Perioperative use of the oesophageal Doppler probe (ODM II) on a patient scheduled for transmyocardial revascularization.
نویسندگان
چکیده
We describe the use of the continuous wave oesophageal Doppler monitor (ODM II) in the perioperative management of a patient with chronic obstructive coronary artery disease undergoing transmyocardial revascularization (TMR). The use of ODM II allowed both quantitative and qualitative assessment of cardiac function relatively noninvasively. It detected the successful transmyocardial penetration of a laser beam during operation by visual and auditory phenomena in addition to reflecting improvement in cardiac performance after operation.
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Transmyocardial revascularization (TMR) is performed via a thoracotomy, with the patient under general anesthesia. Cardiopulmonary bypass is not required. A laser probe is placed on the surface of the myocardium, and while the heart is in diastole, the laser is discharged to create a channel through the myocardium into the left ventricle. Less invasive approaches to TMR are also being studied. ...
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ورودعنوان ژورنال:
- British journal of anaesthesia
دوره 78 6 شماره
صفحات -
تاریخ انتشار 1997