Title |
Hemodynamic monitoring using a single-use indwelling transesophageal echocardiography probe in an unstable patient after open-heart surgery
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Published in |
BMC Medical Imaging, August 2015
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DOI | 10.1186/s12880-015-0070-3 |
Pubmed ID | |
Authors |
Emmanuelle Begot, Marc Clavel, Alessandro Piccardo, Rémi Bellier, Bruno François, Nicolas Pichon, Philippe Vignon |
Abstract |
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. 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. The novel hemodynamic monitoring device described here appears valuable to help identifying severe post-operative complications and guide acute care. |
X Demographics
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United States | 1 | 100% |
Demographic breakdown
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Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Chile | 1 | 5% |
Unknown | 19 | 95% |
Demographic breakdown
Readers by professional status | Count | As % |
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Researcher | 3 | 15% |
Student > Postgraduate | 3 | 15% |
Student > Bachelor | 2 | 10% |
Other | 2 | 10% |
Student > Master | 2 | 10% |
Other | 4 | 20% |
Unknown | 4 | 20% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 10 | 50% |
Nursing and Health Professions | 2 | 10% |
Psychology | 1 | 5% |
Social Sciences | 1 | 5% |
Engineering | 1 | 5% |
Other | 0 | 0% |
Unknown | 5 | 25% |