Transgastric Abdominal Ultrasonography in Anesthesia and Critical Care: Review and Proposed Approach

Anesth Analg. 2021 Sep 1;133(3):630-647. doi: 10.1213/ANE.0000000000005537.

Abstract

The use of transesophageal echocardiography (TEE) in the operating room and intensive care unit can provide invaluable information on cardiac as well as abdominal organ structures and function. This approach may be particularly useful when the transabdominal ultrasound examination is not possible during intraoperative procedures or for anatomical reasons. This review explores the role of transgastric abdominal ultrasonography (TGAUS) in perioperative medicine. We describe several reported applications using 10 views that can be used in the diagnosis of relevant abdominal conditions associated with organ dysfunction and hemodynamic instability in the operating room and the intensive care unit.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review
  • Video-Audio Media

MeSH terms

  • Abdomen / diagnostic imaging*
  • Anesthesia*
  • Critical Care*
  • Echocardiography, Transesophageal*
  • Hemodynamics
  • Humans
  • Intensive Care Units
  • Intraoperative Complications / diagnostic imaging*
  • Intraoperative Complications / etiology
  • Intraoperative Complications / physiopathology
  • Operating Rooms
  • Perioperative Care*
  • Postoperative Complications / diagnostic imaging*
  • Postoperative Complications / etiology
  • Postoperative Complications / physiopathology
  • Predictive Value of Tests