1. The Effect of Perioperative Rescue Transesophageal Echocardiography on the Management of Trauma Patients.
- Author
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Griffee MJ, Singleton A, Zimmerman JM, Morgan DE, and Nirula R
- Subjects
- Adolescent, Adult, Aged, Aged, 80 and over, Databases, Factual, Female, Humans, Male, Middle Aged, Treatment Outcome, Wounds and Injuries surgery, Young Adult, Disease Management, Echocardiography, Transesophageal methods, Perioperative Care methods, Wounds and Injuries diagnostic imaging
- Abstract
To evaluate the effect of rescue transesophageal echocardiography (TEE) on the management of trauma patients, we reviewed imaging and charts of unstable trauma patients at a level I trauma center. Critical rescue TEE findings included acute right ventricular failure, stress cardiomyopathy, type B aortic dissection, mediastinal air, and dynamic left ventricular outflow tract obstruction. Left ventricular filling was classified as low (underfilled) in 57% of all cases. Rescue TEE revealed a variety of new diagnoses and led to a change in resuscitation strategy about half of the time.
- Published
- 2016
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