University of Tasmania
Browse

File(s) under permanent embargo

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

journal contribution
posted on 2023-05-17, 16:16 authored by Canty, DJ, Royse, CF, Kilpatrick, D, Williams, DL, Royse, AG
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.

History

Publication title

Anaesthesia

Volume

67

Issue

7

Pagination

714-720

ISSN

0003-2409

Department/School

Tasmanian School of Medicine

Publisher

Wiley-Blackwell Publishing Ltd.

Place of publication

The Atrium, Chichester, West Sussex PO19 8SQ, UK

Rights statement

Copyright 2012 The Association of Anaesthetists of Great Britain and Ireland

Repository Status

  • Restricted

Socio-economic Objectives

Clinical health not elsewhere classified

Usage metrics

    University Of Tasmania

    Exports

    RefWorks
    BibTeX
    Ref. manager
    Endnote
    DataCite
    NLM
    DC