{"title":"Safety of Transesophageal Echocardiography With the Assistance of a Nurse Practitioner.","authors":"Yuki Harashima, Taishi Okuno, Yukio Sato, Tatsuro Shoji, Kazuko Osabe, Rie Ito, Aoi Kato, Akiko Kamiyama, Noriko Motodate, Risako Murata, Ryutaro Oda, Daisuke Miyahara, Shingo Kuwata, Yuki Ishibashi, Keisuke Kida, Yasuhiro Tanabe, Masaki Izumo, Shigeki Fujitani, Yoshihiro J Akashi","doi":"10.1097/NCQ.0000000000000841","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Due to advancements in cardiovascular intervention technologies, transesophageal echocardiography (TEE) is increasingly used. In Japan, nurse practitioners are being integrated into specialized procedures, including TEE, under physician supervision to address physician shortages and improve patient safety.</p><p><strong>Methods: </strong>Consecutive patients undergoing TEE at our outpatient clinic from July 2022 to June 2023 were included, with baseline characteristics, procedural details, and outcomes retrospectively collected.</p><p><strong>Results: </strong>A total of 186 patients were included in the study. A significant decrease in blood pressure was observed in 124 patients (68.5%), with 19 patients requiring treatment through infusion loading. Desaturation (SpO2 < 90%) was observed in 105 patients (57.7%). No significant differences in hypotension or hypoxia incidence were found between elderly and younger patients or among TEE indications.</p><p><strong>Conclusions: </strong>TEE procedures were safely performed under the assistance of nurse practitioners, demonstrating effective management of the procedural risks associated with this diagnostic technique.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.2000,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of nursing care quality","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/NCQ.0000000000000841","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Due to advancements in cardiovascular intervention technologies, transesophageal echocardiography (TEE) is increasingly used. In Japan, nurse practitioners are being integrated into specialized procedures, including TEE, under physician supervision to address physician shortages and improve patient safety.
Methods: Consecutive patients undergoing TEE at our outpatient clinic from July 2022 to June 2023 were included, with baseline characteristics, procedural details, and outcomes retrospectively collected.
Results: A total of 186 patients were included in the study. A significant decrease in blood pressure was observed in 124 patients (68.5%), with 19 patients requiring treatment through infusion loading. Desaturation (SpO2 < 90%) was observed in 105 patients (57.7%). No significant differences in hypotension or hypoxia incidence were found between elderly and younger patients or among TEE indications.
Conclusions: TEE procedures were safely performed under the assistance of nurse practitioners, demonstrating effective management of the procedural risks associated with this diagnostic technique.
期刊介绍：
Journal of Nursing Care Quality (JNCQ) is a peer-reviewed journal that provides practicing nurses as well as nurses who have leadership roles in nursing care quality programs with useful information regarding the application of quality principles and concepts in the practice setting. The journal offers a forum for the scholarly discussion of “real world” implementation of quality activities.
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