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The Esophageal Doppler

  • Conference paper
Yearbook of Intensive Care and Emergency Medicine 1999

Part of the book series: Yearbook of Intensive Care and Emergency Medicine ((YEARBOOK,volume 1999))

Abstract

In an attempt to reduce morbidity and mortality, more invasive and sophisticated monitors are being utilized in the intensive care unit (ICU) and operating rooms. The availability of this new generation of monitors has made possible the treatment of an increasingly sicker group of patients, due to the ability to have real-time and accurate assessments of cardiovascular instability. This improvement in hemodynamic monitoring is vital since basic clinical signs only react very late to problems, due to the body’s remarkable protective mechanisms at preserving essential organ integrity at all costs.

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References

  1. Kelso LA (1997) Complications associated with pulmonary artery catheterization. New Horiz 5:259–263.

    PubMed  CAS  Google Scholar 

  2. Nadeau S, Noble WH (1986) Limitations of cardiac output measurements by thermodilution. Can Anaesth Soc J 33:780–784.

    Article  PubMed  CAS  Google Scholar 

  3. Connors AF, Jr, Speroff T, Dawson NV, et al (1996) The effectiveness of right heart catheterization in the initial care of critically ill patients. SUPPORT Investigators. JAMA 276:889–897.

    Article  Google Scholar 

  4. Franklin D, Schlegel W, Rushmar R (1961) Blood flow measured by Doppler ultrasound frequency shift of back-scattered ultrasound. Science 134:564–565.

    Article  PubMed  CAS  Google Scholar 

  5. Satomura S (1969) A study of the flow patterns in superficial arteries by ultrasonics. J Acoust Soc Jpn 15:151–158.

    Google Scholar 

  6. Sequeira RF, Light LH, Cross G, Raftery EB (1976) Transcutaneous aortovelography. A quantitative evaluation. Br Heart J 38:443–450.

    Article  PubMed  CAS  Google Scholar 

  7. Huntsman LL, Gams E, Johnson CC, Fairbanks E (1975) Transcutaneous determination of aortic blood-flow velocities in man. Am Heart J 89:605–612.

    Article  PubMed  CAS  Google Scholar 

  8. Side CD, Gosling RG (1971) Non-surgical assessment of cardiac function. Nature 232:335–336.

    Article  PubMed  CAS  Google Scholar 

  9. Olson RM, Cooke J (1974) A nondestructive ultrasonic technique to measure diameter and blood flow in arteries. IEEE Trans Biomed Eng 12:168–171.

    Article  Google Scholar 

  10. Fourcade C, Cathignol D, Muchada R, et al (1980) Validation of aortic output measurement using an esophageal ultrasound receiver in non-invasive hemodynamic surveillance. Agressologie 21:121–128.

    PubMed  CAS  Google Scholar 

  11. Seyde WC, Stephan H, Rieke H (1987) Non-invasive Doppler-ultrasound determination of cardiac output. Results and experiences with the ACCUCOM. Anaesthetist 36:504–509.

    CAS  Google Scholar 

  12. Perrino AC, Jr., Fleming J, LaMantia KR (1991) Transesophageal Doppler cardiac output monitoring: performance during aortic reconstructive surgery. Anesth Analg 73:705–710.

    Article  PubMed  Google Scholar 

  13. Schmid ER, Spahn DR, Tornic M (1993) Reliability of a new generation transesophageal Doppler device for cardiac output monitoring. Anesth Analg 77:971–979.

    Article  PubMed  CAS  Google Scholar 

  14. Singer M, Clarke J, Bennett ED (1989) Continuous hemodynamic monitoring by esophageal Doppler. Crit Care Med 17:447–452.

    Article  PubMed  CAS  Google Scholar 

  15. Lefrant JY, de la Coussaye JE, Bassoul B, Auffray JP, Eledjam JJ (1992) Comparison of cardiac output measured by esophageal doppler versus thermodilution. Intensive Care Med 18 (suppl 2): S177 (Abst).

