Transoesophageal echocardiography provides valuable real-time diagnostic and monitoring information on cardiac and aortic structure and function in critically ill patients.
Supports TEE for real-time ICU assessment; leaves open need for RCTs on outcomes.
Echocardiography offers real-time bedside diagnosis and monitoring of a variety of structural and functional abnormalities of the heart. Transoesophageal echocardiography, in particular, provides information on cardiac contractility, filling status and output, valvular morphology and function and on the structure of the ascending and descending aorta in the critically ill patient. The full range of modalities of echocardiography, including M-mode, 2-D-mode, colour Doppler and spectral Doppler, is at the disposal of the intensive care specialist. In this review, the indications for and the clinical impact of transoesophageal echocardiography and Doppler are discussed.
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Poelaert et al. (1998) studied this question.
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