nach oben

Die Anaesthesiologie

Erschienen in:

11.11.2021 | Transösophageale Echokardiografie | CME

Intraoperative transösophageale Echokardiographie als Monitoring-Verfahren bei nichtkardiochirurgischen Patienten

verfasst von: Dr. V. Umrath, DESA, C. Dumps, B. Rupprecht, J. Schimpf, J. Benak

Erschienen in: Die Anaesthesiologie | Ausgabe 12/2021

Einloggen, um Zugang zu erhalten

Zusammenfassung

Die transösophageale Echokardiographie (TEE) ist in der Kardiochirurgie zur Diagnosestellung sowie als hämodynamisches Monitoring- und „guiding tool“ fest etabliert. Dynamische und (patho)physiologische Prozesse des Herzens können unmittelbar dargestellt werden. Im Idealfall lassen sich Therapieänderungen ableiten. Daher wird die TEE zunehmend auch bei nichtkardiochirurgischen Risikoeingriffen und im interventionellen Setting angewendet. Im 1. Teil dieser Weiterbildungsreihe werden allgemeine Aspekte zum Ablauf der TEE-Untersuchung sowie ihre Indikationen und Kontraindikationen dargestellt. Klinische Einsatzbereiche, in denen die TEE eine Rolle im perioperativen Monitoring spielen kann, werden skizziert. Der 2. Teil fokussiert einen Notfalluntersuchungsgang und Differenzialdiagnosen, die bei intraoperativer hämodynamischer Instabilität oder ungeklärter Hypoxämie mithilfe der TEE gestellt werden können. Ein Ausblick auf die Nutzung einer computergestützten TEE-Auswertung schließt den Beitrag ab.

Brederlau J et al (2006) Transesophageal echocardiography for non-cardiac surgery patients: superfluous luxury or essential diagnostic tool? Anaesthesist 55(9):937–943PubMed

Hahn RT et al (2013) Guidelines for performing a comprehensive transesophageal echocardiographic examination: recommendations from the American society of echocardiography and the society of cardiovascular anesthesiologists. J Am Soc Echocardiogr 26(9):921–964PubMed

Kallmeyer IJ et al (2001) The safety of intraoperative transesophageal echocardiography: a case series of 7200 cardiac surgical patients. Anesth Analg 92(5):1126–1130PubMed

Lennon MJ et al (2005) Transesophageal echocardiography-related gastrointestinal complications in cardiac surgical patients. J Cardiothorac Vasc Anesth 19(2):141–145PubMed

Purza R et al (2017) Transesophageal echocardiography complications in adult cardiac surgery: a retrospective cohort study. Ann Thorac Surg 103(3):795–802PubMed

Bavalia N et al (2011) Esophageal perforation, the most feared complication of TEE: early recognition by multimodality imaging. Echocardiography 28(3):E56–9PubMed

Min JK et al (2005) Clinical features of complications from transesophageal echocardiography: a single-center case series of 10,000 consecutive examinations. J Am Soc Echocardiogr 18(9):925–929PubMed

Savino JS et al (1994) Oropharyngeal injury after transesophageal echocardiography. J Cardiothorac Vasc Anesth 8(1):76–78PubMed

Zuchelli T et al (2015) Does an upper endoscopy before transesophageal echocardiography change patient management? J Clin Gastroenterol 49(10):848–852PubMed

10.

Bancroft EA et al (2013) Outbreak of escherichia coli infections associated with a contaminated transesophageal echocardiography probe. Infect Control Hosp Epidemiol 34(10):1121–1123PubMed

11.

Scott D et al (2018) Risk of infection following semi-invasive ultrasound procedures in Scotland, 2010 to 2016: a retrospective cohort study using linked national datasets. Ultrasound 26(3):168–177PubMedPubMedCentral

12.

Seki M et al (2013) Nosocomial outbreak of multidrug-resistant pseudomonas aeruginosa caused by damaged transesophageal echocardiogram probe used in cardiovascular surgical operations. J Infect Chemother 19(4):677–681PubMed

13.

Van Maerken T et al (2019) A recurrent and transesophageal echocardiography-associated outbreak of extended-spectrum beta-lactamase-producing enterobacter cloacae complex in cardiac surgery patients. Antimicrob Resist Infect Control 8:152PubMedPubMedCentral

14.

Olcay A et al (2018) A simple technique for performing transesophageal echocardiography in patients with Zenker’s diverticulum. J Cardiothorac Vasc Anesth 32(4):e92–e93PubMed

15.

