A Multi-Country Survey on the Availability of Intraoperative Use of Echocardiography for Noncardiac Surgery.

El Tahan, Mohamed M; Cheng, Davy C; Szegedi, Laszlo; Mellin-Olsen, Jannicke; Zdravkovic, Marko; Lineburger, Eric Benedet; Filipescu, Daniela; Tritapepe, Luigi; Guarracino, Fabio; Neto, Caetano Nigro; Garcia, Paula Camona; Ángel Rodenas Monteagudo, Miguel; Granell, Manuel Gil; Guillén, Rosario Vicente; Gaudard, Philippe; Abdulmomen, Ahmed; Eldawlatly, Abdelazeem Ali; Bubenek-Turconi, Serban-Ion; Stoica, Radu; Licker, Marc; ... (2024). A Multi-Country Survey on the Availability of Intraoperative Use of Echocardiography for Noncardiac Surgery. Seminars in cardiothoracic and vascular anesthesia, 28(3), pp. 135-146. Sage 10.1177/10892532241256020

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BACKGROUND

This survey aimed to explore the availability and accessibility of echocardiography during noncardiac surgery worldwide.

METHODS

An internet-based 45-item survey was sent, followed by reminders from August 30, 2021, to August 20, 2022.

RESULTS

1189 responses were received from 62 countries. Nearly seventy-one percent of respondents had intraoperatively used transesophageal or transthoracic echocardiography (TEE and TTE, respectively) for monitoring or examination. The unavailability of echocardiography machines (30.3%), lack of trained personnel (30.2%), and absence of clinical indications (22.6%) were the top 3 reasons for not using intraoperative echocardiography in noncardiac surgery. About 61.5% of participants had access to at least one echocardiography machine. About 41% had access to at least 1 TEE probe, and 62.2% had access to at least 1 TTE probe. Seventy-four percent of centers had a procedure to request intraoperative echocardiography if needed for noncardiac cases. Intraoperative echocardiography service was immediately available in 58% of centers.

CONCLUSIONS

Echocardiography machines and skilled echocardiographers are still unavailable at many centers worldwide. National societies should aim to train a critical mass of certified TEE/TTE anesthesiologists and provide all anesthesiologists access to perioperative TEE/TTE machines in anesthesiology departments, considering the increasing number of older and sicker surgical patients scheduled for noncardiac surgery.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > Clinic and Policlinic for Anaesthesiology and Pain Therapy > Partial clinic Insel
04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > Clinic and Policlinic for Anaesthesiology and Pain Therapy

UniBE Contributor:

Erdoes, Gabor (B)

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1940-5596

Publisher:

Sage

Language:

English

Submitter:

Pubmed Import

Date Deposited:

11 Jun 2024 09:33

Last Modified:

21 Sep 2024 00:13

Publisher DOI:

10.1177/10892532241256020

PubMed ID:

38842145

Uncontrolled Keywords:

echocardiography intraoperative perioperative perioperative echocardiography survey transesophageal echocardiography transthoracic

URI:

https://boris.unibe.ch/id/eprint/197652

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