The Effect of Perioperative Rescue Transesophageal Echocardiography on the Management of Trauma Patients.
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.
From the *Department of Anesthesiology, University of Utah, Salt Lake City, Utah; †Department of Surgery, University of Southern California, Los Angeles, California; and ‡Department of Surgery, University of Utah, Salt Lake City, Utah.
Matthew J
MJ
Griffee
Andrew
A
Singleton
Joshua M
JM
Zimmerman
David E
DE
Morgan
Raminder
R
Nirula
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