naa a22 4500 510760406 CHVBK 20180411083137.0 cr unu---uuuuu 180411e20131001xx s 000 0 eng 10.1007/s11420-013-9331-2 doi (NATIONALLICENCE)springer-10.1007/s11420-013-9331-2 Transesophageal Echocardiography During Cardiac Arrest in Orthopedic Surgery Patients: A Report of Two Cases and a Review of the Literature [Elektronische Daten] [Sean Garvin, Ottokar Stundner, Stavros Memtsoudis] Background:: Cardiac arrest situations represent an enormous clinical challenge to the physicians involved. Research suggests that the utilization on transesophageal echocardiography (TEE) may provide important diagnostic information and allows for institution of more specific treatment, while not hampering resuscitation efforts. Case Description:: In this review, we highlight the usefulness of TEE in cardiac arrest situations in the orthopedic setting, by presenting two perioperative cases. In one case, TEE was used to diagnose intraoperative pulmonary embolism and guide thrombolytic therapy. The second case highlights the use of TEE in management of hemodynamic instability in a patient with aortic stenosis. Literature Review:: Memtsoudis et al. showed that in 19 of 22 cardiac arrests, an underlying pathological process could be established with TEE, leading to specific interventions beyond the institution of advanced cardiac life support measures. Clinical Relevance:: TEE can provide rapid diagnostic information guiding treatment in patients with hemodynamic compromise. The use is expanding beyond the cardiac operating theater and given the potential clinical impact consideration should be given to utilizing this valuable imaging modality in appropriate clinical situation. Hospital for Special Surgery, 2013 transesophageal echocardiography nationallicence cardiac arrest nationallicence orthopedic surgery nationallicence cardiac complications nationallicence embolism nationallicence resuscitation nationallicence Garvin Sean Department of Anesthesiology, Hospital for Special Surgery, 535 East 70th Street, 10021, New York, NY, USA aut Stundner Ottokar Department of Anesthesiology, Hospital for Special Surgery, 535 East 70th Street, 10021, New York, NY, USA aut Memtsoudis Stavros Department of Anesthesiology, Hospital for Special Surgery, 535 East 70th Street, 10021, New York, NY, USA aut HSS Journal ® Springer US; http://www.springer-ny.com 9/3(2013-10-01), 275-277 1556-3316 9:3<275 2013 9 11420 https://doi.org/10.1007/s11420-013-9331-2 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11420-013-9331-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Garvin Sean Department of Anesthesiology, Hospital for Special Surgery, 535 East 70th Street, 10021, New York, NY, USA aut NATIONALLICENCE 700 1- Stundner Ottokar Department of Anesthesiology, Hospital for Special Surgery, 535 East 70th Street, 10021, New York, NY, USA aut NATIONALLICENCE 700 1- Memtsoudis Stavros Department of Anesthesiology, Hospital for Special Surgery, 535 East 70th Street, 10021, New York, NY, USA aut NATIONALLICENCE 773 0- HSS Journal ® Springer US; http://www.springer-ny.com 9/3(2013-10-01), 275-277 1556-3316 9:3<275 2013 9 11420 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer