Alta utilidad de monitorización hemodinámica con ecocardiografía transesofágica intraoperatoria en cirugía ortopédica / Intraoperative hemodynamic monitoring using transesophageal echocardiography in orthopedic surgery
Rev. méd. Chile
;
136(9): 1127-1133, sept. 2008. ilus, tab
Article
in Spanish
| LILACS
| ID: lil-497027
ABSTRACT
Background:
Orthopedic surgery is commonly performed in elderly patients with higher cardiovascular surgical risk. Hemodynamic monitoring in these patients may prevent perioperative complications.Aim:
To assess the usefulness of transesophageal echocargiography (TEE) for intraoperative cardiovascular monitoring during orthopedic surgery. Material andmethods:
Patients older than 65 years subjected to orthopedic surgery using general anesthesia and with a high cardiovascular risk were studied. Intraoperative TEE was performed to assess intravascular volume, myocardial contractility and the presence of myocardial ischemia.Results:
Fifty three patients aged 72±5 years were studied. Hemodynamic stability was detected in 68 percent of patients, mainly reflected as episodes of hypovolemia. Myocardial ischemia was detected in two patients and embolic episodes in six (11 percent).Conclusions:
Intraoperative TEE was useful for the hemodynamic evaluation of patients with high cardiovascular risk.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Cardiovascular Diseases
/
Monitoring, Intraoperative
/
Echocardiography, Transesophageal
/
Orthopedic Procedures
/
Hemodynamics
Type of study:
Etiology study
/
Evaluation studies
/
Observational study
/
Risk factors
Limits:
Aged
/
Female
/
Humans
/
Male
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2008
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Hospital Clínico Fuerza Aérea de Chile/CL
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