General hospital Celje (SBCE)
  • Transezofagealna ultrazvočna preiskava srca pri bolniku v intenzivni enoti = Transesophageal echocardiography in the intensive care patient
    Krivec, Bojan ...
    Background. The imperative for successful treatment of critically ill represents an expedient and accurate assessment of cardiac function hemodynamic state with recognition of ethiologic diagnosis. ... To estimate clinical application, indications and diagnostic value with therapeutic impactof transesophageal echocardiography (TEE) in patients treated in intensive care unit. Methods. Review of 159 TEE examinations performed in consecutive patients admitted to our intensive unit at General Hospital Celje in the period from January 1991 to February 1997. Resiuts. 158 examinations were successfully completed with the exception of one patient in whom we couldnot introduce the probe due to the aortic arch aneurysm. We separated three indication subgroups. The first group with indication to confirm directed diagnosis consisted of 71 patients (aortic dissection 34, vegetations28, dysfunction of artificial valve 5 and thoracic trauma 4). We established the diagnosis in 23 (32%) excluded in 20 (28%) and abtained new additional diagnosis in 27 (36%) cases. In the second group of patients with critical state (shock with or without increased central vein pressure) we successfully evaluated ventricular function and filling status in all of them and ascertained causal morphologic diagnosis in 18 (50%) patients. In the third group of 51 patients we evaluated the state with previously recognised diagnosis acquired by transthoracic echocardiographic examination or right ventricular catheterization. Prior diagnosis was confirmed in 45 (88%) patients new etiologic diagnosis established in 15 patients (29%). Treatment was immediately changed in 73 (46%) patients solely upon diagnostic data abtained by TEE. Conclusions. TEE is an useful diagnostic tool in intensive care and can be performed in the majority of patients. (Abstract truncated at 2000 characters.)
    Source: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Let. 66, št. 7-8, 1997, str. 371-374)
    Type of material - article, component part
    Publish date - 1997
    Language - slovenian
    COBISS.SI-ID - 6786265

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