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British Journal of Anaesthesia, 2003, Vol. 91, No. 4 469-472
© 2003 The Board of Management and Trustees of the British Journal of Anaesthesia

Accreditation in transoesophageal echocardiography: statement from the Association of Cardiothoracic Anaesthetists and the British Society of Echocardiography Joint TOE Accreditation Committee

J. Swanevelder*,1, D. Chin2, J. Kneeshaw3, J. Chambers4, S. Bennett5, D. Smith6 and P. Nihoyannopoulos7

Departments of 1 Anaesthesia and Critical Care, and 2 Cardiology, Glenfield Hospital, University Hospitals of Leicester NHS Trust, Groby Road, Leicester LE3 9QP, UK 3 Department of Anaesthesia and Critical Care, Papworth Hospital, Papworth Everard, UK 4 Department of Cardiology, Guy’s and St Thomas’ Hospital, London, UK 5 Department of Anaesthesia and Critical Care, Castle Hill Hospital, Hull, UK 6 Department of Anaesthesia and Critical Care, Southampton General Hospital, Tremona Road, Southampton, UK 7 Department of Cardiology, Imperial College School of Medicine, Hammersmith Hospital, Duncane Road, London W12 0NN, UK

*Corresponding author. E-mail: justiaan.swanevelder@ uhl-tr.nhs.uk

The first 150 words of the full text of this article appear below.

Where transoesophageal echocardiography (TOE) was once used mainly by cardiologists in the echo laboratory, its value in the operating theatre and intensive care unit is now well recognized. TOE has become the gold standard intraoperative cardiac monitor and diagnostic tool in certain cardiac surgical procedures, for example mitral valve repair, congenital heart surgery, and repair of aortic dissections.1 It is useful to monitor ventricular filling and performance and is sensitive for detection of myocardial ischaemia.2 3 TOE provides valuable information that significantly influences clinical management and improves patient outcome, not only during, but also after, surgery.4–9 For this reason, the term ‘perioperative’ rather than ‘intraoperative’ TOE is preferred. With modern technology, TOE is capable of providing a much wider range of diagnostic information, which greatly exceeds that available from other monitoring modalities more commonly used by anaesthetists. Two recent retrospective analyses have suggested its cost-effectiveness during routine cardiac surgery.10 11

The need for anaesthetists-echocardiographers

The involvement . . . [Full Text of this Article]

Previous experience

British Society of Echocardiography

Association of Cardiothoracic Anaesthetists

Transoesophageal echocardiography accreditation

Summary


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