A Multi-Country Survey on the Availability of Intraoperative Use of Echocardiography for Noncardiac Surgery.
Semin Cardiothorac Vasc Anesth
; : 10892532241256020, 2024 Jun 06.
Article
em En
| MEDLINE
| ID: mdl-38842145
ABSTRACT
BACKGROUND:
This survey aimed to explore the availability and accessibility of echocardiography during noncardiac surgery worldwide.METHODS:
An internet-based 45-item survey was sent, followed by reminders from August 30, 2021, to August 20, 2022.RESULTS:
1189 responses were received from 62 countries. Nearly seventy-one percent of respondents had intraoperatively used transesophageal or transthoracic echocardiography (TEE and TTE, respectively) for monitoring or examination. The unavailability of echocardiography machines (30.3%), lack of trained personnel (30.2%), and absence of clinical indications (22.6%) were the top 3 reasons for not using intraoperative echocardiography in noncardiac surgery. About 61.5% of participants had access to at least one echocardiography machine. About 41% had access to at least 1 TEE probe, and 62.2% had access to at least 1 TTE probe. Seventy-four percent of centers had a procedure to request intraoperative echocardiography if needed for noncardiac cases. Intraoperative echocardiography service was immediately available in 58% of centers.CONCLUSIONS:
Echocardiography machines and skilled echocardiographers are still unavailable at many centers worldwide. National societies should aim to train a critical mass of certified TEE/TTE anesthesiologists and provide all anesthesiologists access to perioperative TEE/TTE machines in anesthesiology departments, considering the increasing number of older and sicker surgical patients scheduled for noncardiac surgery.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article