Wells GL, Gilliam J, Kitzman DW (2000) A technique for performing transesophageal echocardiography in patients with Zenker’s diverticulum. Echocardiography 17(5):447–449PubMed

16.

Hauser ND, Swanevelder J (2018) Transoesophageal echocardiography (TOE): contra-indications, complications and safety of perioperative TOE. Echo Res Pract 5(4):R101–R113PubMedPubMedCentral

17.

Rehfeldt KH et al (2020) The safety and feasibility of transesophageal echocardiography in patients with esophageal stricture. J Cardiothorac Vasc Anesth 34(7):1846–1852PubMed

18.

Burger-Klepp U et al (2012) Transesophageal echocardiography during orthotopic liver transplantation in patients with esophagoastric varices. Transplantation 94(2):192–196PubMed

19.

Myo Bui CC et al (2015) Gastroesophageal and hemorrhagic complications associated with intraoperative transesophageal echocardiography in patients with model for end-stage liver disease score 25 or higher. J Cardiothorac Vasc Anesth 29(3):594–597PubMed

20.

Markin NW et al (2015) The safety of transesophageal echocardiography in patients undergoing orthotopic liver transplantation. J Cardiothorac Vasc Anesth 29(3):588–593PubMed

21.

Hilberath JN et al (2010) Safety of transesophageal echocardiography. J Am Soc Echocardiogr 23(11):1115–1127 (quiz 1220–1)PubMed

22.

Fayad A, Shillcutt SK (2018) Perioperative transesophageal echocardiography for non-cardiac surgery. Can J Anaesth 65(4):381–398PubMed

23.

Na S et al (2009) Rigid laryngoscope-assisted insertion of transesophageal echocardiography probe reduces oropharyngeal mucosal injury in anesthetized patients. Anesthesiology 110(1):38–40PubMed

24.

Ishida T et al (2016) McGRATH MAC video laryngoscope for insertion of a transoesophageal echocardiography probe: a randomised controlled trial. Eur J Anaesthesiol 33(4):263–268PubMed

25.

Kavrut Ozturk N, Kavakli AS (2017) Use of McGrath MAC videolaryngoscope to assist transesophageal echocardiography probe insertion in Intubated patients. J Cardiothorac Vasc Anesth 31(1):191–196PubMed

26.

Muller T et al (2018) DEGUM recommendations on infection prevention in ultrasound and endoscopic ultrasound. Ultraschall Med 39(3):284–303PubMed

27.

Srivastava D et al (2015) Effect of intraoperative transesophageal Doppler-guided fluid therapy versus central venous pressure-guided fluid therapy on renal allograft outcome in patients undergoing living donor renal transplant surgery: a comparative study. J Anesth 29(6):842–849PubMed

28.

Rapezzi C et al (2001) Usefulness of transesophageal echocardiographic monitoring to improve the outcome of stent-graft treatment of thoracic aortic aneurysms. Am J Cardiol 87(3):315–319PubMed

29.

Katz ES et al (1992) Protruding aortic atheromas predict stroke in elderly patients undergoing cardiopulmonary bypass: experience with intraoperative transesophageal echocardiography. J Am Coll Cardiol 20(1):70–77PubMed

30.

Upchurch GR Jr. et al (2021) Society for vascular surgery clinical practice guidelines for thoracic endovascular aneurysm repair (Tevar). J Vasc Surg 73(1S):55S–83S. https://doi.org/10.1016/j.jvs.2020.05.076CrossRefPubMed

31.

Tonnessen BH, Sternbergh WC, Money SR (2003) Brave new world: the role for endovascular aneurysm repair in contemporary vascular surgery. J Cardiovasc Surg (Torino) 44(4):535–542

32.

Spanos K et al (2016) Transition from open surgery to endovascular treatment of abdominal aortic aneurysm rupture. Ann Vasc Surg 36:85–91PubMed

33.

Fayad A (2007) A misplaced guide wire in the false lumen during endovascular repair of a type B aortic dissection. Can J Anaesth 54(11):947–948PubMed

34.

Patil TA, Nierich A (2016) Transesophageal echocardiography evaluation of the thoracic aorta. Ann Card Anaesth 19:S44–s55PubMedPubMedCentral

35.

Fattori R et al (2000) Primary endoleakage in endovascular treatment of the thoracic aorta: importance of intraoperative transesophageal echocardiography. J Thorac Cardiovasc Surg 120(3):490–495PubMed

36.

