Initial Experience With a Miniaturized Multiplane Transesophageal Probe in Small Infants Undergoing Cardiac Operations
| Autor: | Tain-Yen Hsia, Scott M. Bradley, Eric M. Graham, Geoffrey A. Forbus, Meryl S. Cohen, Girish S Shirali, Andrew M. Atz, Sinai C. Zyblewski |
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| Rok vydání: | 2010 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Heart disease Hemodynamics Surgical Revision medicine Humans Prospective Studies Cardiac Surgical Procedures Prospective cohort study Miniaturization business.industry Infant Newborn Infant Equipment Design Infant Low Birth Weight medicine.disease Infant newborn Surgery Clinical trial Cardiac operations Anesthesia Breathing Cardiology and Cardiovascular Medicine business human activities Echocardiography Transesophageal |
| Zdroj: | The Annals of Thoracic Surgery. 89:1990-1994 |
| ISSN: | 0003-4975 |
| DOI: | 10.1016/j.athoracsur.2010.01.088 |
| Popis: | Purpose There has been reluctance to use intraoperative transesophageal echocardiography (TEE) in small infants. We assessed the utility and safety of a new miniaturized multiplane micro-TEE probe in small infants undergoing cardiac operations. Description Hemodynamic and ventilation variables were prospectively recorded before and after micro-TEE insertion and removal in infants weighing 5 kg or less undergoing cardiac operations. Evaluation The study included 42 patients with a mean weight of 3.6 ± 0.9 kg (range, 1.7 to 5 kg). All probe insertions were successful. There were no complications or clinically significant changes in hemodynamic or ventilation variables. Information provided by TEE resulted in surgical revision in 6 of the 42 patients. Conclusions The micro-TEE provides high quality, useful diagnostic images without hemodynamic or ventilation compromise in small infants undergoing cardiac operations. This advance is important with the growing trend towards complete repair of complex structural heart disease in small infants. |
| Databáze: | OpenAIRE |
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