Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Jun 2018
Observational StudyImpact of a Monoplane Hemodynamic TEE (hTEE) Monitoring Device on Decision Making in a Heterogeneous Hemodynamically Unstable Intensive Care Unit Population: A Prospective, Observational Study.
This prospective observational study was undertaken to evaluate the utility of a miniature transesophageal echocardiography probe (ImaCor hemodynamic [hTEE]) in the management of hemodynamically unstable intensive care unit patients with and without various forms of mechanical circulatory support. ⋯ Examination of a heterogeneous hemodynamically unstable intensive care population with a miniature transesophageal echocardiography probe provided useful information beyond standard intensive care unit monitoring data, which influenced post-hTEE medical decision making. The examinations were more useful in patients without MCS devices than in those with MCS. Of the patients with MCS, patients with durable ventricular assist devices had the lowest rate of useful examinations.
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J. Cardiothorac. Vasc. Anesth. · Jun 2018
Observational StudyMinimally Invasive Determinations of Oxygen Delivery and Consumption in Cardiac Surgery: An Observational Study.
Evaluate minimally invasive assessment of oxygen delivery (DO2) and oxygen consumption (VO2) and determine its level of agreement with the gold standard approach of those measurements in patients undergoing cardiac surgery. ⋯ Agreement between minimally invasive and invasive DO2 and VO2 determinations is, moderate and poor, respectively. These findings may be explained by the poor agreement between minimally invasive and invasive cardiac output measurements.