Julin F Tang
Zuckerberg San Francisco General Hospital and Trauma Center, USA
Title: Intraoperative application of transesophageal echocardiography in acute trauma resuscitation: A continuous monitoring tool
Biography
Biography: Julin F Tang
Abstract
The role of trans esophageal echocardiography (TEE) is growing in a number of venues; we present a case report to demonstrate a potentially crucial role of intraoperative TEE in diagnosis and management of acute trauma resuscitation. In this case, conventional central venous pressure (CVP) monitoring for preload measurement was replaced with measurement of left ventricular chamber dimensions. The end-diastolic and end-systolic diameters and areas were periodically measured throughout the entire operative course. The TEE information was used to appropriately manage fluid resuscitation in this acutely injured patient. We also compared the role of TEE to more conventional guides to resuscitation. Finally, we present a model for conducting a truncated but thorough TEE exam in an acute intraoperative setting. We believe that this is the first report detailing the application of TEE as a continuous monitoring tool during acute trauma resuscitation in the operating theatre.