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Transoesophageal Echocardiography for Monitoring Liver Surgery: Data from a Pilot Study

dc.contributor.authorPissarra, F
dc.contributor.authorOliveira, A
dc.contributor.authorMarcelino, P
dc.date.accessioned2013-04-02T09:54:18Z
dc.date.available2013-04-02T09:54:18Z
dc.date.issued2012
dc.description.abstractA pilot study aimed to introduce intraoperative monitoring of liver surgery using transoesophageal echocardiography (TEE) is described. A set of TEE measurements was established as a protocol, consisting of left atrial (LA) dimension at the aortic valve plane; mitral velocity flow integral, calculation of stroke volume and cardiac output (CO); mitral annular plane systolic excursion; finally, right atrial area. A total of 165 measurements (on 21 patients) were performed, 31 occurring during hypotension. The conclusions reached were during acute blood loss LA dimension changed earlier than CVP, and, in one patient, a dynamic left ventricular (LV) obstruction was observed; in 3 patients a transient LV systolic dysfunction was documented. The comparison between 39 CO paired measurements obtained by TEE and PiCCO2 revealed a statistically significant correlation (P < 0.001, r = 0.83). In this pilot study TEE successfully answered the questions raised by the anesthesiologists. Larger cohort studies are needed to address this issue.por
dc.identifier.citationCardiol Res Pract. 2012;2012:723418por
dc.identifier.urihttp://hdl.handle.net/10400.17/1195
dc.language.isoengpor
dc.peerreviewedyespor
dc.publisherHindawi Publishing Corporationpor
dc.subjectEcocardiografia Transesofágicapor
dc.subjectMonitorizaçãopor
dc.subjectCirurgiapor
dc.titleTransoesophageal Echocardiography for Monitoring Liver Surgery: Data from a Pilot Studypor
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleCardiology Research and Practicepor
rcaap.rightsopenAccesspor
rcaap.typearticlepor

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