Bailliere's clinical anaesthesiology最新文献

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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)
{"title":"3 Monitoring of left ventricular systolic function","authors":"Priv.-Doz. Dr. Med. Axel Goertz (Leitender Klinischer Oberarzt)","doi":"10.1016/S0950-3501(98)80016-0","DOIUrl":"10.1016/S0950-3501(98)80016-0","url":null,"abstract":"<div><p>Transoesophageal echocardiography has gained the role of a standard monitoring technique for both cardiac surgical patients and patients with increased cardiac risk under-going non-cardiac surgery. It offers unique information about left ventricular global and regional performance on a ‘beat-to-beat’ basis without subjecting the patient to a major degree of invasiveness. In addition to the fact that considerable experience is required to obtain reliably (and to maintain) the standard monitoring view of the left ventricle and to identify correctly the cardiac structures of interest, there are some other limitations inherent to the method that have to be recognized in order to obtain reliable results. In particular, the fact that with recent technological advances, such as acoustic quantification, on-line display of various left ventricular function parameters is provided which could blind us to possible sources of error. This and future technological developments should be used to their full potential but any pseudoaccuracy must not be overlooked.</p></div>","PeriodicalId":80610,"journal":{"name":"Bailliere's clinical anaesthesiology","volume":null,"pages":null},"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)80016-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132722802","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: 0
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,&nbsp;MD Sandrine Paquin,&nbsp;MD Cyrille de Vaumas,&nbsp;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":null,"pages":null},"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
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)
{"title":"2 Two-dimensional imaging and related indications","authors":"MD Gert Poortmans (Research Fellow in Anaesthesia and Intensive Care),&nbsp;MD, PhD, FCCP Jan I. Poelaert (Clinical Director, Postoperative Cardiac Surgical ICU)","doi":"10.1016/S0950-3501(98)80015-9","DOIUrl":"10.1016/S0950-3501(98)80015-9","url":null,"abstract":"<div><p>Transoesophageal echocardiography (TOE) offers real-time diagnosis and monitoring of a variety of structural and functional abnormalities of the heart in critically ill patients. It provides, in particular, useful information on cardiac contractivity, filling status and output, valvular morphology and function and the structure of the ascending and descending aorta. The anaesthetist disposes of the full range of echocardiographic modalities, including M-mode, two-dimensional and colour Doppler echocardiography. This chapter describes how different two-dimensional images can be obtained, presents a summary of the anatomical and functional information available in those images and relates this information to the clinical questions which form the indications to perform TOE.</p></div>","PeriodicalId":80610,"journal":{"name":"Bailliere's clinical anaesthesiology","volume":null,"pages":null},"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)80015-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130944132","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: 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)
{"title":"9 Transoesophageal echocardiography in trauma patients","authors":"Jean P. Goarin,&nbsp;Pierre Coriat (Professor and Chairman)","doi":"10.1016/S0950-3501(98)80022-6","DOIUrl":"10.1016/S0950-3501(98)80022-6","url":null,"abstract":"<div><p>Transoesophageal echocardiography (TOE) is an outstanding tool for the clinical management of trauma patients. It provides valuable information on haemodynamic instability, diagnosis of myocardial contusion, traumatic valve dysfunction, traumatic aortic injuries, intrathoracic bleeding and systemic gas embolism related to pulmonary contusion. The accuracy of TOE in the diagnosis of traumatic aortic injuries is not perfectly determined: the main limitation is the operator dependency. Experience of trauma patients and specific signs of cardiovascular injuries are the keys to the extensive use of TOE in trauma centres. The main interest in TOE is the capability to perform TOE promptly upon admission, in the intensive care unit and in the operative room. In the case of delayed surgery of aortic injuries, TOE examination can participate in the decision-making process.</p></div>","PeriodicalId":80610,"journal":{"name":"Bailliere's clinical anaesthesiology","volume":null,"pages":null},"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)80022-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114071504","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: 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)
