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The role of trans-oesophageal echocardiography for perioperative cardiovascular monitoring during orthotopic liver transplantation

Authors

  • Andrew J. Burtenshaw,

    Corresponding author
    1. Featherstone Department of Anaesthesia, University Hospital Birmingham, Birmingham, United Kingdom
    • Featherstone Department of Anaesthesia, Queen Elizabeth Hospital, University Hospital Birmingham, Birmingham, B15 2TH, United Kingdom
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    • Telephone: 07753 604600; FAX: 00441905760811

  • John L. Isaac

    1. Featherstone Department of Anaesthesia, University Hospital Birmingham, Birmingham, United Kingdom
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Abstract

Patients undergoing orthotopic liver transplantation frequently display considerable physiological changes during the procedure as a result of both the disease process and the surgery. Anaesthesia is often challenging and relies upon advanced monitoring techniques to provide data pertinent to peri-operative management. Traditionally the pulmonary artery flotation catheter has been regarded as the gold standard for cardiac output and right heart monitoring. This review examines whether trans-oesophageal echocardiography merits a place in the continuing evolution of this technically advanced and challenging anaesthetic field. Liver Transpl 12:1577–1583, 2006. © 2006 AASLD.

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