Bailliere's clinical anaesthesiology最新文献

7 Monitoring by transoesophageal echocardiography in minimally invasive cardiac surgery 经食管超声心动图在微创心脏手术中的监测

Bailliere's clinical anaesthesiology Pub Date : 1998-12-01 DOI: 10.1016/S0950-3501(98)80020-2

MD Jean-Baptiste Lecharny, MD Sandrine Paquin, MD Cyrille de Vaumas, MD Ivan Philip

{"title":"7 Monitoring by transoesophageal echocardiography in minimally invasive cardiac surgery","authors":"MD Jean-Baptiste Lecharny, MD Sandrine Paquin, MD Cyrille de Vaumas, MD Ivan Philip","doi":"10.1016/S0950-3501(98)80020-2","DOIUrl":"10.1016/S0950-3501(98)80020-2","url":null,"abstract":"<div><p>Minimally invasive heart surgery, for either coronary artery or valve surgery, has been evaluated for a few years. Surgeons and anaesthesiologists have encountered new challenges with these new techniques. There is no doubt that ‘minimally invasive’ surgery increases the technical difficulty for the surgeon and limits the exposure of the heart. Transoesophageal echocardiography (TOE), by giving complete and on-line anatomical and haemodynamic information, will obviously take a major place in this setting. It gives an instantaneous view of the filling of cavities and the contractility of both ventricles, in a situation where the heart is not exposed. It allows a more complete de-airing to be performed at the end of surgery. Mitral valve repair can be evaluated at the end of surgery, which is mandatory in a situation where surgical difficulties are increased. Other indications of TOE are also presented; some development might arise in the future since minimally invasive surgery is still evolving.</p></div>","PeriodicalId":80610,"journal":{"name":"Bailliere's clinical anaesthesiology","volume":"12 4","pages":"Pages 637-646"},"PeriodicalIF":0.0,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0950-3501(98)80020-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115577786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

3 Monitoring of left ventricular systolic function 3左室收缩功能监测

Bailliere's clinical anaesthesiology Pub Date : 1998-12-01 DOI: 10.1016/S0950-3501(98)80016-0

Priv.-Doz. Dr. Med. Axel Goertz (Leitender Klinischer Oberarzt)

引用次数: 0

2 Two-dimensional imaging and related indications 2二维影像及相关指征

Bailliere's clinical anaesthesiology Pub Date : 1998-12-01 DOI: 10.1016/S0950-3501(98)80015-9

MD Gert Poortmans (Research Fellow in Anaesthesia and Intensive Care), MD, PhD, FCCP Jan I. Poelaert (Clinical Director, Postoperative Cardiac Surgical ICU)

引用次数: 0

9 Transoesophageal echocardiography in trauma patients 经食管超声心动图在创伤患者中的应用

Bailliere's clinical anaesthesiology Pub Date : 1998-12-01 DOI: 10.1016/S0950-3501(98)80022-6

Jean P. Goarin, Pierre Coriat (Professor and Chairman)

引用次数: 0

6 Assessment of native valve function and repair 评估原生瓣膜功能和修复

Bailliere's clinical anaesthesiology Pub Date : 1998-12-01 DOI: 10.1016/S0950-3501(98)80019-6

MD, PhD, FCCP Jan I. Poelaert (Clinical Director, Postoperative Cardiac Surgical ICU), MD Gert Poortmans (Research Fellow in Anaesthesia and Intensive Care)

引用次数: 0

8 Echocardiography in aortic disease 主动脉疾病的超声心动图

Bailliere's clinical anaesthesiology Pub Date : 1998-12-01 DOI: 10.1016/S0950-3501(98)80021-4

MD David Moskowitz (Assistant Professor of Anesthesiology), MD Linda Shore-Lesserson (Assistant Professor of Anesthesiology), MD David Reich (Associate Professor of Anesthesiology), MD, FACC Steven N. Konstadt (Professor of Anesthesiology)

引用次数: 0

Index 指数

Bailliere's clinical anaesthesiology Pub Date : 1998-12-01 DOI: 10.1016/S0950-3501(98)80024-X

引用次数: 0

10 Transoesophageal echocardiography: emerging and innovative technologies 经食管超声心动图:新兴和创新技术

Bailliere's clinical anaesthesiology Pub Date : 1998-12-01 DOI: 10.1016/S0950-3501(98)80023-8

MD, PhD Otto Kamp, MD Herman F.J. Mannaerts, MD Gertjan Tj. Sieswerda, MD, PhD Cees A. Visser

引用次数: 0

4 Non-invasive assessment of left ventricular contractility by means of transoesophageal echocardiography 经食管超声心动图无创评价左心室收缩力

Bailliere's clinical anaesthesiology Pub Date : 1998-12-01 DOI: 10.1016/S0950-3501(98)80017-2

MD Christoph Schmidt (Staff anaesthesiologist), MD Franc Hinder (Staff anaesthesiologist), MD, PhD Hugo Van Aken (Director), MD, PhD, FCCP Jan I. Poelaert (Clinical Director, Postoperative Cardiac Surgical ICU)

{"title":"4 Non-invasive assessment of left ventricular contractility by means of transoesophageal echocardiography","authors":"MD Christoph Schmidt (Staff anaesthesiologist), MD Franc Hinder (Staff anaesthesiologist), MD, PhD Hugo Van Aken (Director), MD, PhD, FCCP Jan I. Poelaert (Clinical Director, Postoperative Cardiac Surgical ICU)","doi":"10.1016/S0950-3501(98)80017-2","DOIUrl":"10.1016/S0950-3501(98)80017-2","url":null,"abstract":"<div><p>While assessment of ventricular loading conditions is readily accessible at the patient's bedside, evaluation of contractile function is remarkably more complicated. The difficulty in obtaining contractility measurements in patients is directly related to the intimate interrelation between inotropic state and ventricular loads at the level of the intact organism. Despite the inherent problems in measuring contractility, it is of crucial importance in experimental research as well as in clinical medicine to separate the effects of a primary change in load from a primary change in contractility, whenever a clinical situation with severe left ventricular dysfunction presents itself. The most useful approaches for assessing contractility in clinical medicine involve transoesophageal echocardiography. By providing estimations of clinically important but previously inaccessible physiological parameters, this technology paved the way for a more quantitative assessment of cardiac function. Three different non-invasive techniques to measure left ventricular contractility by means of echocardiography have been applied in humans: (1) the reconstruction of the end-systolic pressure-volume relation; (2) the end-systolic meridional wall stress-rate-corrected mean velocity of fibre shortening relation; and (3) the pre-concept of preload-adjusted maximal power.</p></div>","PeriodicalId":80610,"journal":{"name":"Bailliere's clinical anaesthesiology","volume":"12 4","pages":"Pages 577-594"},"PeriodicalIF":0.0,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0950-3501(98)80017-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133039762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

5 Left ventricular diastolic function 5左室舒张功能

Bailliere's clinical anaesthesiology Pub Date : 1998-12-01 DOI: 10.1016/S0950-3501(98)80018-4

MD Pieter M. Vandervoort (Staff Cardiologist)

引用次数: 0