Casos clínicos: ecocardiografía transesofágica y monitorización hemodinámica en cirugía no cardiaca

Abstract

Transesophageal echocardiography can assess ventricular filling and contraction and detect motility disturbances secondary to ischemia. In non-cardiac surgery it can be extremely helpful to monitor complex patients. We report a 69-year-old male subjected to a hepatic lobectomy, a 59-year-old male with hepatorenal syndrome, a 52-year-old female subjected to a gastric bypass, and a 54-year-old male subjected to a thyroidectomy. In these four cases, left ventricular motility and preload were evaluated with transesophageal echocardiography, and it was of great aid in decision-making during anesthesia. (Rev Med Chile 2011; 139: 353-356).