Reference values for left ventricular function in subjects under general anaesthesia and controlled ventilation assessed by two-dimensional transoesophageal echocardiography.
OBJECTIVE
Transoesophageal echocardiography is increasingly used for evaluation and monitoring of left ventricular function in anaesthetized patients. However, the only available reference values for transoesophageal echocardiography were derived from studies in awake subjects.


METHODS
We determined left ventricular dimensions and systolic function in 45 patients without clinical evidence of heart disease who voluntarily underwent transesophageal echocardiography under conditions of balanced general anaesthesia, controlled fluid administration, supine position, muscle relaxation and controlled ventilation.


RESULTS
The left ventricular dimensions obtained during these conditions were lower than the published normal values in awake subjects. The indices of global left ventricular function, however, were similar to the normal values obtained by either awake transesophageal echocardiography or transthoracic echocardiography.


CONCLUSIONS
We propose using the values obtained in our study as reference values for evaluation of left ventricular function in patients under general anaesthesia and controlled ventilation.
Skarvan
K
K
Department of Anaesthesia, University of Basel/Kantonsspital, Basel, Switzerland.
Lambert
A
A
Filipovic
M
M
Seeberger
M
M
D000328:Adult; D000368:Aged; D000768:Anesthesia, General; D018681:Anesthetics, General / Q000494:pharmacology*; D003971:Diastole; D017548:Echocardiography, Transesophageal; D005260:Female; D006352:Heart Ventricles / Q000033:anatomy & histology / Q000187:drug effects; D006801:Humans; D008297:Male; D008875:Middle Aged; D015588:Observer Variation; D012016:Reference Values; D012121:Respiration, Artificial; D013599:Systole; D016276:Ventricular Function; D016277:Ventricular Function, Left / Q000187:drug effects* / Q000502:physiology
D018681:Anesthetics, General