{"title":"6 Assessment of native valve function and repair","authors":"MD, PhD, FCCP Jan I. Poelaert (Clinical Director, Postoperative Cardiac Surgical ICU),&nbsp;MD Gert Poortmans (Research Fellow in Anaesthesia and Intensive Care)","doi":"10.1016/S0950-3501(98)80019-6","DOIUrl":"10.1016/S0950-3501(98)80019-6","url":null,"abstract":"<div><p>Transoesophageal echocardiography (TOE) is an important tool used to investigate closely all cardiac valves. With respect to cardiac valvular surgery, TOE has gained a most important place as an intraoperative diagnostic and monitoring technique. In this chapter, both mitral and aortic valvular disease with respect to intraoperative management will be discussed. Repair of the mitral valve is another important issue in modern cardiac surgery. Accurate and meticulous assessment of the mitral valve morphology and function by means of multiplane TOE provides a crucial asset for the cardiac surgeon during and after repair of the valve, improving outcome and reducing costs.</p></div>","PeriodicalId":80610,"journal":{"name":"Bailliere's clinical anaesthesiology","volume":null,"pages":null},"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)80019-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134316850","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: 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)
{"title":"8 Echocardiography in aortic disease","authors":"MD David Moskowitz (Assistant Professor of Anesthesiology),&nbsp;MD Linda Shore-Lesserson (Assistant Professor of Anesthesiology),&nbsp;MD David Reich (Associate Professor of Anesthesiology),&nbsp;MD, FACC Steven N. Konstadt (Professor of Anesthesiology)","doi":"10.1016/S0950-3501(98)80021-4","DOIUrl":"10.1016/S0950-3501(98)80021-4","url":null,"abstract":"<div><p>Transoesophageal echocardiography has rapidly become an important diagnostic modality for patients with aortic atherosclerosis or aortic dissection. Use of this modality can help direct patients to proper therapeutic modalities. This paper will review the role of transoesophageal echocardiography in these disease processes.</p></div>","PeriodicalId":80610,"journal":{"name":"Bailliere's clinical anaesthesiology","volume":null,"pages":null},"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)80021-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126697651","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: 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
{"title":"10 Transoesophageal echocardiography: emerging and innovative technologies","authors":"MD, PhD Otto Kamp,&nbsp;MD Herman F.J. Mannaerts,&nbsp;MD Gertjan Tj. Sieswerda,&nbsp;MD, PhD Cees A. Visser","doi":"10.1016/S0950-3501(98)80023-8","DOIUrl":"10.1016/S0950-3501(98)80023-8","url":null,"abstract":"<div><p>Advances in transoesophageal echocardiography (TOE) have made this modality a powerful diagnostic tool in the critical care unit. TOE in combination with stress (atrial pacing, pharmacological stress) provides important information about myocardial ischaemia and myocardial viability. Recent progress in transducer technology and computerized image processing brings three-dimensional and contrast-enhanced TOE closer to the critical care unit. Finally, miniaturization of probes and automated contour detection techniques make TOE a sensitive and continuous monitor of global and segmental left ventricular function.</p></div>","PeriodicalId":80610,"journal":{"name":"Bailliere's clinical anaesthesiology","volume":null,"pages":null},"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)80023-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132369693","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: 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),&nbsp;MD Franc Hinder (Staff anaesthesiologist),&nbsp;MD, PhD Hugo Van Aken (Director),&nbsp;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":null,"pages":null},"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
Index 指数
Bailliere's clinical anaesthesiology Pub Date : 1998-12-01 DOI: 10.1016/S0950-3501(98)80024-X
{"title":"Index","authors":"","doi":"10.1016/S0950-3501(98)80024-X","DOIUrl":"https://doi.org/10.1016/S0950-3501(98)80024-X","url":null,"abstract":"","PeriodicalId":80610,"journal":{"name":"Bailliere's clinical anaesthesiology","volume":null,"pages":null},"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)80024-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138311202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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)
{"title":"5 Left ventricular diastolic function","authors":"MD Pieter M. Vandervoort (Staff Cardiologist)","doi":"10.1016/S0950-3501(98)80018-4","DOIUrl":"10.1016/S0950-3501(98)80018-4","url":null,"abstract":"<div><p>Over the last 15 years diastolic dysfunction has been recognized as a separate pathophysiological and clinical entity. At the same time two-dimensional echocardiography and Doppler echocardiography have evolved to become the method of choice to evaluate diastolic function in daily clinical practice. For correct interpretation and assessment of diastolic function parameters from Doppler velocity profiles, their relationship to the underlying pathophysiological mechanisms should be understood. This chapter will focus on the complex interaction between the different determinants of left ventricular diastolic function and the intracardiac Doppler velocity profiles. Ambiguities in interpretation and limitations of the technique as well as the latest technological advances and future directions will be discussed.</p></div>","PeriodicalId":80610,"journal":{"name":"Bailliere's clinical anaesthesiology","volume":null,"pages":null},"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)80018-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121968232","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: 0
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