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Chapter 33 - Assessment of Ventricular Function

from Section 7 - Transoesophageal Echocardiography

Published online by Cambridge University Press:  12 May 2020

By
Catherine M. Ashes  and
Andrew Roscoe
Edited by
Joseph Arrowsmith ,
Andrew Roscoe  and
Jonathan Mackay
Joseph Arrowsmith
Affiliation:
Royal Papworth Hospital, Cambridge
Andrew Roscoe
Affiliation:
Singapore General Hospital
Jonathan Mackay
Affiliation:
Royal Papworth Hospital, Cambridge
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Summary

Ventricular dysfunction is associated with increased cardiovascular morbidity and mortality after both cardiac and non-cardiac surgery. Traditionally, invasive pressure monitoring has been used to make inferences regarding ventricular function. However, the relationship between pressure and organ perfusion may be affected by many variables in the dynamic intraoperative environment. TOE has the advantage of real-time visualization of ventricular filling, contractility and ischaemia. As such, TOE is now considered to be the ‘gold standard’ intraoperative monitor of ventricular function.

Type
Chapter
Information
Core Topics in Cardiac Anaesthesia , pp. 242 - 247
Publisher: Cambridge University Press
Print publication year: 2020

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References

Further Reading

Lang, RM, Badano, LP, Mor-Avi, V, et al. Recommendations for cardiac chamber quantification by echocardiography in adults. J Am Soc Echocardiogr 2015; 28: 1–39.Google Scholar
Mor-Avi, V, Lang, RM, Badano, LP, et al. Current and evolving echocardiographic techniques for the quantitative evaluation of cardiac mechanics. J Am Soc Echocardiogr 2011; 24: 277–313.CrossRefGoogle ScholarPubMed
Nagueh, SF, Smiseth, OA, Appleton, CP, et al. Recommendations for the evaluation of left ventricular diastolic function by echocardiography. J Am Soc Echocardiogr 2016; 29: 277–314.CrossRefGoogle ScholarPubMed
Silverton, N, Meineri, M. Speckle tracking strain of the right ventricle: an emerging tool for intraoperative echocardiography. Anesth Analg 2017; 125: 1475–8.Google Scholar

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