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The impact of pre-operative focused transthoracic echocardiography in emergency non-cardiac surgery patients with known or risk of cardiac disease

Citation

Canty, DJ and Royse, CF and Kilpatrick, D and Williams, DL and Royse, AG, The impact of pre-operative focused transthoracic echocardiography in emergency non-cardiac surgery patients with known or risk of cardiac disease, Anaesthesia, 67, (7) pp. 714-720. ISSN 0003-2409 (2012) [Refereed Article]

Copyright Statement

Copyright 2012 The Association of Anaesthetists of Great Britain and Ireland

DOI: doi:10.1111/j.1365-2044.2012.07118.x

Abstract

This prospective observational study investigated the effect of focused transthoracic echocardiography in 99 patients who had suspected cardiac disease or were ≥ 65 years old, and were scheduled for emergency non-cardiac surgery. The treating anaesthetist completed a diagnosis and management plan before and after transthoracic echocardiography, which was performed by an independent operator. Clinical examination rated cardiac disease present in 75%; the remainder were asymptomatic. The cardiac diagnosis was changed in 67% and the management plan in 44% of patients after echocardiography. Cardiac disease was identified by echocardiography in 64% of patients, which led to a step-up of treatment in 36% (4% delay for cardiology referral, 2% altered surgery, 4% intensive care and 26% intra-operative haemodynamic management changes). Absence of cardiac disease in 36% resulted in a step-down of treatment in 8% (no referral 3%, intensive care 1% or haemodynamic treatment 4%). Pre-operative focused transthoracic echocardiography in patients admitted for emergency surgery and with known cardiac disease or suspected to be at risk of cardiac disease frequently alters diagnosis and management. © 2012 The Association of Anaesthetists of Great Britain and Ireland.

Item Details

Item Type:Refereed Article
Research Division:Medical and Health Sciences
Research Group:Cardiorespiratory Medicine and Haematology
Research Field:Cardiology (incl. Cardiovascular Diseases)
Objective Division:Health
Objective Group:Clinical Health (Organs, Diseases and Abnormal Conditions)
Objective Field:Cardiovascular System and Diseases
Author:Canty, DJ (Dr David Canty)
ID Code:83033
Year Published:2012
Web of Science® Times Cited:33
Deposited By:Medicine (Discipline)
Deposited On:2013-02-27
Last Modified:2013-05-23
Downloads:0

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