A Comprehensive Review of Transesophageal Echocardiography During Orthotopic Liver Transplantation

Orthotopic liver transplantation (OLT) is characterized by significant hemodynamic disturbances and anesthetic challenges. Intraoperative transesophageal echocardiography (TEE) can be used to guide management during these procedures. This review examines the role of echocardiography during OLT, pres...

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Veröffentlicht in:	Journal of cardiothoracic and vascular anesthesia 2018-08, Vol.32 (4), p.1815-1824
Hauptverfasser:	Dalia, Adam A., Flores, Antolin, Chitilian, Hovig, Fitzsimons, Michael G.
Format:	Artikel
Sprache:	eng
Schlagworte:	echocardiography Echocardiography, Transesophageal - methods End Stage Liver Disease - diagnostic imaging End Stage Liver Disease - physiopathology End Stage Liver Disease - surgery Hemodynamics - physiology Humans intracardiac thrombus intraprocedural transesophageal echocardiography guidance Liver Transplantation - adverse effects Liver Transplantation - methods Monitoring, Intraoperative - methods orthotopic liver transplantation Postoperative Complications - diagnostic imaging Postoperative Complications - physiopathology Postoperative Complications - prevention & control transesophageal echocardiography transesophageal echocardiography certification transesophageal echocardiography monitoring transplantation anesthesiology
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Beschreibung
Zusammenfassung:	Orthotopic liver transplantation (OLT) is characterized by significant hemodynamic disturbances and anesthetic challenges. Intraoperative transesophageal echocardiography (TEE) can be used to guide management during these procedures. This review examines the role of echocardiography during OLT, presents common TEE findings during each phase of OLT, and discusses the benefits demonstrated with TEE use and the safety of TEE in this patient population. Finally, the authors propose an algorithm for the safe use of TEE during OLT.
ISSN:	1053-0770 1532-8422
DOI:	10.1053/j.jvca.2018.02.033