| Japanese |
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| Title | Additional applications of transesophageal echocardiography during cardiac surgery |
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| Subtitle | 特集 シンポジウム [II] 経食道心エコー ＝開心術麻酔中のモニターとしての有用性＝ |
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| Authors | Kazumasa Orihashi*, Yuichiro Matsuura*, Osafumi Yuge** |
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| Organization | *First Department of Surgery,Hiroshima University School of Medicine, **Department of Anesthesiology,Hiroshima University School of Medicine |
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| Journal | 循環制御 |
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| Volume | 14 |
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| Number | 4 |
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| Page | 487-494 |
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| Year/Month | 1993/ |
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| Article | 報告 |
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| Publisher | 日本循環制御医学会 |
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| Abstract | 術中経食道心エコー法(TEE)の「視診器」としての利用法を報告した. 1)心内遺残空気：心腔を開く手術では体外循環離脱時にほぼ全例に認める. 貯留型と気泡型が相互に移行しつつ刻々移動する. 右上肺静脈, 左室心尖部に注意. 2)無気肺, 胸腔内液貯留：背側に起こり術野からはみにくいが, 逆にTEEで明瞭, リアルタイムに観察できる. 3)IABP：カテ挿入時にカテ先端位置と大動脈解離の有無を検討する. 4)スワン・ガンツカテーテル：カブのshuttle movement, 楔入時これが消失するanchoring signに注意. カテが進みにくい症例で原因を示唆することもある. TEEの情報を100％活用することにより, より安全, 確実な術中管理をめざしたい. |
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| Practice | 基礎医学・関連科学 |
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| English |
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| Title | Additional applications of transesophageal echocardiography during cardiac surgery |
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| Subtitle | special edition |
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| Authors | Kazumasa Orihashi*, Yuichiro Matsuura*, Osafumi Yuge** |
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| Authors(kana) | |
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| Organization | *First Department of Surgery,Hiroshima University School of Medicine, **Department of Anesthesiology,Hiroshima University School of Medicine |
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| Journal | Circulation Control |
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| Volume | 14 |
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| Number | 4 |
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| Page | 487-494 |
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| Year/Month | 1993/ |
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| Article | Report |
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| Publisher | Japan Society of Circulation Control |
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| Abstract | 「Abstract」Additional applications of intraoperative transesophageal echocardiography (TEE) as a "visual ultrasonic stethoscope" was reported. 1) Retained intracardiac air was found in most of the cases with cardiotomy, especially at the right upper pulmonary vein and left ventricle at the weaning from the cardiopulmonary bypass. The air changed its forms (bubbles and pooled form) and locations time after time. 2) Atelectasis and pleural fluid was easily visualized from the esophagus clearly and at real-time, while it is difficult to see from the surgeon and anesthesiologist. 3) Intraaortic balloon pumping: It is important to check the position of the catheter tip and aortic dissection. 4) Swan-Ganz catheter: Important finding was "shuttle movement" of the balloon in the long axis of the pulmonary artery and the "anchoring sign" at wedging. In case of difficult advancement of catheter to the right ventricle or right ventricular outflow tract, TEE provided the problem-oriented solution of this problem, minimizing to abandon the use of catheter. It is important to fully utilize the information of TEE in order to achieve a better intraoperative management. |
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| Practice | Basic medicine |
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| Keywords | |
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