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Why CRNAs Should Learn Transesophageal Echocardiog ...
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The document emphasizes the importance of Certified Registered Nurse Anesthetists (CRNAs) learning Transesophageal Echocardiography (TEE) for non-cardiac surgeries. TEE provides valuable information for managing hemodynamic instability, oliguria, myocardial ischemia, and during cardiopulmonary resuscitation (CPR). It helps in assessing factors like preload, contractility, and cardiac afterload. The document also outlines the risks associated with TEE, such as misinterpretation of data and mechanical issues, though these risks are minimal. Alternatives like Transthoracic Echocardiography (TTE) are discussed, highlighting TEE's advantages in terms of image quality and independence from external factors. The references provided in the document include studies on the application of focused cardiac ultrasound in perioperative settings and the role of echocardiography in guiding hemodynamic therapy. Overall, the document stresses the potential benefits of incorporating TEE into non-cardiac surgical procedures to improve patient outcomes and enhance critical decision-making processes for healthcare providers.
Keywords
CRNAs
Transesophageal Echocardiography
non-cardiac surgeries
hemodynamic instability
myocardial ischemia
cardiopulmonary resuscitation
preload
cardiac afterload
Transthoracic Echocardiography
focused cardiac ultrasound
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