Hemodynamic monitoring using a single-use indwelling transesophageal echocardiography probe in an unstable patient after open-heart surgery

0Citations
Citations of this article
19Readers
Mendeley users who have this article in their library.

This artice is free to access.

Abstract

Background: Hemodynamic monitoring is frequently needed in ventilated patients with unstable hemodynamics after open-heart surgery. Novel miniaturized single-use transesophageal echocardiographic probe has been scarcely used in this clinical setting. Case presentation: A patient who underwent a scheduled open-heart surgery developed a ventilator-associated pneumonia and was referred to the intensive care unit for post-operative acute respiratory distress syndrome. Hemodynamic monitoring was performed with a single-use indwelling transesophageal echocardiography probe during 50 h. Initially, a contrast study depicted a patent foramen ovale with a right-to-left shunt. Nitric oxide was administered and positive end-expiration pressure was reduced. Subsequently, the patient became hemodynamically unstable and the identification of a localized tamponade due to compressive left atrial hematoma prompted reoperation. Conclusions: The novel hemodynamic monitoring device described here appears valuable to help identifying severe post-operative complications and guide acute care.

Cite

CITATION STYLE

APA

Begot, E., Clavel, M., Piccardo, A., Bellier, R., François, B., Pichon, N., & Vignon, P. (2015). Hemodynamic monitoring using a single-use indwelling transesophageal echocardiography probe in an unstable patient after open-heart surgery. BMC Medical Imaging, 15(1). https://doi.org/10.1186/s12880-015-0070-3

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free