Key result
Anesthesiologist-led preoperative TTE consult service proves feasible, predominantly serving higher-risk patients with ~66% ASA-PS 3.
Observational (n=172)
No
Anesthesiologist-led preoperative transthoracic echocardiography consult services can be implemented to evaluate patients undergoing intermediate- or high-risk noncardiac surgery.
Supports feasibility of anesthesiologist-led preoperative TTE consults in high-risk patients; leaves open effects on perioperative outcomes.
We describe a preoperative transthoracic echocardiography consult service led by anesthesiologists. The implementation process and the patient cohort are described. Preoperative transthoracic echocardiographic examinations were mostly performed in patients undergoing intermediate- or high-risk noncardiac surgery and in patients with a higher calculated mortality risk. All transthoracic echocardiographic examinations were interpreted by anesthesiologists.
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Shillcutt et al. (2017) conducted an observational in Preoperative cardiovascular risk assessment (n=172). Anesthesiologist-led preoperative transthoracic echocardiography (TTE) consult service was evaluated on Workflow paradigm and feasibility of the consult service. An anesthesiologist-led preoperative transthoracic echocardiography consult service was feasible and predominantly utilized in higher risk patients, with 65.7% classified as ASA-PS 3.
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