    Google Scholar 

  16. Belot JP, Valtier B, de la Coussaye JE, Mottin D, Payen D (1992) Continuous estimation of cardiac output in critically ill mechanically ventilated patients by a new transoesophageal doppler probe. Intensive Care Med 18 (suppl 2): S178 (Abst).

    Google Scholar 

  17. Rowley KM, Clubb KS, Smith GJ, Cabin HS (1984) Right-sided infective endocarditis as a consequence of flow-directed pulmonary-artery catheterization. A clinicopathological study of 55 autopsied patients. N Engl J Med 311:1152–1156.

    Article  PubMed  CAS  Google Scholar 

  18. Lange HW, Galliani CA, Edwards JE (1983) Local complications associated with indwelling Swan-Ganz catheters: autopsy study of 36 cases. Am J Cardiol 52:1108–1111.

    Article  PubMed  CAS  Google Scholar 

  19. Lefrant JY, Bruelle P, Aya AG, et al (1998) Training is required to improve the reliability of esophageal Doppler to measure cardiac output in critically ill patients. Intensive Care Med 24:347–352.

    Article  PubMed  CAS  Google Scholar 

  20. Towfiq BA, Weir J, Rawles JM (1986) Effect of age and blood pressure on aortic size and stroke distance. Br Heart J 55:560–568.

    Article  PubMed  CAS  Google Scholar 

  21. Dubrey SW, Falk RH (1997) Optimal number of beats for the Doppler measurement of cardiac output in atrial fibrillation. J Am Soc Echocardiogr 10:67–71.

    Article  PubMed  CAS  Google Scholar 

  22. Singer M, Allen MJ, Webb AR, Bennett ED (1991) Effects of alterations in left ventricular filling, contractility, and systemic vascular resistance on the ascending aortic blood velocity waveform of normal subjects. Crit Care Med 19:1138–1145.

    Article  PubMed  CAS  Google Scholar 

  23. Singer M (1993) Esophageal Doppler monitoring of aortic blood flow: beat-by-beat cardiac output monitoring. Int Anesthesiol Clin 31:99–125.

    Article  PubMed  CAS  Google Scholar 

  24. Singer M, Bennett ED (1991) Noninvasive optimization of left ventricular filling using esophageal Doppler. Crit Care Med 19:1132–1137.

    Article  PubMed  CAS  Google Scholar 

  25. Evans JW, Singer M, Chappie CR, Macartney N, Walker JM, Milroy EJ (1992) Haemodynamic evidence for cardiac stress during transurethral prostatectomy. Br Med J 304:666–671.

    Article  CAS  Google Scholar 

  26. Evans JW, Singer M, Coppinger SW, Macartney N, Walker JM, Milroy EJ (1994) Cardiovascular performance and core temperature during transurethral prostatectomy. J Urol 152:2025–2029.

    PubMed  CAS  Google Scholar 

  27. Singer M, Bennett D (1989) Optimisation of positive and expiratory pressure for maximal delivery of oxygen to tissues using oesophageal Doppler ultrasonography. Br Med J 298:1350–1353.

    Article  CAS  Google Scholar 

  28. Singer M, Vermaat J, Hall G, Latter G, Patel M (1994) Hemodynamic effects of manual hyperinflation in critically ill mechanically ventilated patients. Chest 106:1182–1187.

    Article  PubMed  CAS  Google Scholar 

  29. Haxby EJ, Gray MR, Rodriguez C, Nott D, Springall M, Mythen MG (1997). Assessment of cardiovascular changes during laparoscopic hernia repair using oesophageal Doppler. Br J Anaesth 78:515–519.

    Article  PubMed  CAS  Google Scholar 

  30. Gueugniaud PY, Abisseror M, Moussa M, et al (1998) The hemodynamic effects of pneumoperitoneum during laparoscopic surgery in healthy infants: assessment by continuous esophageal aortic blood flow echo-Doppler. Anesth Analg 86:290–293.

    PubMed  CAS  Google Scholar 

  31. Gueugniaud PY, Bertin-Maghit M, Petit P, Muchada R (1995) Diagnosis of heart arrest caused by CO2 embolism during laparoscopic surgery by monitoring of aortic blood flow and capnogra-phy. Ann Fr Anesth Reanim 14:417–420.

