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Please use this identifier to cite or link to this item: http://hdl.handle.net/11055/230
Title: The impact of pre-operative focused transthoracic echocardiography in emergency non-cardiac surgery patients with known or risk of cardiac disease.
Authors: Canty, D
Royse, C
Kilpatrick, D
Williams, D
Royse, A G
ANZCA/FPM Author: Canty, DJ
Royse, CF
Williams, DL
Issue Date: Jul-2012
Citation: Anaesthesia 2012-07; 67(7): 714-20
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.
URI: http://hdl.handle.net/11055/230
DOI: 10.1111/j.1365-2044.2012.07118.x
PubMed URL: https://www.ncbi.nlm.nih.gov/pubmed/22452367
Journal Title: Anaesthesia
Type: Evaluation Studies
Journal Article
Research Support, Non-U.S. Gov't
Appears in Collections:Scholarly and Clinical

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