A Multi-Country Survey on the Availability of Intraoperative Use of Echocardiography for Noncardiac Surgery-Reference-Cited by-同舟云学术

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

Published:2024-06-06 Issue: Volume: Page:
ISSN:1089-2532
Container-title:Seminars in Cardiothoracic and Vascular Anesthesia
language:en
Short-container-title:Semin Cardiothorac Vasc Anesth

Author:

El Tahan Mohamed M.¹^ORCID,Cheng Davy C.²³⁴,Szegedi Laszlo⁵,Mellin-Olsen Jannicke⁶,Zdravkovic Marko⁷⁸,Lineburger Eric Benedet⁹,Filipescu Daniela¹⁰,Tritapepe Luigi¹¹¹²,Guarracino Fabio¹³,Neto Caetano Nigro¹⁴,Garcia Paula Camona¹⁵,Ángel Rodenas Monteagudo Miguel¹⁶,Granell Manuel Gil¹⁷¹⁸^ORCID,Guillén Rosario Vicente¹⁹,Gaudard Philippe²⁰,Abdulmomen Ahmed²¹,Eldawlatly Abdelazeem Ali²¹,Bubenek-Turconi Serban-Ion²²²³²⁴,Stoica Radu²⁵,Licker Marc²⁶,Erdoes Gabor²⁷^ORCID,Mauermann Eckhard²⁸^ORCID,Kirov Mikhail²⁹,Lomivorotov Vladimir³⁰,Saldien Vera³¹³²,Momeni Mona³³,Huang Jiapeng³⁴^ORCID

Affiliation:

1. Anesthesiology Department, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia

2. School of Medicine, The Chinese University of Hong Kong, Shenzhen, China

3. Department of Anesthesia & Perioperative Medicine, Western University, London, ON, Canada

4. Department of Anesthesia & Pain Medicine, University of Toronto, Toronto, ON, Canada

5. Department of Anesthesiology, Université Libre de Bruxelles (U.L.B.), H.U.B Hôpital Erasme, Brussels, Belgium

6. Past President World Federation of Societies of Anaesthesiologists, Consultant Anesthesiologist, Bærum Hospital, Drammen, Norway

7. Department of Anesthesiology, Intensive Care and Pain Management, University Medical Centre Maribor, Maribor, Slovenia

8. Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia

9. Department of Anesthesiology and Pain Management, Hospital São José, Criciúma, Brazil

10. Department of Cardiac Anesthesia and Intensive Care, Emergency Institute of Cardiovascular Diseases, University of Medicine and Pharmacy Carol Davila, Bucharest, Romania

11. Anesthesia and Intensive Care, San Camillo-Forlanini Hospital, Rome, Italy

12. Anesthesia and Intensive Care, Sapienza University of Rome, Rome, Italy

13. Department of Anesthesia and Critical Care Medicine, Cardiothoracic and Vascular Anesthesia and Intensive Care, Azienda Ospedaliero Universitaria Pisana, Pisa, Italy

14. Anesthesia Section, Dante Pazzanese Institute of Cardiology, São Paulo, Brazil

15. Cardiovascular-Anesthesia and Intensive Care, University Hospital La Fe, Valencia, Spain

16. Hospital Universitario y Politecnico la Fe, Valencia, Spain

17. Department of Surgery (Anesthesiology Unit), University of Valencia, Valencia, Spain

18. Consortium Hospital General University of Valencia, Valencia, Spain

19. Cardiothoracic Anaesthesia & Surgical Intensive Care, La Fe University Hospital, Valencia, Valencia, Spain; University of Valencia, Valencia, Spain

20. Department of Anesthesiology and Critical Care Medicine, CHU Montpellier, PhyMedExp, INSERM, CNRS, Montpellier University, Montpellier, France

21. Department of Anesthesia, College of Medicine, King Saud University, Riyadh, Saudi Arabia

22. Prof. C.C. Iliescu” Emergency Institute for Cardiovascular Diseases, Bucharest, Romania

23. “Carol Davila” The University of Medicine and Pharmacy, Bucharest, Romania

24. Romanian Society of Anesthesia and Intensive Care (SRATI), Bucharest, Romania

25. Department of Thoracic Anesthesia, Memorial Hospital Bucharest, Bucharest, Romania

26. Faculty of Medicine, University of Geneva, Geneva, Switzerland

27. President Swiss Association of Cardiovascular and Thoracic Anesthesia, Head Adult and Pediatric Cardiovascular Anesthesia, Inselspital, University Hospital Bern, University Department of Anesthesiology and Pain Medicine, Bern, Switzerland

28. Department of Anesthesiology, Zurich City Hospital, Zurich, Switzerland

29. Department of Anesthesiology and Intensive Care Medicine, Northern State Medical University, Arkhangelsk, Russia

30. Department of Anesthesiology and Perioperative Medicine, Penn State Milton S. Hershey Medical Center, Penn State College of Medicine, Hershey, PA, USA

31. Anesthesiology Department, University Hospital Antwerp, Edegem, Belgium

32. University of Antwerp, Antwerp, Belgium

33. Department of Anesthesiology, Cliniques Universitaires Saint Luc, Université Catholique de Louvain, Institut de Recherche Expérimentale et Clinique, Brussels, Belgium

34. Department of Anesthesiology and Perioperative Medicine, University of Louisville, Louisville, KY, USA

Abstract

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.

Funder

National Heart, Lung, and Blood Institute

American Heart Association

National Institute of Environmental Health Sciences

National Institute of Allergy and Infectious Diseases

Publisher

SAGE Publications

Link

https://journals.sagepub.com/doi/pdf/10.1177/10892532241256020

Reference22 articles.

1. Guidelines for the Use of Transesophageal Echocardiography to Assist with Surgical Decision-Making in the Operating Room: A Surgery-Based Approach

2. Canadian guidelines for training in adult perioperative transesophageal echocardiography

3. Guidelines for Performing a Comprehensive Transesophageal Echocardiographic Examination

4. Expanding role of perioperative transesophageal echocardiography in the general anesthesia practice and residency training in the USA

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