    Article  PubMed  CAS  Google Scholar 

  32. Gueugniaud PY, Muchada R, Bertin-Maghit M, Griffith N, Petit P (1995) Non-invasive continuous haemodynamic and PETCO2 monitoring during peroperative cardiac arrest. Can J Anaesth 42:910–913.

    Article  PubMed  CAS  Google Scholar 

  33. Spreng DE, DeBehnke DJ, Crowe DT, Swart GL (1995) Evaluation of an esophageal Doppler probe for the identification of experimental pseudo-electromechanical dissociation: a preliminary study. Resuscitation 29:153–156.

    Article  PubMed  CAS  Google Scholar 

  34. World MJ (1996) Methods of estimating cardiac output in the field. QJM 89:457–462.

    Article  PubMed  CAS  Google Scholar 

  35. Lavandier B, Muchada R, Chignier E, Fady JF, Birer A, Cathignol D(1991) Assessment of a potentially noninvasive method for monitoring aortic blood flow in children. Ultrasound Med Biol 17:107–116.

    Article  PubMed  CAS  Google Scholar 

  36. Gueugniaud PY, Muchada R, Moussa M, Haro D, Petit P (1997) Continuous oesophageal aortic blood flow echo-Doppler measurement during general anaesthesia in infants. Can J Anaesth 44:745–750.

    Article  PubMed  CAS  Google Scholar 

  37. Seear M, Webber S, Leblanc J (1994) Descending aortic blood flow velocity as a noninvasive measure of cardiac output in children. Pediatr Cardiol 15:178–183.

    Article  PubMed  CAS  Google Scholar 

  38. Klotz KF, Klingsiek S, Singer M, et al (1995) Continuous measurement of cardiac output during aortic cross-clamping by the oesophageal Doppler monitor ODM 1. Br J Anaesth 74:655–660.

    Article  PubMed  CAS  Google Scholar 

  39. Mythen MG, Webb AR (1995) Perioperative plasma volume expansion reduces the incidence of gut mucosal hypoperfusion during cardiac surgery. Arch Surg 130:423–429.

    Article  PubMed  CAS  Google Scholar 

  40. Sinclair S, James S, Singer M (1997) Intraoperative intravascular volume optimisation and length of hospital stay after repair of proximal femoral fracture: randomised controlled trial. Br Med J 315:909–912.

    Article  CAS  Google Scholar 

  41. Kamal GD, Symreng T, Starr J (1990) Inconsistent esophageal Doppler cardiac output during acute blood loss. Anesthesiology 72:95–99.

    Article  PubMed  CAS  Google Scholar 

  42. Keyl C, Rodig G, Lemberger P, Hobbhahn J (1996) A comparison of the use of transoesophageal Doppler and thermodilution techniques for cardiac output determination. Eur J Anaesthesiol 13:136–142.

    Article  PubMed  CAS  Google Scholar 

  43. Singer M, Bennett D (1989) Pitfalls of pulmonary artery catheterization highlighted by Doppler ultrasound. Crit Care Med 17:1060–1061.

    Article  PubMed  CAS  Google Scholar 

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Authors
  1. R. Venn
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  2. A. Rhodes
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  3. E. D. Bennett
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Editor information

Editors and Affiliations

  1. Department of Intensive Care, Erasme Hospital, Free University of Brussels, Route de Lennik 808, B-1070, Brussels, Belgium

    Jean-Louis Vincent (Clinical Director) (Clinical Director)

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© 1999 Springer-Verlag Berlin Heidelberg

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Venn, R., Rhodes, A., Bennett, E.D. (1999). The Esophageal Doppler. In: Vincent, JL. (eds) Yearbook of Intensive Care and Emergency Medicine 1999. Yearbook of Intensive Care and Emergency Medicine, vol 1999. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-13453-5_42

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  • DOI: https://doi.org/10.1007/978-3-662-13453-5_42

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-65288-5

  • Online ISBN: 978-3-662-13453-5

  • eBook Packages: Springer Book Archive

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