TEE

[IVAN HRONEK]

Ken, I am a cardiac anesthesiologist for 20 yrs and there are many studies showing the appropriateness of estimating EF and CO by experienced echocardiographers. We almost always agree when we look at it with the cardiac surgeon and/ or the cardiologist. It is an EXCELLENT tool in showing that. 
In a trauma patient you don't look at the EF, just really at the PE or VOLUME LOADING. As you know, the exactness doesn't really matter here, in a trauma patient the volume is either normal or low, that's good enough. Perhaps your trust in the technique has been shaken by many who know how to insert it in the esophagus, but not how to read it correctly.Ivan Hronek MDChief, Critical Care & Trauma AnesthesiaSFMC Gas, Inc.St. Francis Medical Center3630 E. Imperial HighwayLynwood, CA 90262 Cell: 310 487-3288Pager: 310 636-6020



> From: KMATTOX at aol.com> Date: Thu, 6 Sep 2007 22:16:39 -0400> To: trauma-list at trauma.org> Subject: Random Number Generators, TEE > > > In a message dated 9/6/2007 9:01:22 P.M. Central Daylight Time, ih7 at msn.com > writes:> > You can measure and estimate cardiac output from echo very well indeed. You > didn't know that> > > Of COURSE, I know that and have know that such claims have been made for > DECADES. AND I FIND THEM TO BE INCREADIBLY INACCURATE compared to other methods > of determining ejection fraction, cardiac output, etc. etc. etc. etc. > You forget that first I am a cardiac surgeon, with probably more cardiac > surgery under my belt than trauma surgery. I have interacted with cardiologist, > invasive and non invastive since 1965 and have watched and learned from the > anesthesiologists. I tried and tried to find a use for the TEE and TTE > in trauma. We really did. I find that some cardiologist are very good > with echo, but most over read tremendously and when they do a real cardiac > output compared to TEE cardiac output that is where the randomization of the > random number generators really happens. > > > > ************************************** Get a sneak peek of the all-new AOL at > http://discover.aol.com/memed/aolcom30tour> --> trauma-list : TRAUMA.ORG> To change your settings or unsubscribe visit:> http://www.trauma.org/index.php?/community/