TEE在心脏术中的应用1.pptVIP

TEE在心脏手术中的应用 Transesophageal Echocardiography monitoring in cardiac surgery 魏蔚 心脏手术中应用TEE的优势 直接观察左室前负荷 左室收缩和舒张功能的监测 早期监测心肌缺血 补充诊断及对手术效果的评估 指导和评价导管的放置 麻醉医师与术中TEE In 1996, the House of Delegates of the American Society of Anesthesiologists approved the “Practice Guidelines for Perioperative Transesophageal Echocardiography.” In current practice in the UK, 90% are performed not by cardiologists but, by cardiac anaesthetists. 术中TEE放置的指征 Category1:TEE is useful in improving the outcome. Category2:TEE might be useful. Category3:TEE is infrequently useful. For adult patients without contraindica