Alta utilidad de monitorización hemodinámica con ecocardiografía transesofágica intraoperatoria en cirugía ortopédica

• María Carolina Cabrera Sen ^[1] ; Raúl Vega S ^[1] ; Victoria Díaz Valdés A ^[1] ; Ernesto Bermúdez B ^[1] ; Emilio Santelices C ^[1]
  1. [1] Hospital Clínico Fuerza Aérea de Chile Sección Anestesiología
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 136, Nº. 9, 2008, págs. 1127-1133
• Idioma: español
• Títulos paralelos:
  • Intraoperative hemodynamic monitoring using transesophageal echocardiography in orthopedic su
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• Resumen

  • Background: Orthopedic surgery is commonly performed in elderly patients with higher cardiovascular surgical risk. Hemodynamic monitoring in these patients may prevent períoperative complications. Aim: To assess the usefulness of transesophageal echocargiography (TEE) for intraoperative cardiovascular monitoring duríng orthopedic surgery. Material and methods: Patients older than 65 years subjected to orthopedic surgery using general anesthesia and with a high cardiovascular risk were studied. Intraoperative TEE was performed to assess intravascular volume, myocardial contractility and the presence of myocardial ischemia. Results: Fifty three patients aged 72±5 years were studied. Hemodynamic stability was detected in 68% of patients, mainly reñected as episodes of hypovolemia. Myocardial ischemia was detected in two patients and embolic episodes in six (11%). Conclusions: Intraoperative TEE was useful for the hemodynamic evaluation of patients with high cardiovascular risk.