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Intensive Care Medicine

, Volume 43, Issue 7, pp 1048–1051 | Cite as

Ten reasons for performing hemodynamic monitoring using transesophageal echocardiography

  • Philippe Vignon
  • Tobias M. Merz
  • Antoine Vieillard-Baron
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Introduction

Echocardiography is increasingly used in the intensive care unit (ICU) as a diagnostic imaging modality and for discontinuous hemodynamic monitoring [1]. A recent large American data-based study reported that echocardiography may have a prognostic impact in different clinical fields, such as sepsis [2]. Critical care echocardiography mainly relies on surface examination, whereas transesophageal echocardiography (TEE) is markedly less frequently performed in most ICUs [3]. Nevertheless, TEE shares most of the key properties defining an “ideal” hemodynamic monitoring system [4]. We herein describe 10 good reasons for using TEE to monitor hemodynamics in unstable ventilated patients.

Reason 1: TEE provides a unique window to the heart and great vessels

Owing to the proximity of the high-frequency esophageal transducer and both the heart and great vessels, TEE provides a consistently higher image quality than transthoracic echocardiography (TTE) as it is not hampered by the...

Keywords

Left Ventricular Systolic Dysfunction Septic Shock Patient Hemodynamic Monitoring Pulse Pressure Variation Predict Fluid Responsiveness 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Compliance with ethical standards

Conflicts of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.

Supplementary material

Video 1. Total inspiratory collapse of the superior vena cava depicted by transesophageal echocardiography in a ventilated patient with hypovolemic shock. This pattern is consistent with fluid responsiveness (MP4 8175 kb)

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Copyright information

© Springer-Verlag Berlin Heidelberg and ESICM 2017

Authors and Affiliations

  • Philippe Vignon
    • 1
    • 2
    • 3
  • Tobias M. Merz
    • 4
  • Antoine Vieillard-Baron
    • 5
    • 6
  1. 1.Medical-surgical Intensive Care UnitUniversity Hospital DupuytrenLimogesFrance
  2. 2.INSERM CIC 1435University Hospital DupuytrenLimogesFrance
  3. 3.University of LimogesLimogesFrance
  4. 4.Department of Intensive Care Medicine, Bern University HospitalUniversity of BernBernSwitzerland
  5. 5.Medical-surgical Intensive Care UnitUniversity Hospital Ambroise Paré, Assistance Publique-Hôpitaux de ParisBoulogne-BillancourtFrance
  6. 6.INSERM U-1018, CESP, Team 5University of Versailles Saint-Quentin en YvelinesVillejuifFrance

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