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British Journal of Anaesthesia, 2000, Vol. 84, No. 6 800-803
© 2000 Oxford University Press

Case Report

Transthoracic echocardiography for perioperative haemodynamic monitoring

M. Filipovic1, M. D. Seeberger1, M. C. Schneider1, M. Schmid1, H. Pargger1, P. Hunziker2 and K. Skarvan1

1 Department of Anaesthesia, University of Basel, CH-4031 Basel, Switzerland
2 Department of Internal Medicine (Division of Cardiology), University of Basel, CH-4031 Basel, Switzerland

Abstract

Transoesophageal echocardiography (TOE) is valuable for perioperative monitoring in patients at risk from haemodynamic disturbance. However, its use is not practicable in patients undergoing surgical procedures under regional anaesthesia. We describe two cases showing that transthoracic echocardiography (TTE) has the same advantages as TOE and thus may be valuable for monitoring awake patients. TTE should be considered when extended perioperative haemodynamic monitoring is needed but TOE is not possible.


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