The Advantages and Disadvantages of Perioperative Transesophageal Echocardiography during Liver Transplantation
Min C. Yoo, James M. West, James D. Eason and Jason M. Vanatta*
Methodist University Hospital, Transplant Institute/University of Tennessee, 1211 Union Avenue, Suite 340, Memphis, TN 38138, USA
- *Corresponding Author:
- Jason M. Vanatta
Methodist University Hospital
Transplant Institute/University of Tennessee
1211 Union Avenue, Suite 340, Memphis, TN 38138, USA
E-mail: [email protected]
Received date: November 12, 2011; Accepted date: January 19, 2012; Published date:February 24, 2012
Citation: Yoo MC, West JM, Eason JD,Vanatta JM (2012) The Advantages and Disadvantages of Perioperative Transesophageal Echocardiography during Liver Transplantation. J Anesthe Clinic Res 4:331 doi: 10.4172/2155-6148.1000331
Copyright: © 2012 Yoo MC, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
In the last 50 years of liver transplantation there has been significant improvement in all aspects of the operation, and it has become the standard of care in the treatment of end stage liver disease. Perioperative hemodynamic monitoring during the transplant operation is critical and currently the pulmonary artery catheter (PAC) remains the gold standard for cardiovascular monitoring. Transesophageal echocardiography (TEE), with the ability to visualize cardiac function and provide real-time feedback on the adequacy of intervention has had an increasing use in liver transplantation. The primary advantage of TEE is the ability to visualize cardiac function. Disadvantages of TEE include instrumentation cost, operator use, and familiarity with the information provided by the TEE. TEE provides a useful adjunct to PAC in intraoperative hemodynamic monitoring during liver transplantation, especially in those patients at risk for cardiac complications due to pre-existing cardiovascular disease.