Transesophageal echocardiography in the evaluation of the trauma patient: A trauma resuscitation transesophageal echocardiography exam

Stefan W. Leichtle, Andrew Singleton, Mandeep Singh, Matthew J. Griffee, Joshua M. Tobin

Research output: Contribution to journalReview articlepeer-review

19 Scopus citations

Abstract

The point-of-care ultrasound exam has become an essential tool for hemodynamic monitoring and resuscitation in the trauma bay as well as the intensive care unit. Transthoracic ultrasound provides a dynamic assessment of cardiac function, volume status, and fluid responsiveness that offers potential advantage over traditional methods of hemodynamic monitoring. More recently, a focused transthoracic echocardiography exam was described to improve immediate resuscitation of severely injured patients in the trauma bay. Transesophageal echocardiography (TEE) for trauma could expand upon the role of focused echocardiography. TEE offers improved visualization of cardiac anatomy and physiology, improved diagnostic accuracy, and real-time assessment of intraoperative resuscitation progress, particularly in the operating room. This review discusses the fundamental principles of echocardiography as well as different ultrasound modes with their respective strengths and limitations. It reviews the current literature on the use of TEE in trauma, and suggests views for a trauma resuscitation transesophageal echocardiography exam (TREE), including sample images and videos.

Original languageEnglish (US)
Pages (from-to)202-206
Number of pages5
JournalJournal of Critical Care
Volume40
DOIs
StatePublished - Aug 1 2017
Externally publishedYes

Keywords

  • Resuscitation
  • Transesophageal echocardiography
  • Trauma

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

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