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  • Chapter 33 - Assessment of Ventricular Function

  • from Section 7 - Transoesophageal Echocardiography
  • Edited by Joseph Arrowsmith, Andrew Roscoe, Jonathan Mackay
  • Book:
    Core Topics in Cardiac Anaesthesia
    Published online:
    12 May 2020
    Print publication:
    23 April 2020, pp 242-247

  • 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.

Core Topics in Cardiac Anaesthesia
  • 3rd edition
  • Edited by Joseph Arrowsmith, Andrew Roscoe, Jonathan Mackay
  • Published online:
    12 May 2020
    Print publication:
    23 April 2020
  • This fully-updated third edition provides a practical and concise guide to all aspects of the perioperative care of cardiac surgical patients. Produced by recognised leaders from world-renowned cardiac centres, this is the authoritative text for residents and fellows in anaesthesia and cardiac surgery, clinical perfusionists, and critical care nurses. Updated chapters include regional anesthesia, paediatric cardiac anaesthesia, and anaesthesia for specific procedures such as aortic valve surgery and cardiac transplantation. An entire section is dedicated to transoesophageal echocardiography (TOE) in recognition of the increasing demand for basic TOE training. The book also includes an expanded chapter on the applications and anaesthetic implications of extracorporeal membrane oxygenation (ECMO). The text focuses on clinical practice and the basic science and pharmacology underpinning cardiac anaesthesia, ensuring the reader can easily apply the knowledge gained to real-life situations.

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