The Effect of Perioperative Rescue Transesophageal Echocardiography on the Management of Trauma Patients

A A Case Rep. 2016 Jun 15;6(12):387-90. doi: 10.1213/XAA.0000000000000320.


To evaluate the effect of rescue transesophageal echocardiography (TEE) on the management of trauma patients, we reviewed imaging and charts of unstable trauma patients at a level I trauma center. Critical rescue TEE findings included acute right ventricular failure, stress cardiomyopathy, type B aortic dissection, mediastinal air, and dynamic left ventricular outflow tract obstruction. Left ventricular filling was classified as low (underfilled) in 57% of all cases. Rescue TEE revealed a variety of new diagnoses and led to a change in resuscitation strategy about half of the time.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Databases, Factual
  • Disease Management*
  • Echocardiography, Transesophageal / methods*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Perioperative Care / methods*
  • Treatment Outcome
  • Wounds and Injuries / diagnostic imaging*
  • Wounds and Injuries / surgery
  • Young Adult