Oikawa T et al (2004) Intraoperative transesophageal echocardiography for inferior vena caval tumor thrombus in renal cell carcinoma. Int J Urol 11(4):189–192PubMed

37.

Calderone CE et al (2018) The role of transesophageal echocardiography in the management of renal cell carcinoma with venous tumor thrombus. Echocardiography 35(12):2047–2055PubMed

38.

Huttemann E et al (2002) Transesophageal echocardiography and intraoperative management of patients with renal cell carcinoma and rena cava extension. Anaesthesist 51(2):116–119PubMed

39.

Kostibas MP et al (2017) Defining the role of intraoperative transesophageal echocardiography during radical nephrectomy with inferior vena cava tumor thrombectomy for renal cell carcinoma. Urology 107:161–165PubMed

40.

Fathi AR, Eshtehardi P, Meier B (2009) Patent foramen ovale and neurosurgery in sitting position: a systematic review. Br J Anaesth 102(5):588–596PubMed

41.

Gunther F et al (2017) Venous air embolism in the sitting position in cranial neurosurgery: incidence and severity according to the used monitoring. Acta Neurochir (Wien) 159(2):339–346

42.

Fritz G et al (2008) Perioperatives Management bei neurochirurgischen Operationen in sitzender oder halbsitzender Position. Anasth Intensivmed 49:47–51

43.

Hagen PT, Scholz DG, Edwards WD (1984) Incidence and size of patent foramen ovale during the first 10 decades of life: an autopsy study of 965 normal hearts. Mayo Clin Proc 59(1):17–20PubMed

44.

Mammoto T et al (1998) Incidence of venous and paradoxical air embolism in neurosurgical patients in the sitting position: detection by transesophageal echocardiography. Acta Anaesthesiol Scand 42(6):643–647PubMed

45.

Schramm P et al (2017) Noninvasive hemodynamic measurements during neurosurgical procedures in sitting position. J Neurosurg Anesthesiol 29(3):251–257PubMed

46.

Stendel R et al (2000) Transcranial Doppler ultrasonography as a screening technique for detection of a patent foramen ovale before surgery in the sitting position. Anesthesiology 93(4):971–975PubMed

47.

Engelhardt M et al (2006) Neurosurgical operations with the patient in sitting position: analysis of risk factors using transcranial Doppler sonography. Br J Anaesth 96(4):467–472PubMed

48.

Kwapisz MM et al (2004) Transesophageal echocardiography as a guide for patient positioning before neurosurgical procedures in semi-sitting position. J Neurosurg Anesthesiol 16(4):277–281PubMed

49.

Grimberg A, Jansson V, Lützner J, Melsheimer O, Morlock M, Steinbrück A (2020) Endoprothesenregister Deutschland (EPRD) – Jahresbericht 2020

50.

Olsen F et al (2014) Bone cement implantation syndrome in cemented hemiarthroplasty for femoral neck fracture: incidence, risk factors, and effect on outcome. Br J Anaesth 113(5):800–806PubMed

51.

Griffiths R, Parker M (2015) Bone cement implantation syndrome and proximal femoral fracture. Br J Anaesth 114(1):6–7PubMed

52.

Orsini EC et al (1987) Cardiopulmonary function and pulmonary microemboli during arthroplasty using cemented or non-cemented components. The role of intramedullary pressure. J Bone Joint Surg Am 69(6):822–832PubMed

53.

Koessler MJ et al (2001) The clinical relevance of embolic events detected by transesophageal echocardiography during cemented total hip arthroplasty: a randomized clinical trial. Anesth Analg 92(1):49–55PubMed

54.

Hagio K et al (2003) Embolic events during total hip arthroplasty: an echocardiographic study. J Arthroplasty 18(2):186–192PubMed

55.

De Marchi L et al (2020) Safety and benefit of transesophageal echocardiography in liver transplant surgery: a position paper from the society for the advancement of transplant anesthesia (SATA). Liver Transpl 26(8):1019–1029PubMed

56.

Hofer RE et al (2020) Influence of intraoperative transesophageal echocardiography and pulmonary artery catheter monitoring on outcomes in liver transplantation. Transplant Direct 6(2):e525PubMedPubMedCentral

57.

Dalia AA, Khan H, Flores AS (2017) Intraoperative diagnosis of intracardiac thrombus during orthotopic liver transplantation with transesophageal echocardiography: a case series and literature review. Semin Cardiothorac Vasc Anesth 21(3):245–251PubMed

58.

