PDF herunterladen
CC-BY-NC-ND 4.0 · J Neuroanaesth Crit Care 2015; 02(01): 003-014
DOI: 10.4103/2348-0548.148377
Review Article
Thieme Medical and Scientific Publishers Private Ltd.

Transoesophageal echocardiography: What a neuroanaesthesiologist should know?

Minati Choudhury
1   Department of Cardiac Anaesthesia, Cardiothoracic Sciences Centre, All India Institute of Medical Sciences, New Delhi, India
› Institutsangaben
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
05. Mai 2018 (online)

Auch verfügbar auf
   Lizenzen und Reprints

Abstract

Transoesophageal echocardiography (TEE) is a semi invasive imaging modality rapidly gained credence and popularity in the cardiothoracic centers worldwide by mid 1990s. It has also been found to be useful in some noncardiac surgical procedures, in particular in the management of neurosurgical patients and haemodynamically unstable patients in intensive care units (ICUs). The principal goal of basic transoesophageal echocardiographic examination encompass a broad range of anatomic imaging including the diagnosis of air embolism, causes of haemodynamic instability, ventricular size and function, volume status, and complications from invasive procedures, as well as the clinical impact or etiology of pulmonary dysfunction in ICU. TEE is relatively cheap and semi-invasive, but it should not be used as a stand-alone device but as a tool which provides data in addition to the data acquired from other forms of monitoring. The establishment of TEE in perioperative neuro anaesthetic care though recent, may result in a significant change in the role of the anaesthetsiologist who, using TEE can provide new information which may change the course and the outcome of surgical procedures.

Keywords

Monitoring - neuroanaesthesia - transoesophageal echocardiography
 

  • REFERENCES

  • 1 American Society of Anesthesiologists and Society of Cardiovascular Anesthesiologists Task Force on Transesophageal Echocardiography. Practice guidelines for perioperative transesophageal echocardiography. An updated report by the American society of anesthesiologists and the society of cardiovascular anesthesiologists task force on transesophageal echocardiography. Anesthesiology 2010; 112: 1084-96
    PubMedSuche in Google Scholar
  • 2 Shanewise JS, Cheung AT, Aronson S, Stewart WJ, Weiss RL, Mark JB. et al. ASE/SCA guidelines for performing a comprehensive intraoperative multiplane transesophageal echocardiography examination: Recommendations of the American society of echocardiography council for Intraoperative echocardiography and the society of cardiovascular anesthesiologists task force for certification in perioperative transesophageal echocardiography. Anesth Analg 1999; 89: 870-84
    CrossrefPubMedSuche in Google Scholar
  • 3 Oh JK, Seward JB, Tajik AF. Transesophageal echocardiography. In: The Echo Manual. 2nd ed.. Philadelphia: Lippincott-Raven; 1999. p. 3-36
    Suche in Google Scholar
  • 4 Jadik S, Wissing H, Friedrich K, Beck J, Seifert V, Raabe A. A standardized protocol for the prevention of clinically relevant venous air embolism during neurosurgical interventions in the semi-sitting position. Neurosurgery 2009; 64: 533-8
    CrossrefPubMedSuche in Google Scholar
  • 5 Fathi AR, Eshtehardi P, Meier B. Patent foramen ovale and neurosurgery in sitting position: A systematic review. Br J Anaesth 2009; 102: 588-96
    CrossrefPubMedSuche in Google Scholar
  • 6 Standefer M, Bay JW, Trusso R. The sitting position in neurosurgery: A retrospective analysis of 488 cases. Neurosurgery 1984; 14: 649-58
    CrossrefPubMedSuche in Google Scholar
  • 7 Zuber M, Cuculi F, Oechslin E, Erne P, Jenni R. Is transesophageal echocardiography still necessary to exclude patent foramen ovale?. Scand Cardiovasc J 2008; 42: 222-5
    CrossrefPubMedSuche in Google Scholar
  • 8 Cucchiara RF, Bowers B. Air embolism in children undergoing suboccipital craniotomy. Anesthesiology 1982; 57: 338-9
    CrossrefPubMedSuche in Google Scholar
  • 9 Feigl GC, Decker K, Wurms M, Krischek B, Ritz R, Unertl K. et al. Neurosurgical procedures in the semisitting position: Evaluation of the Risk of paradoxical venous air embolism in patients with a patent foramen ovale. World Neurosurg 2014; 81: 159-64
    CrossrefPubMedSuche in Google Scholar
  • 10 Black S, Muzzi DA, Nishimura RA, Cucchiara RF. Preoperative and intraoperative echocardiography to detect right to left shunt in patients undergoing neurosurgical procedures in the sitting position. Anesthesiology 1990; 72: 436-8
    CrossrefPubMedSuche in Google Scholar
  • 11 Cucchiara RF, Seward JB, Nishimura RA, Nugent M, Faust RJ. Identification of patent foramen ovale during sitting position craniotomy by transesophageal echocardiography with positive airway pressure. Anesthesiology 1985; 53: 107-9
    PubMedSuche in Google Scholar
  • 12 Mammoto T, Hayashi Y, Ohnishi Y, Kuro M. Incidence of venous and paradoxical air embolism in neurosurgical patients in semi sitting position: Detection by transesophageal echocardiography. Acta Anaesthesiol Scand 1998; 42: 643-7
    CrossrefPubMedSuche in Google Scholar
  • 13 Caputi L, Carriero MR, Falcone C, Parati E, Piotti P, Materazzo C. et al. Transcranial Doppler and transesophageal echocardiography: Comparison of both techniques and prospective clinical relevance of transcranial Doppler in patent foramen ovale detection. J Stroke Cerebrovasc Dis 2009; 18: 343-8
    CrossrefPubMedSuche in Google Scholar
  • 14 Ganslandt O, Merkel A, Schmitt H, Tzabazis A, Buchfelder M, Eyupoglu I. et al. The sitting position in neurosurgery: Indications, complications and results. A single institution experience of 600 cases. Acta Neurochir (Wien) 2013; 155: 1887-93
    CrossrefPubMedSuche in Google Scholar
  • 15 Sato S, Toya S, Mine T, Greig NH. Echocardiographic detection and treatment of intraoperative air embolism. J Neurosurg 1986; 64: 440-4
    CrossrefPubMedSuche in Google Scholar
  • 16 Belisario C, Generoso M, Brandigi L, Menci R, Merello G, Ammanati V. Extracardiac malformations in infants with congenital heart diseases: Clinical research and statistics covering period 1969-79 (author's transl). Pediatr Med Chir 1981; 3: 363-8
    PubMedSuche in Google Scholar
  • 17 Ritter S, Tani LY, Shaddy RE, Minich LL. Are screening echocardiograms warranted for neonates with meningomyelocele?. Arch Pediatr Adolesc Med 1999; 153: 1264-6
    CrossrefPubMedSuche in Google Scholar
  • 18 Di Pasquale G, Andreoli A, Lusa AM, Urbinati S, Biancoli S, Cerè E. et al. Cardiologic complications of subarachonoid hemorrhage. J Neurosurg Sci 1998; 42: 33-6
    PubMedSuche in Google Scholar
  • 19 Inamasu J, Nakatsukasa M, Mayanagi K, Miyatake S, Sugimoto K, Hayashi T. et al. Subarachonoid hemorrhage complicated with pulmonary edema and takotsubo like cardiomyopathy. Neurol Med Chir (Tokyo) 2012; 52: 49-55
    CrossrefPubMedSuche in Google Scholar
  • 20 Yokota H, Sugiura S, Ida Y, Itoh H. Neurogenic stress cardiomyopathy following aneurysmal subarachonoid hemorrhage in a very elderly patient – Case report. Neurol Med Chir (Tokyo) 2011; 51: 842-6
    CrossrefPubMedSuche in Google Scholar
  • 21 Citro R, Piscione F, Parodi G, Salerno-Uriarte J, Bossone E. Role of echocardiography in takotsubo cardiomyopathy. Heart Fail Clin 2013; 9: 157-66
    CrossrefPubMedSuche in Google Scholar
  • 22 McLaughlin N, Bojanowski MW, Denault A. Early myocardial dysfunction following subarachnoid hemorrhage. Br J Neurosurg 2005; 19: 141-7
    CrossrefPubMedSuche in Google Scholar
  • 23 Skiles JA, Griffin BP. Transesophageal echocardiographic (TEE) evaluation of ventricular function. Cardiol Clin 2000; 18: 681-97
    CrossrefPubMedSuche in Google Scholar
  • 24 Weiss SJ, Augoustides JG. Transesophageal echocardiography for coronary revascularization. In: A Practial approach to Transesophageal echocardiography. By Perrino AC, Leeves ST. 2nd ed.. Philadelphia: Lippincott, Williams and Wilkins; p. 298-318
  • 25 De Rosa G, Pardeo M, Di Rocco C, Pietrini D, Mensi S, Stival E. et al. Neurogenic stunned myocardium presenting as left ventricular hypertrabeculation in childhood: A variant of Takotsubo cardiomyopathy. Pediatr Crit Care Med 2011; 12: e420-3
    CrossrefPubMedSuche in Google Scholar
  • 26 Cheng TO. Left ventricular noncompaction cardiomyopathy: Three decades of progress. Int J Cardiol 2014; 174: 227-9
    CrossrefPubMedSuche in Google Scholar
  • 27 Prabhakar H, Bithal PK, Dash M, Chaturvedi A. Rupture of aorta and inferior vena cava during lumbar disc surgery. Acta Neurochir (Wien) 2005; 147: 327-9
    CrossrefPubMedSuche in Google Scholar
  • 28 Dosoglu M, Is M, Pehlivan M, Yildiz KH. Night mares in lumbar disc surgery: Iliac artery injury. Clin Neurol Neurosurg 2006; 108: 174-7
    CrossrefPubMedSuche in Google Scholar
  • 29 Kotake Y, Matsumot M, Yorozu T, Takeda J. Recurrent ST-segment elevation on ECG and ventricular tachycardia during neurosurgical anesthesia. J Anesth 2009; 23: 115-8
    CrossrefPubMedSuche in Google Scholar
  • 30 Zaman M, Akram H, Hallasos N, Bavetta S. Cardiac tamponade and heart failure secondary to venticulopleural shunt mal function: A rare presentation. BMJ Case Rep. 2011. 2011
    Suche in Google Scholar
  • 31 Jorro Baron F, Casanovas A, Guaita E, Bolasell C, Rombola V, Debaisi G. Cardiac tamponade as a complication of ventriculo atrial shunt. Arch Argent Pediatr 2012; 110: e1-3
    CrossrefPubMedSuche in Google Scholar
  • 32 Erbengl A, Berkar M. Pulmonary embolism in neurosurgical patients. Surg Neurol 1996; 43: 123-9
    PubMedSuche in Google Scholar
  • 33 Schober P, Loer SA, Schwarte LA. Perioperative monitoring with transesophageal Doppler technology. Anesth Analg 2009; 109: 340-53
    CrossrefPubMedSuche in Google Scholar
  • 34 Raftopoulos C, Vandestene A. Ventriculoatrial shunt distal catheter placement using transesophageal echocardiography: Technical note. Neurosurgery 1992; 31: 1136
    PubMedSuche in Google Scholar
  • 35 Machinis TG, Fountas KN, Hudson J, Robinson JS, Troup EC. Accurate placement of distal end of a ventriculoatrial shunt with the aid of transesophageal echocardiography: Technical note. J Neurosurg 2006; 105: 153-6
    CrossrefPubMedSuche in Google Scholar
  • 36 Mujanvic E, Bergsland J, Jurcic S, Avdic S, Stanimirovic-Mujanovic S, Kabil E. Calcified right atrial and pulmonary artery mass after ventriculoatrial shunt insertion. Med Arh 2011; 65: 363-4
    CrossrefPubMedSuche in Google Scholar
  • 37 Akram Q, Saravanan D, Levy R. Valvuloplasty for tricuspid stenosis caused by a ventriculoatrial shunt. Catheter Cardiovasc Interv 2011; 77: 722-5
    CrossrefPubMedSuche in Google Scholar
  • 38 Calliav L, Vandenbogaerge J, Kalala O, Caemaert J, Martens F, Vandekerchhove T. Transesophageal echocardiography: A simple method for monitoring the patency of ventricular shunts. Technical note. J Neurosurg 1991; 74: 1018-20
    CrossrefPubMedSuche in Google Scholar
  • 39 Tonn P, Gilsbach JM, Kreitschmann-Andermahr I, Franke A, Blindt R. A rare but life threatening complication of ventriculo-atrial shunt. Acta Neurochir (Wien) 2005; 147: 1303-4
    CrossrefPubMedSuche in Google Scholar
  • 40 Chuang HL, Chang CN, Hsu JC. Minimally invasive procedure for ventriculoatrial shunt combining a percutaneous approach with real time transesophageal echocardiogram monitoring: Report of six cases. Chang Gung Med J 2002; 25: 62-6
    PubMedSuche in Google Scholar
  • 41 Karabay O, Onen A, Yildiz F, Yilmaz E, Erdal CA, Sanli A. et al. The case of cyst hydatid localized within the interatrial septum. Jpn Heart J 2004; 45: 703-7
    CrossrefPubMedSuche in Google Scholar