A review of 364 perioperative rescue echocardiograms: Findings of an anesthesiologist-staffed perioperative echocardiography service

Nicholas W. Markin, Benjamin S. Gmelch, Matthew J. Griffee, Timothy J. Holmberg, David E. Morgan, Joshua M. Zimmerman

Research output: Contribution to journalArticle

14 Scopus citations

Abstract

Objective Review the findings and use of rescue echocardiography performed by the Division of Perioperative Echocardiography and its impact on patient management. Design Retrospective observational study. Setting Single institution, tertiary care hospital. Participants Three hundred sixty-four consecutive rescue echocardiograms in the perioperative setting. Interventions Rescue transesophageal or rescue transthoracic echocardiography. Measurements and Main Results Of a total of 1,675 perioperative echocardiograms performed in a 28-month period, 364 (21.8%) were rescue studies. Of these, 95.9% were transesophageal and 4.1% were transthoracic. Location at time of rescue echocardiography was intraoperative (55.5%), postoperative (44.2%), and preoperative (0.3%). No single diagnosis predominated the intraoperative or postoperative environment, and the frequency of common etiologies did not allow for assumption. There was a change in management for 214 patients (59%) as the result of findings. The methods used in performing rescue echocardiography at the authors' institution are reported. Conclusions The heterogeneity of diagnoses and the frequency with which rescue echocardiography changed management further supports the growing body of evidence that the hemodynamically unstable perioperative patient benefits from its use.

Original languageEnglish (US)
Pages (from-to)82-88
Number of pages7
JournalJournal of Cardiothoracic and Vascular Anesthesia
Volume29
Issue number1
DOIs
StatePublished - Feb 1 2015

    Fingerprint

Keywords

  • hemodynamic instability
  • intraoperative hypotension
  • rescue echocardiography
  • transesophageal echocardiography
  • transthoracic echocardiography

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Anesthesiology and Pain Medicine

Cite this