAPHY: CLINICAL BENEFIT DURING CARDIAC SURGERY Journal of the Dow University of Health Sciences Transesophageal Echocardiography Cardiac Surgery Perioperative benefit |
| title | PEROPERATIVE TRANSESOPHAGEAL ECHOCARDIOGRAPHY: CLINICAL BENEFIT DURING CARDIAC SURGERY |
| title_full | PEROPERATIVE TRANSESOPHAGEAL ECHOCARDIOGRAPHY: CLINICAL BENEFIT DURING CARDIAC SURGERY |
| title_fullStr | PEROPERATIVE TRANSESOPHAGEAL ECHOCARDIOGRAPHY: CLINICAL BENEFIT DURING CARDIAC SURGERY |
| title_full_unstemmed | PEROPERATIVE TRANSESOPHAGEAL ECHOCARDIOGRAPHY: CLINICAL BENEFIT DURING CARDIAC SURGERY |
| title_short | PEROPERATIVE TRANSESOPHAGEAL ECHOCARDIOGRAPHY: CLINICAL BENEFIT DURING CARDIAC SURGERY |
| title_sort | peroperative transesophageal echocardiography clinical benefit during cardiac surgery |
| topic | Transesophageal Echocardiography Cardiac Surgery Perioperative benefit |
| url | https://jduhs.com/index.php/jduhs/article/view/1304 |
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