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Transoesophageal echocardiography current practice in France: A multicentre study
- Source :
- Archives of cardiovascular diseases. 111(12)
- Publication Year :
- 2017
-
Abstract
- BACKGROUND Few data are available on the application of transoesophageal echocardiography (TOE) recommendations in daily practice. AIMS To evaluate TOE practice based on echocardiography societies' guidelines, and to determine complication rates and factors associated with patient feelings. METHODS Between April and June 2017, we prospectively included all consecutive patients referred to 14 French hospitals for a transoesophageal echocardiogram (TOE). A survey was taken just after the examination, which included questions about pre-procedural anxiety, and any pain, unpleasant feeling or breathing difficulties experienced during the examination. RESULTS Overall, 1718 TOEs were performed, mainly for stroke evaluation. A standardized operating procedure checklist was completed in half of the patients before the examination. TOE was unpleasant for 62.4% of patients, but was stopped for agitation or intolerance in 3.5 and 1.4% of cases, respectively. We observed one severe complication (pulmonary oedema). The mean TOE duration was short (9.2±4.6minutes), but was longer with residents than with more experienced physicians (11±4.7 vs. 8.8±4.7minutes for junior physicians [P=0.0027]; vs. 8.9±4.8minutes for senior physicians [P=0.0013]; and vs. 7.5±4.1minutes for associate professors/professors [P
- Subjects :
- Male
medicine.medical_specialty
Heart Diseases
Visual analogue scale
media_common.quotation_subject
030204 cardiovascular system & hematology
Transoesophageal echocardiography
03 medical and health sciences
0302 clinical medicine
Predictive Value of Tests
medicine
Humans
General anaesthesia
030212 general & internal medicine
Prospective Studies
Practice Patterns, Physicians'
Stroke
media_common
Aged
Aged, 80 and over
business.industry
General Medicine
Middle Aged
medicine.disease
Checklist
Feeling
Patient Satisfaction
Practice Guidelines as Topic
Physical therapy
Anxiety
Female
Clinical Competence
France
Guideline Adherence
medicine.symptom
Cardiology and Cardiovascular Medicine
Complication
business
Echocardiography, Transesophageal
Learning Curve
Subjects
Details
- ISSN :
- 18752128
- Volume :
- 111
- Issue :
- 12
- Database :
- OpenAIRE
- Journal :
- Archives of cardiovascular diseases
- Accession number :
- edsair.doi.dedup.....ee5dda09955a41fa53bea1452fc40f8a