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Review
. 2020 Jun;33(6):666-669.
doi: 10.1016/j.echo.2020.04.008. Epub 2020 Apr 11.

Specific Considerations for the Protection of Patients and Echocardiography Service Providers When Performing Perioperative or Periprocedural Transesophageal Echocardiography during the 2019 Novel Coronavirus Outbreak: Council on Perioperative Echocardiography Supplement to the Statement of the American Society of Echocardiography Endorsed by the Society of Cardiovascular Anesthesiologists

Alina Nicoara  1 , Yasdet Maldonado  2 , Smadar Kort  3 , Madhav Swaminathan  4 , G Burkhard Mackensen  5
Affiliations
Review

Specific Considerations for the Protection of Patients and Echocardiography Service Providers When Performing Perioperative or Periprocedural Transesophageal Echocardiography during the 2019 Novel Coronavirus Outbreak: Council on Perioperative Echocardiography Supplement to the Statement of the American Society of Echocardiography Endorsed by the Society of Cardiovascular Anesthesiologists

Alina Nicoara et al. J Am Soc Echocardiogr. 2020 Jun.

Abstract

  1. •

    TEE carries a high risk for SARS-CoV-2 spread.

  2. •

    TEE should be performed when clinical benefits outweigh the risks.

  3. •

    Proper handling and cleaning of equipment is critical.

  4. •

    Airborne precautions should be used in patients suspected or confirmed COVID-19.

Keywords: COVID-19; Patient; Perioperative; Periprocedural; Protection.

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Figures

Figure 1
Figure 1
Suggested algorithm for determining indication for intraoperative TEE. LV, Left ventricular; RV, right ventricular.
Figure 2
Figure 2
An ultrasound system with transesophageal echocardiographic capabilities is shown with a plastic cover. The screen, touchable parts, and transducer ports are covered by the disposable plastic cover.
See this image and copyright information in PMC

References

    1. Practice guidelines for perioperative transesophageal echocardiography. A report by the American Society of Anesthesiologists and the Society of Cardiovascular Anesthesiologists Task Force on Transesophageal Echocardiography. Anesthesiology. 1996;84:986–1006. - PubMed
    1. Practice guidelines for perioperative transesophageal echocardiography. An updated report by the American Society of Anesthesiologists and the Society of Cardiovascular Anesthesiologists Task Force on Transesophageal Echocardiography. Anesthesiology. 2010;112:1084–1096. - PubMed
    1. Kirkpatrick J.N., Mitchell C., Taub C., Kort S., Hung J., Swaminathan M. ASE statement on protection of patients and echocardiography service providers during the 2019 novel coronavirus outbreak. J Am Soc Echocardiogr. 2020;33:648–653. - PMC - PubMed
    1. Bowdle A., Munoz-Price L.S. Preventing infection of patients and healthcare workers should be the new normal in the era of novel coronavirus epidemics. https://anesthesiology.pubs.asahq.org/article.aspx?articleid=2763452 Anesthesiology. Available at: - PMC - PubMed
    1. He H., Zhao S., Han L., Wang Q., Xia H., Huang X. Anesthetic management of patients undergoing aortic dissection repair with suspected severe acute respiratory syndrome coronavirus-2 infection. https://www.jcvaonline.com/article/S1053-0770(20)30270-6/fulltext J Cardiothorac Vasc Anesth. Available at: - PMC - PubMed

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