[术中经食管超声心动图对非心脏手术患者的急诊诊断]。

4区 医学 Q3 Medicine Anaesthesist Pub Date : 2022-01-01 Epub Date: 2021-11-25 DOI:10.1007/s00101-021-01034-2
C Dumps, V Umrath, B Rupprecht, J Schimpf, J Benak
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引用次数: 0

摘要

由于紧凑和移动设备的发展,经食管超声心动图(TEE)现已成为急诊室、重症监护病房和手术室的一种重要的护理点诊断方法。在这个高级培训系列的第一部分中,概述了检查方法和程序的一般方面以及适应症和禁忌症。此外,本文还概述了TEE在心脏外科以外的应用领域,TEE可用于监测患者或协助手术过程。第二部分,介绍术中TEE发生血流动力学不稳定或不明原因低氧血症时的主要发现。本文概述了Reeves等人提出的一种缩短的紧急检查方法。文章最后对半自动解译软件和计算机辅助图像采集进行了展望。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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[Intraoperative transesophageal echocardiography for emergency diagnostics in noncardiac surgery patients].

Due to the development of compact and mobile devices, transesophageal echocardiography (TEE) is now being used as one important point-of-care diagnostic method in emergency rooms, intensive care units and operating rooms. In the first part of this advanced training series, general aspects of the examination method and the procedure as well as indications and contraindications were outlined. In addition, an overview of application areas beyond cardiac surgery in which TEE can be used to monitor the patient or to assist with the operative procedure was provided. In the second part, the main findings during intraoperative TEE in the event of hemodynamic instability or unexplained hypoxemia are presented. A shortened emergency examination as proposed by Reeves et al. is outlined. The article concludes with an outlook on semiautomatic interpretation software and computer-aided image acquisition.

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来源期刊
Anaesthesist
Anaesthesist 医学-麻醉学
CiteScore
1.60
自引率
0.00%
发文量
55
审稿时长
4-8 weeks
期刊介绍: Der Anaesthesist is an internationally recognized journal de­aling with all aspects of anaesthesia and intensive medicine up to pain therapy. Der Anaesthesist addresses all specialists and scientists particularly interested in anaesthesiology and it is neighbouring areas. Review articles provide an overview on selected topics reflecting the multidisciplinary environment including pharmacotherapy, intensive medicine, emergency medicine, regional anaesthetics, pain therapy and medical law. Freely submitted original papers allow the presentation of relevant clinical studies and serve the scientific exchange. Case reports feature interesting cases and aim at optimizing diagnostic and therapeutic strategies. Review articles under the rubric ''Continuing Medical Education'' present verified results of scientific research and their integration into daily practice.
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