Porter TR et al (2015) Guidelines for the use of echocardiography as a monitor for therapeutic intervention in adults: a report from the American society of echocardiography. J Am Soc Echocardiogr 28(1):40–56PubMed

59.

Essandoh M et al (2017) Transesophageal echocardiography monitoring during lung transplantation. J Cardiothorac Vasc Anesth 31(6):e98–e99PubMed

60.

Gonzalez-Fernandez C et al (2009) Pulmonary venous obstruction after lung transplantation. Diagnostic advantages of transesophageal echocardiography. Clin Transplant 23(6):975–980PubMed

61.

Monaco F et al (2018) Extracorporeal membrane oxygenation: beyond cardiac surgery and intensive care unit: unconventional uses and future perspectives. J Cardiothorac Vasc Anesth 32(4):1955–1970PubMed

62.

Brodie D, Bacchetta M (2011) Extracorporeal membrane oxygenation for ARDS in adults. N Engl J Med 365(20):1905–1914PubMed

63.

Vegas A (2018) Perioperative two-dimensional transesophageal echocardiography: a practical handbook. Springer,

64.

Griffee MJ et al (2018) Echocardiographic guidance and troubleshooting for venovenous extracorporeal membrane oxygenation using the dual-lumen bicaval cannula. J Cardiothorac Vasc Anesth 32(1):370–378PubMed

65.

Hirose H et al (2012) Right ventricular rupture and tamponade caused by malposition of the Avalon cannula for venovenous extracorporeal membrane oxygenation. J Cardiothorac Surg 7:36PubMedPubMedCentral

66.

Nowak-Machen M et al (2016) Safety of transesophageal echocardiography during extracorporeal life support. Perfusion 31(8):634–639PubMed

67.

Earley MJ (2009) How to perform a transseptal puncture. Heart 95(1):85–92PubMed

68.

Silvestry FE et al (2009) Echocardiography-guided interventions. J Am Soc Echocardiogr 22(3):213–231 (quiz 316–7)PubMed

69.

Zamorano JL et al (2011) EAE/ASE recommendations for the use of echocardiography in new transcatheter interventions for valvular heart disease. Eur Heart J 32(17):2189–2214PubMed

70.

Patel H, Raisinghani A, DeMaria A (2018) Echocardiography in transcatheter structural heart disease interventions. Prog Cardiovasc Dis 61(5–6):423–436PubMed

Titel: Intraoperative transösophageale Echokardiographie als Monitoring-Verfahren bei nichtkardiochirurgischen Patienten
verfasst von: Dr. V. Umrath, DESA
C. Dumps
B. Rupprecht
J. Schimpf
J. Benak
Publikationsdatum: 11.11.2021
Verlag: Springer Medizin
Schlagwörter: Transösophageale Echokardiografie
ECMO
ECMO
Erschienen in: Die Anaesthesiologie / Ausgabe 12/2021
Print ISSN: 2731-6858
Elektronische ISSN: 2731-6866
DOI: https://doi.org/10.1007/s00101-021-01035-1

Neu im Fachgebiet AINS

18.04.2024 | Wirbelsäulenmetastase | Nachrichten

Update AINS

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

hier abonnieren

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Intraoperative transösophageale Echokardiographie als Monitoring-Verfahren bei nichtkardiochirurgischen Patienten

Zusammenfassung

Neu im Fachgebiet AINS

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

Hochrisiko-Eingriffe für postoperative Übelkeit

Diclofenac-Gel versus Ibuprofen bei akuten Rückenschmerzen

Update AINS

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Zusammenfassung

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 12/2021

Kardiopulmonale Reanimation und Penicillin als Beispiele des Wiederentdeckens

Der Umgang mit Notfallklassifikationen – Wo stehen wir?

Neue kardiale Biomarker zur frühen Detektion des Myokardinfarktes in der Herzchirurgie

S3-Leitlinie „Vaginale Geburt am Termin“ – Die wichtigsten anästhesiologischen Aspekte

Die Generationen Y und Z – Neue Herausforderungen für Führungskräfte im Krankenhaus

Neuropathische Schmerzen differenzieren

Neu im Fachgebiet AINS

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

Hochrisiko-Eingriffe für postoperative Übelkeit

Diclofenac-Gel versus Ibuprofen bei akuten Rückenschmerzen

Update AINS