Two-dimensional transesophageal echocardiography generally has superior sensitivity and image quality compared with precordial echocardiography. Its unique anatomic perspective posterior to the heart often provides important clinical information not obtainable by other imaging approaches and technologies. It is particularly useful in the diagnosis of mitral valve disease, left atrial masses, endocarditis and its sequelae, and aortic dissections. It is also useful for examination of the left main coronary artery, left ventricular outflow tract, atrial and ventricular septa, and congenital defects. In addition to its application as a diagnostic tool in conscious patients, it can be employed intraoperatively to evaluate and guide surgical intervention. Detection of ventricular wall motion abnormalities by transesophageal echocardiography has been shown to be the most sensitive indicator of myocardial ischemia available in the clinical setting. It has potential for wide application for safely monitoring left ventricular function in patients in intensive care or under anesthesia.

Echocardiography↗

PubMedDate not supplied

Occupational therapy and special education.

Explore the source record for details and available documents.

Child↗

PubMedDate not supplied

Automated anesthesia data management and recordkeeping.

It is apparent that judicious application of computer technology to the design and implementation of an automated anesthesia recordkeeping system could afford increased ease of use to the anesthesiologist compared to a manually kept record. Although prototype systems have been developed at academic institutions, and commercially available operating room physiological monitoring systems show increasing capability for some recordkeeping functions, production of an effective AAD-MARKS will depend on the development of suitable display formats and capabilities, markedly improved user interfaces for data input and system control, intelligent graduated alarm systems, and demonstrated reliability, with provision for preservation of critical data and recordkeeping functions and basic physiological data monitoring despite system failure.

Anesthesia↗