TY - JOUR
T1 - A Multi-Country Survey on the Availability of Intraoperative Use of Echocardiography for Noncardiac Surgery
AU - El Tahan, Mohamed M.
AU - Cheng, Davy C.
AU - Szegedi, Laszlo
AU - Mellin-Olsen, Jannicke
AU - Zdravkovic, Marko
AU - Lineburger, Eric Benedet
AU - Filipescu, Daniela
AU - Tritapepe, Luigi
AU - Guarracino, Fabio
AU - Neto, Caetano Nigro
AU - Garcia, Paula Camona
AU - Ángel Rodenas Monteagudo, Miguel
AU - Granell, Manuel Gil
AU - Guillén, Rosario Vicente
AU - Gaudard, Philippe
AU - Abdulmomen, Ahmed
AU - Eldawlatly, Abdelazeem Ali
AU - Bubenek-Turconi, Serban Ion
AU - Stoica, Radu
AU - Licker, Marc
AU - Erdoes, Gabor
AU - Mauermann, Eckhard
AU - Kirov, Mikhail
AU - Lomivorotov, Vladimir
AU - Saldien, Vera
AU - Momeni, Mona
AU - Huang, Jiapeng
N1 - Publisher Copyright:
© The Author(s) 2024.
PY - 2024/9
Y1 - 2024/9
N2 - Background: This survey aimed to explore the availability and accessibility of echocardiography during noncardiac surgery worldwide. Methods: An internet-based 45-item survey was sent, followed by reminders from August 30, 2021, to August 20, 2022. Results: 1189 responses were received from 62 countries. Nearly seventy-one percent of respondents had intraoperatively used transesophageal or transthoracic echocardiography (TEE and TTE, respectively) for monitoring or examination. The unavailability of echocardiography machines (30.3%), lack of trained personnel (30.2%), and absence of clinical indications (22.6%) were the top 3 reasons for not using intraoperative echocardiography in noncardiac surgery. About 61.5% of participants had access to at least one echocardiography machine. About 41% had access to at least 1 TEE probe, and 62.2% had access to at least 1 TTE probe. Seventy-four percent of centers had a procedure to request intraoperative echocardiography if needed for noncardiac cases. Intraoperative echocardiography service was immediately available in 58% of centers. Conclusions: Echocardiography machines and skilled echocardiographers are still unavailable at many centers worldwide. National societies should aim to train a critical mass of certified TEE/TTE anesthesiologists and provide all anesthesiologists access to perioperative TEE/TTE machines in anesthesiology departments, considering the increasing number of older and sicker surgical patients scheduled for noncardiac surgery.
AB - Background: This survey aimed to explore the availability and accessibility of echocardiography during noncardiac surgery worldwide. Methods: An internet-based 45-item survey was sent, followed by reminders from August 30, 2021, to August 20, 2022. Results: 1189 responses were received from 62 countries. Nearly seventy-one percent of respondents had intraoperatively used transesophageal or transthoracic echocardiography (TEE and TTE, respectively) for monitoring or examination. The unavailability of echocardiography machines (30.3%), lack of trained personnel (30.2%), and absence of clinical indications (22.6%) were the top 3 reasons for not using intraoperative echocardiography in noncardiac surgery. About 61.5% of participants had access to at least one echocardiography machine. About 41% had access to at least 1 TEE probe, and 62.2% had access to at least 1 TTE probe. Seventy-four percent of centers had a procedure to request intraoperative echocardiography if needed for noncardiac cases. Intraoperative echocardiography service was immediately available in 58% of centers. Conclusions: Echocardiography machines and skilled echocardiographers are still unavailable at many centers worldwide. National societies should aim to train a critical mass of certified TEE/TTE anesthesiologists and provide all anesthesiologists access to perioperative TEE/TTE machines in anesthesiology departments, considering the increasing number of older and sicker surgical patients scheduled for noncardiac surgery.
UR - https://www.scopus.com/pages/publications/85196172166
UR - https://www.scopus.com/pages/publications/85196172166#tab=citedBy
U2 - 10.1177/10892532241256020
DO - 10.1177/10892532241256020
M3 - Article
C2 - 38842145
AN - SCOPUS:85196172166
SN - 1089-2532
VL - 28
SP - 135
EP - 146
JO - Seminars in Cardiothoracic and Vascular Anesthesia
JF - Seminars in Cardiothoracic and Vascular Anesthesia
IS - 3
ER -