TY - JOUR
T1 - Usefulness of Intraoperative Transesophageal Echocardiography for Pediatric Patients with Congenital Heart Disease
AU - Iwasaki, Tatsuo
AU - Takeuchi, Mamoru
AU - Oe, Katsunori
AU - Taga, Naoyuki
AU - Morita, Kiyoshi
PY - 2004/3/1
Y1 - 2004/3/1
N2 - This report describes usefulness of intraoperative transesophageal echocardiograpy (TEE) based on 773 cases we experienced in 7 years. We assessed residual lesions, ventricular function and preload with TEE. We found a case with stenotic lesion in her lateral tunnel which TEE revealed after Fontan procedure. We also ensured that no micro air bubble was in the left ventricle and the left atrium before weaning from cardiopulmonary bypass. No patient suffered from convulsion during postoperative management after induction of intraoperative TEE examination though we had had some cases in the previous year. Respiratory compromise was observed in 3 cases (0.5%) and significant hemodynamic change occurred in 9 cases (1.3%). The conditions improved just after withdrawing TEE probe. Neither inadvertent tracheal extubation, nor serious complication occurred during TEE examinations. The incidence of complications during pediatric TEE is low and TEE examination is useful for pediatric patients with congenital heart disease.
AB - This report describes usefulness of intraoperative transesophageal echocardiograpy (TEE) based on 773 cases we experienced in 7 years. We assessed residual lesions, ventricular function and preload with TEE. We found a case with stenotic lesion in her lateral tunnel which TEE revealed after Fontan procedure. We also ensured that no micro air bubble was in the left ventricle and the left atrium before weaning from cardiopulmonary bypass. No patient suffered from convulsion during postoperative management after induction of intraoperative TEE examination though we had had some cases in the previous year. Respiratory compromise was observed in 3 cases (0.5%) and significant hemodynamic change occurred in 9 cases (1.3%). The conditions improved just after withdrawing TEE probe. Neither inadvertent tracheal extubation, nor serious complication occurred during TEE examinations. The incidence of complications during pediatric TEE is low and TEE examination is useful for pediatric patients with congenital heart disease.
KW - Anesthetic management
KW - Pediatric cardiac surgery
KW - Transesophageal echocardiography
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M3 - Article
C2 - 15071875
AN - SCOPUS:1842787537
SN - 0021-4892
VL - 53
SP - 264
EP - 268
JO - Japanese Journal of Anesthesiology
JF - Japanese Journal of Anesthesiology
IS - 3
ER -