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Anästhesiol Intensivmed Notfallmed Schmerzther 2006; 41(11): 750-757
DOI: 10.1055/s-2006-958848
Fachwissen: Topthema: Ultraschall in der Anästhesiologie

© Georg Thieme Verlag Stuttgart · New York

Ultraschall in der Anästhesiologie - Kardiovaskuläres Monitoring und Diagnostik mit der TEE

TEE for diagnosis and cardiovascular monitoringJens Broscheit, Clemens-Alexander Greim
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Publication History

Publication Date:
07 December 2006 (online)

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Zusammenfassung

Die sonographischen Verfahren, die im Rahmen der transösophagealen Echokardiographie (TEE) zum kardiovaskulären Monitoring genutzt werden, ermöglichen eine ausführliche strukturelle und funktionelle Diagnostik des Herzens. Im Vordergrund stehen die Beurteilung der myokardialen Kontraktilität, des ventrikulären Füllungsstatus und Auswurfes, der Klappenmorphologie und -funktion, und darüber hinaus auch der Diagnostik der aszendierenden und descendierenden Aorta. Die korrekte Interpretation der bildhaft dargestellten Strukturen trägt wesentlich zur diagnostischen Sicherheit bei, stellt aber hohe Ansprüche an den Untersucher. Aus diesem Grund möchte sie der vorliegende Artikel über die klinischen Einsatzmöglichkeiten der TEE informieren.

Summary

Various sonographic techniques that are implemented in transesophageal echocardiography (TEE) for cardiovascular monitoring, allow for an extensive cardiac structure and function analysis. Major priority is assigned to the judgement on myocardial contractility, ventricular filling end ejection, valvular morphology and structure, as well as diagnosis of the ascending and descending aorta. Correct interpretation of the imaged structures increases diagnostic safety, but is built on high requirements on the investigator. On these grounds, this article aims to inform you on the clinical applications of TEE.

Schlüsselwörter:

Transösophageale Echokardiographie - TEE - kardiovaskuläres Monitoring - Diagnostik der aszendierenden und deszendierenden Aorta

Key words:

Transesophageal echocardiography - TEE - cardiovascular monitoring - diagnosis of the ascending and descending aorta

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