Molina-Méndez FJ, Lespron-Robles MC, Angulo-Lara OM, Herrera-Elizalde R

Idioma: Español
Referencias bibliográficas: 21
Paginas: 16-22
Archivo PDF: 148.63 Kb.

FRAGMENTO

El ecocardiograma en anestesiología se ha convertido en una herramienta de importancia en la última década. Nos permite visualizar y evaluar la función cardíaca y estructuras circundantes en tiempo real.
Si bien es claro que su implementación nos aporta información que nos ayuda en la toma de decisiones durante el perioperatorio, la evidencia es limitada en cuanto a su impacto en los resultados postoperatorios.
El uso del ECG se remonta a los años 70 con la aparición del modo M y posterior parición del modo de imagen bidimensional (2D). Sin embargo, no fue hasta la aparición de las sondas multiplano flexibles en los años 80 cuando logró una gran aceptación en la práctica cotidiana.

REFERENCIAS (EN ESTE ARTÍCULO)

1. Rebecca T. Hann, Theodore Abraham, Mark A. Adams. Guidelines for Performing a Comprehensive Transesophageal Echocardiographic Examination: Recommendations from the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists. Anesthesia & Analgesia and the Journal of Echocardioraphy, 2013: 921-964.

2. Sandby-Thomas M, Sullivan G, Hall JE. A national survey into the peri-operative anaesthetic management of patients presenting for surgical correction of a fractured neck of femur. Anaesthesia. 2008;63:250-258.

3. Vahanian A, Baumgartner H, Bax J, et al. Guidelines on the management of valvular heart disease , The Task Force on the management of Valvular Heart Disease of the European Society of Cardiology. European Heart Journal. 2007;28:230-268.

4. Guidelines for pre-operative cardiac risk assessment and perioperative cardiac management in non-cardiac surgery. Anesthesiology, The Task Force for Preoperative Cardiac Risk Assessment and Perioperative Cardiac Management in Non-Cardiac Surgery of the European Society of Cardiology (ESC) and endorsed by the European Society of. European Heart Journal. 2009;30:2769-2812.

5. Davenport DL, Ferraris VA, Hosokawa P, Henderson WG, Khuri SF, Mentzer RM. Multivariable predictors of postoperative cardiac adverse events after general and vascular surgery: results from the patient safety in surgery study. Journal of the American College of Surgeons. 2007;204:199-210.

6. Mangano DT. Perioperative cardiac morbidity. Anesthesiology. 1990;72:153-184.

7. Matyal R, Hess PE, Subramaniam B, et al. Perioperative diastolic dysfunction during vascular surgery and its association with postoperative outcome. Journal of Vascular Surgery. 2009;50:70-76.

8. Ramakrishna G, Sprung J, Ravi BS, Chandrasekaran K, McGoon MD. Impact of pulmonary hypertension on the outcomes of noncardiac surgery. Predictors of perioperative morbidity and mortality. Journal of American College of Cardiology. 2005;45:1691-1699.

9. Fleisher LA, Beckman JA, Brown KA, et al. ACC/AHA 2007 Guidelines on perioperative cardiovascular evaluation and care for noncardiac surgery: executive Summary. A report of the American College of Cardiology/American Heart Association task force on practice guidelines. Circulation. 2007;116:1971-1996.

10. Canty DJ, Royse CF, Kilpatrick D, Williams DL, Royce G. The impact of pre-operative focused transthoracic echocardiography in emergency non-cardiac surgery patients with known or risk of cardiac disease. Anaesthesia. 2012;67:714-720.

11. Cowie B. Three years’ experience of focused cardiovascular ultrasound in the peri-operative period. Anaesthesia. 2011;66:268-273.

12. Canty DJ, Royse CF. Audit of anaesthetist-performed echocardiography on perioperative management decisions for non-cardiac surgery. British Journal of Anaesthesia. 2009;103:352-358.

13. Canty DJ, Royse CF, Kilpatrick D, Bowman L, Royse AG. The impact of focused transthoracic echocardiography in the pre-operative clinic. Anaesthesia. 2012;67:618-625.

14. Denault AY, Couture P, McKenty S, et al. Perioperative use of transesophageal echocardiography by anesthesiologists: impact in noncardiac surgery and in the intensive care unit. Canadian Journal of Anesthesia. 2002;49:287-293.

15. Muralidhar K. Utility of perioperative transesophageal echocardiography. Ann Card Anaesth. 2016;19:2-5.

16. London MJ, Tabau JF, Wong MG, et al. The ‘‘natural history’’ of segmental wall motion abnormalities in patients undergoing noncardiac surgery. Anesthesiology. 1990;73:644-655.

17. Elton RJ, Howell SC. The sitting position in neurosurgical anaesthesia: a survey of British practice in 1991.British Journal of Anaesthesia. 1994;73:247-248.

18. Hagen PT, Scholz DJ, Edwards WD. Incidence and size of patent foramen oval during the first ten decades of life: an autopsy study of 965 normal hearts. Mayo Clinic Proceedings. 1984;59:17.

19. Bergquist BD, Bellows WH, Leung JM. Transesophageal echocardiography in myocardial revascularization: II. Influence on intraoperative decision making. Anesth Analg. 1996;82:1139-1145.

20. Kihara C, Murata K, Wada Y, Hadano Y, Ohyama R, Okuda S, et al. Impact of intraoperative transesophageal echocardiography in cardiac and thoracic aortic surgery: Experience in 1011 cases. J Cardiol. 2009;54: 282-288.

21. Hilberath JN, Oakes DA, Shernan SK, Bulwer BE. Safety of transesophageal Echocardiography. The American Society of Echocardiography. 2010:1115-1127.