Safety and Benefit of Transesophageal Echocardiography in Liver Transplant Surgery: A Position Paper From the Society for the Advancement of Transplant Anesthesia (SATA)

医学 肝移植 重症监护医学 移植 心理干预 患者安全 并发症 外科 普通外科 医疗保健 经济增长 精神科 经济
作者
Lorenzo De Marchi,Cindy J. Wang,Nikolaos J. Skubas,Rishi Kothari,Jeron Zerillo,Kathirvel Subramaniam,Guy Efune,Michelle Braunfeld,Susan J. Mandel
出处
期刊:Liver Transplantation [Lippincott Williams & Wilkins]
卷期号:26 (8): 1019-1029 被引量:32
标识
DOI:10.1002/lt.25800
摘要

More anesthesiologists are routinely using transesophageal echocardiography (TEE) during liver transplant surgery, but the effects on patient outcome are unknown. Transplant anesthesiologists are therefore uncertain if they should undergo additional training and adopt TEE. In response to these clinical questions, the Society for the Advancement of Transplant Anesthesia appointed experts in liver transplantation and who are certified in TEE to evaluate all available published evidence on the topic. The aim was to produce a summary with greater explanatory power than individual reports to guide transplant anesthesiologists in their decision to use TEE. An exhaustive search recovered 51 articles of uncontrolled clinical observations. Topics chosen for this study were effectiveness and safety because they were a major or minor topic in all articles. The pattern of clinical use was a common topic and was included to provide contextual information. Summarized observations showed effectiveness as the ability to make a new and unexpected diagnosis and to direct the choice of clinical management. These were reported in each stage of liver transplant surgery. There were observations that TEE facilitated rapid diagnosis of life‐threatening conditions difficult to identify with other types of monitoring commonly used in the operating room. Real‐time diagnosis by TEE images made anesthesiologists confident in their choice of interventions, especially those with a high risk of complications such as use of anticoagulants for intracardiac thrombosis. The summarized observations in this systematic review suggest that TEE is an effective form of monitoring with a safety profile similar to that in cardiac surgery patients.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
刚刚
威武的酒窝完成签到,获得积分10
刚刚
1秒前
五更夜发布了新的文献求助10
2秒前
风风完成签到 ,获得积分10
2秒前
Badada完成签到 ,获得积分10
2秒前
3秒前
科目三应助小海豚采纳,获得10
3秒前
量子星尘发布了新的文献求助10
3秒前
3秒前
求知小生发布了新的文献求助10
3秒前
sober发布了新的文献求助10
3秒前
gugugaga发布了新的文献求助10
4秒前
酷炫老头完成签到,获得积分10
4秒前
5秒前
Moe发布了新的文献求助10
5秒前
小野猫完成签到,获得积分20
5秒前
6秒前
6秒前
不安青牛应助感动的鹤采纳,获得10
6秒前
6秒前
诚心黎昕完成签到,获得积分10
7秒前
梦寻完成签到,获得积分10
7秒前
8秒前
传奇3应助123456采纳,获得30
8秒前
8秒前
小野猫发布了新的文献求助10
8秒前
zzj512682701完成签到,获得积分10
8秒前
独特青柏发布了新的文献求助10
9秒前
科研通AI5应助xsx采纳,获得10
9秒前
10秒前
10秒前
柴柴发布了新的文献求助10
10秒前
11秒前
英俊的铭应助hanghang采纳,获得10
11秒前
Lara发布了新的文献求助10
11秒前
11秒前
finger完成签到,获得积分10
11秒前
13秒前
orixero应助丫丫采纳,获得10
13秒前
高分求助中
(禁止应助)【重要!!请各位详细阅读】【科研通的精品贴汇总】 10000
Organic Chemistry 666
The Netter Collection of Medical Illustrations: Digestive System, Volume 9, Part III - Liver, Biliary Tract, and Pancreas (3rd Edition) 600
Social Epistemology: The Niches for Knowledge and Ignorance 500
Introducing Sociology Using the Stuff of Everyday Life 400
Conjugated Polymers: Synthesis & Design 400
Picture Books with Same-sex Parented Families: Unintentional Censorship 380
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 4252286
求助须知:如何正确求助?哪些是违规求助? 3785421
关于积分的说明 11881465
捐赠科研通 3436436
什么是DOI,文献DOI怎么找? 1885909
邀请新用户注册赠送积分活动 937383
科研通“疑难数据库(出版商)”最低求助积分说明 843128