%0 Journal Article
%T A Multi-Country Survey on the Availability of Intraoperative Use of Echocardiography for Noncardiac Surgery.
%A El Tahan MM
%A Cheng DC
%A Szegedi L
%A Mellin-Olsen J
%A Zdravkovic M
%A Lineburger EB
%A Filipescu D
%A Tritapepe L
%A Guarracino F
%A Neto CN
%A Garcia PC
%A Ángel Rodenas Monteagudo M
%A Granell MG
%A Guillén RV
%A Gaudard P
%A Abdulmomen A
%A Eldawlatly AA
%A Bubenek-Turconi SI
%A Stoica R
%A Licker M
%A Erdoes G
%A Mauermann E
%A Kirov M
%A Lomivorotov V
%A Saldien V
%A Momeni M
%A Huang J
%J Semin Cardiothorac Vasc Anesth
%V 0
%N 0
%D 2024 Jun 6
%M 38842145
暂无%R 10.1177/10892532241256020
%X <B>BACKGROUND: </B>This survey aimed to explore the availability and accessibility of echocardiography during noncardiac surgery worldwide.<BR><B>METHODS: </B>An internet-based 45-item survey was sent, followed by reminders from August 30, 2021, to August 20, 2022.<BR><B>RESULTS: </B>1189 responses were received from 62 countries. Nearly seventy-one percent of respondents had intraoperatively used transesophageal or transthoracic echocardiography (TEE and TTE, respectively) for monitoring or examination. The unavailability of echocardiography machines (30.3%), lack of trained personnel (30.2%), and absence of clinical indications (22.6%) were the top 3 reasons for not using intraoperative echocardiography in noncardiac surgery. About 61.5% of participants had access to at least one echocardiography machine. About 41% had access to at least 1 TEE probe, and 62.2% had access to at least 1 TTE probe. Seventy-four percent of centers had a procedure to request intraoperative echocardiography if needed for noncardiac cases. Intraoperative echocardiography service was immediately available in 58% of centers.<BR><B>CONCLUSIONS: </B>Echocardiography machines and skilled echocardiographers are still unavailable at many centers worldwide. National societies should aim to train a critical mass of certified TEE/TTE anesthesiologists and provide all anesthesiologists access to perioperative TEE/TTE machines in anesthesiology departments, considering the increasing number of older and sicker surgical patients scheduled for noncardiac surgery.