Key result
Intraoperative transoesophageal echocardiography led to different surgical procedures in 6% of routine and 22% of requested examinations during adult cardiac surgery.
Why the study?
Does intraoperative transoesophageal echocardiography impact clinical and surgical management in adult cardiac surgery patients?
Observational (n=238)
Does intraoperative transoesophageal echocardiography impact clinical and surgical management in adult cardiac surgery patients?
Intraoperative TOE frequently detects unsuspected cardiac pathology that directly alters surgical management, supporting its value as a routine tool in adult cardiac surgery.
Answers are grounded in this paper and cite their sources.
May alter surgical plans in adult cardiac surgery; leaves open whether routine use improves outcomes.
Although multiple case reports have demonstrated the capability of transoesophageal echocardiography (TOE) to detect unsuspected cardiac pathology with important therapeutic implications, few studies have examined the effect of real-time interpretation of routine TOE on clinical management of a typical series of cardiac surgery patients. To assess the impact of intraoperative TOE on cardiac surgical management, we conducted a prospective observational study on 238 consecutive patients undergoing intraoperative TOE during adult cardiac surgery. Potentially important new diagnostic information was detected in 39 of 184 (21%) routine and in 53 of 54 requested TOE examinations, and led directly to different surgical procedures in 11 of 184 (6%) routine and in 12 of 54 (22%) requested TOE examinations. Our data suggests that intraoperative TOE may be a valuable tool in the routine management of adult cardiac surgical patients.
No takes yet. Share an insight, caveat, or question.
Sutton et al. (1998) conducted an observational in Adult cardiac surgery (n=238). Intraoperative transoesophageal echocardiography (TOE) was evaluated on Detection of potentially important new diagnostic information and change in surgical procedures. Intraoperative transoesophageal echocardiography led to different surgical procedures in 6% of routine and 22% of requested examinations during adult cardiac surgery.
Synapse has enriched 10 related papers. Consider them for comparative context: