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Published in:

01-06-2016 | Thoracic Anesthesia (T Schilling, Section Editor)

Imaging in Thoracic Surgery

Author: Massimiliano Meineri

Published in: Current Anesthesiology Reports | Issue 2/2016

Abstract

The availability and applications of ultrasound systems at the bedside have increased over the years. While they have become standard of care for line insertion and regional anesthesia, there are still many other applications that would clearly benefit clinical anesthesia practice. Among others, airway ultrasound has been reported to guide selection of double-lumen endotracheal tubes, identify tracheal intubation, and accurately identify crico-thyroid membrane and guide percutaneous tracheostomy. Lung ultrasound allows prompt bedside assessment of lung pathology including pneumothorax and pleural effusions with an accuracy superior to chest X-ray. Focused cardiac ultrasound represents an ideal tool in the management of perioperative hemodynamic instability and preoperative risk stratification. Finally, intraoperative transesophageal echocardiography is the ideal monitoring tool in complex surgical procedures and rescue scenarios. In this review, we will identify the specific application of perioperative ultrasound imaging that would benefit thoracic anesthesia.

Neal JM, Brull R, Chan VW, Grant SA, Horn JL, Liu SS, et al. The ASRA evidence-based medicine assessment of ultrasound-guided regional anesthesia and pain medicine: executive summary. Reg Anesth Pain Med. 2010;35(2 Suppl):S1–9.CrossRefPubMed

Troianos CA, Hartman GS, Glas KE, Skubas NJ, Eberhardt RT, Walker JD, et al. Special articles: guidelines for performing ultrasound guided vascular cannulation: recommendations of the American Society of Echocardiography and the Society Of Cardiovascular Anesthesiologists. Anesth Analg. 2012;114(1):46–72.CrossRefPubMed

Solomon SD, Saldana F. Point-of-care ultrasound in medical education—stop listening and look. N Engl J Med. 2014;370(12):1083–5.CrossRefPubMed

Reeves ST, Finley AC, Skubas NJ, Swaminathan M, Whitley WS, Glas KE, et al. Special article: basic perioperative transesophageal echocardiography examination: a consensus statement of the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists. Anesth Analg. 2013;117(3):543–58.CrossRefPubMed

Spencer KT, Kimura BJ, Korcarz CE, Pellikka PA, Rahko PS, Siegel RJ. Focused cardiac ultrasound: recommendations from the American Society of Echocardiography. J Am Soc Echocardiogr. 2013;26(6):567–81.CrossRefPubMed

•Arntfield R, Pace J, Hewak M, Thompson D. Focused transesophageal echocardiography by emergency physicians is feasible and clinically influential: observational results from a novel ultrasound program. J Emerg Med. 2016;50(2):286–94. This single center experience describe the use of focused TEE in the emergency department in intubated patients with indifferentiated shock or cardiac arrest.

Maniere-Ezvan A, Duval JM, Darnault P. Ultrasonic assessment of the anatomy and function of the tongue. Surg Radiol Anat. 1993;15(1):55–61.CrossRefPubMed

Singh M, Chin KJ, Chan VW, Wong DT, Prasad GA, Yu E. Use of sonography for airway assessment: an observational study. J Ultrasound Med. 2010;29(1):79–85.CrossRefPubMed

Nicholls SE, Sweeney TW, Ferre RM, Strout TD. Bedside sonography by emergency physicians for the rapid identification of landmarks relevant to cricothyrotomy. Am J Emerg Med. 2008;26(8):852–6.CrossRefPubMed

10.

Wang CP, Chen TC, Yang TL, Chen CN, Lin CF, Lou PJ, et al. Transcutaneous ultrasound for evaluation of vocal fold movement in patients with thyroid disease. Eur J Radiol. 2012;81(3):e288–91.CrossRefPubMed

11.

Mateen MA, Kaffes AJ, Sriram PV, Rao GV, Reddy DN. Modified technique of high-resolution ultrasonography of the normal cervical esophagus. J Gastroenterol Hepatol. 2006;21(11):1660–3.CrossRefPubMed

12.

Ezri T, Gewurtz G, Sessler DI, Medalion B, Szmuk P, Hagberg C, et al. Prediction of difficult laryngoscopy in obese patients by ultrasound quantification of anterior neck soft tissue. Anaesthesia. 2003;58(11):1111–4.CrossRefPubMedPubMedCentral

13.

Komatsu R, Sengupta P, Wadhwa A, Akca O, Sessler DI, Ezri T, et al. Ultrasound quantification of anterior soft tissue thickness fails to predict difficult laryngoscopy in obese patients. Anaesth Intensive Care. 2007;35(1):32–7.CrossRefPubMed

14.

Elliott DS, Baker PA, Scott MR, Birch CW, Thompson JM. Accuracy of surface landmark identification for cannula cricothyroidotomy. Anaesthesia. 2010;65(9):889–94.CrossRefPubMed

15.

•You-Ten KE, Desai D, Postonogova T, Siddiqui N. Accuracy of conventional digital palpation and ultrasound of the cricothyroid membrane in obese women in labour. Anaesthesia. 2015;70(11):1230–4. This study demonstrated poor accuracy in digital landmark identification of crico-thyroid membrane in partirients compared with ultrasound.

16.

Ding LW, Wang HC, Wu HD, Chang CJ, Yang PC. Laryngeal ultrasound: a useful method in predicting post-extubation stridor. A pilot study. Eur Respir J. 2006;27(2):384–9.CrossRefPubMed

17.

Mikaeili H, Yazdchi M, Tarzamni MK, Ansarin K, Ghasemzadeh M. Laryngeal ultrasonography versus cuff leak test in predicting postextubation stridor. J Cardiovasc Thorac Res. 2014;6(1):25–8.PubMedPubMedCentral

18.

Munir N, Hughes D, Sadera G, Sherman IW. Ultrasound-guided localisation of trachea for surgical tracheostomy. Eur Arch Otorhinolaryngol. 2010;267(3):477–9.CrossRefPubMed

19.

Eicken JJ, Wilcox SR, Liteplo AS. Bedside sonographic diagnosis of tracheal stenosis. J Ultrasound Med. 2012;31(9):1468–70.CrossRefPubMed

20.

Shibasaki M, Nakajima Y, Ishii S, Shimizu F, Shime N, Sessler DI. Prediction of pediatric endotracheal tube size by ultrasonography. Anesthesiology. 2010;113(4):819–24.CrossRefPubMed

21.

Brodsky JB, Macario A, Mark JB. Tracheal diameter predicts double-lumen tube size: a method for selecting left double-lumen tubes. Anesth Analg. 1996;82(4):861–4.PubMed

22.

Werner SL, Smith CE, Goldstein JR, Jones RA, Cydulka RK. Pilot study to evaluate the accuracy of ultrasonography in confirming endotracheal tube placement. Ann Emerg Med. 2007;49(1):75–80.CrossRefPubMed

23.

Ma G, Davis DP, Schmitt J, Vilke GM, Chan TC, Hayden SR. The sensitivity and specificity of transcricothyroid ultrasonography to confirm endotracheal tube placement in a cadaver model. J Emerg Med. 2007;32(4):405–7.CrossRefPubMed

24.

Weaver B, Lyon M, Blaivas M. Confirmation of endotracheal tube placement after intubation using the ultrasound sliding lung sign. Acad Emerg Med. 2006;13(3):239–44.CrossRefPubMed

25.

•Abbasi S, Farsi D, Zare MA, Hajimohammadi M, Rezai M, Hafezimoghadam P. Direct ultrasound methods: a confirmatory technique for proper endotracheal intubation in the emergency department. Eur J Emerg Med. 2015;22(1):10–6. This prospective observational trial tested the accuracy of static and dynamic ultrasonographic method to identify tracheal intubation in the emergency medicine setting.

26.

•Alvarez-Diaz N, Amador-Garcia I, Fuentes-Hernandez M, Dorta-Guerra R. Comparison between transthoracic lung ultrasound and a clinical method in confirming the position of double-lumen tube in thoracic anaesthesia. A pilot study. Rev Esp Anestesiol Reanim. 2015;62(6):305–12. In this small observational trial lung ultrasound was found tp have higher sensitivity but similar specificity to clinical assessment in identifying correct left sided double lumen tube placement.

27.

Sustic A, Protic A, Cicvaric T, Zupan Z. The addition of a brief ultrasound examination to clinical assessment increases the ability to confirm placement of double-lumen endotracheal tubes. J Clin Anesth. 2010;22(4):246–9.CrossRefPubMed

28.

Saporito A, Lo Piccolo A, Franceschini D, Tomasetti R, Anselmi L. Thoracic ultrasound confirmation of correct lung exclusion before one-lung ventilation during thoracic surgery. J Ultrasound. 2013;16(4):195–9.CrossRefPubMedPubMedCentral

29.

Hatfield A, Bodenham A. Portable ultrasonic scanning of the anterior neck before percutaneous dilatational tracheostomy. Anaesthesia. 1999;54(7):660–3.CrossRefPubMed

30.

•Rudas M, Seppelt I, Herkes R, Hislop R, Rajbhandari D, Weisbrodt L. Traditional landmark versus ultrasound guided tracheal puncture during percutaneous dilatational tracheostomy in adult intensive care patients: a randomised controlled trial. Crit Care. 2014;18(5):514. In this small randomized controlled trial Ultrasound guidance demonstrated a higher accuracy in midline tracheal puncture and higher first pass rate in 50 consecutive patients undergoing percutaneous dilatatory tracheostomy.

31.

Kollig E, Heydenreich U, Roetman B, Hopf F, Muhr G. Ultrasound and bronchoscopic controlled percutaneous tracheostomy on trauma ICU. Injury. 2000;31(9):663–8.CrossRefPubMed

32.

Reilly PM, Sing RF, Giberson FA, Anderson HL 3rd, Rotondo MF, Tinkoff GH, et al. Hypercarbia during tracheostomy: a comparison of percutaneous endoscopic, percutaneous Doppler, and standard surgical tracheostomy. Intensive Care Med. 1997;23(8):859–64.CrossRefPubMed

33.

Volpicelli G, Mussa A, Garofalo G, Cardinale L, Casoli G, Perotto F, et al. Bedside lung ultrasound in the assessment of alveolar-interstitial syndrome. Am J Emerg Med. 2006;24(6):689–96.CrossRefPubMed

34.

Volpicelli G. Lung sonography. J Ultrasound Med. 2013;32(1):165–71.CrossRefPubMed

35.

Jambrik Z, Monti S, Coppola V, Agricola E, Mottola G, Miniati M, et al. Usefulness of ultrasound lung comets as a nonradiologic sign of extravascular lung water. Am J Cardiol. 2004;93(10):1265–70.CrossRefPubMed

36.

Lichtenstein DA, Meziere GA. Relevance of lung ultrasound in the diagnosis of acute respiratory failure: the BLUE protocol. Chest. 2008;134(1):117–25.CrossRefPubMedPubMedCentral

37.

Becker HD. EBUS: a new dimension in bronchoscopy. Of sounds and images—a paradigm of innovation. Respiration. 2006;73(5):583–6.CrossRefPubMed

38.

Kirkpatrick AW, Sirois M, Laupland KB, Liu D, Rowan K, Ball CG, et al. Hand-held thoracic sonography for detecting post-traumatic pneumothoraces: the Extended Focused Assessment with Sonography for Trauma (EFAST). J Trauma. 2004;57(2):288–95.CrossRefPubMed

39.

Volpicelli G. Sonographic diagnosis of pneumothorax. Intensive Care Med. 2011;37(2):224–32.CrossRefPubMed

40.

Alrajhi K, Woo MY, Vaillancourt C. Test characteristics of ultrasonography for the detection of pneumothorax: a systematic review and meta-analysis. Chest. 2012;141(3):703–8.CrossRefPubMed

41.

Lichtenstein D, Meziere G, Biderman P, Gepner A. The, ``lung point”: an ultrasound sign specific to pneumothorax. Intensive Care Med. 2000;26(10):1434–40.CrossRefPubMed

42.

Krishnan S, Kuhl T, Ahmed W, Togashi K, Ueda K. Efficacy of an online education program for ultrasound diagnosis of pneumothorax. Anesthesiology. 2013;118(3):715–21.CrossRefPubMed

43.

Lichtenstein D, Hulot JS, Rabiller A, Tostivint I, Meziere G. Feasibility and safety of ultrasound-aided thoracentesis in mechanically ventilated patients. Intensive Care Med. 1999;25(9):955–8.CrossRefPubMed

44.

Kocijancic I, Vidmar K, Ivanovi-Herceg Z. Chest sonography versus lateral decubitus radiography in the diagnosis of small pleural effusions. J Clin Ultrasound. 2003;31(2):69–74.CrossRefPubMed

45.

Rocco M, Carbone I, Morelli A, Bertoletti L, Rossi S, Vitale M, et al. Diagnostic accuracy of bedside ultrasonography in the ICU: feasibility of detecting pulmonary effusion and lung contusion in patients on respiratory support after severe blunt thoracic trauma. Acta Anaesthesiol Scand. 2008;52(6):776–84.CrossRefPubMed

46.

Sajadieh H, Afzali F, Sajadieh V, Sajadieh A. Ultrasound as an alternative to aspiration for determining the nature of pleural effusion, especially in older people. Ann N Y Acad Sci. 2004;1019:585–92.CrossRefPubMed

47.

Vignon P, Chastagner C, Berkane V, Chardac E, Francois B, Normand S, et al. Quantitative assessment of pleural effusion in critically ill patients by means of ultrasonography. Crit Care Med. 2005;33(8):1757–63.CrossRefPubMed

48.

Liu YH, Lin YC, Liang SJ, Tu CY, Chen CH, Chen HJ, et al. Ultrasound-guided pigtail catheters for drainage of various pleural diseases. Am J Emerg Med. 2010;28(8):915–21.CrossRefPubMed

49.

Noble VE, Murray AF, Capp R, Sylvia-Reardon MH, Steele DJ, Liteplo A. Ultrasound assessment for extravascular lung water in patients undergoing hemodialysis. Time course for resolution. Chest. 2009;135(6):1433–9.CrossRefPubMed

50.

•Blanco PA, Cianciulli TF. Pulmonary edema assessed by ultrasound: impact in cardiology and intensive care practice. Echocardiography. 2016. doi:https://doi.org/10.1111/echo.13182. This article provides a comprehensive review of lung ultrasound assessment of cardiogenic pulmonary edema integrated with left ventricular assessment.

51.

Bouhemad B, Liu ZH, Arbelot C, Zhang M, Ferarri F, Le-Guen M, et al. Ultrasound assessment of antibiotic-induced pulmonary reaeration in ventilator-associated pneumonia. Crit Care Med. 2010;38(1):84–92.CrossRefPubMed

52.

Soummer A, Perbet S, Brisson H, Arbelot C, Constantin JM, Lu Q, et al. Ultrasound assessment of lung aeration loss during a successful weaning trial predicts postextubation distress. Crit Care Med. 2012;40(7):2064–72.CrossRefPubMed

53.

Lichtenstein D, Meziere G, Seitz J. The dynamic air bronchogram. A lung ultrasound sign of alveolar consolidation ruling out atelectasis. Chest. 2009;135(6):1421–5.CrossRefPubMed

54.

Parlamento S, Copetti R, Di Bartolomeo S. Evaluation of lung ultrasound for the diagnosis of pneumonia in the ED. Am J Emerg Med. 2009;27(4):379–84.CrossRefPubMed

55.

Verhaeghen D, Poelaert J, Ama R, Roosens C, Tempe DK, Chaney MA. Case 2-2005: evaluation of the lungs via transesophageal echocardiography. J Cardiothorac Vasc Anesth. 2005;19(2):242–9.CrossRefPubMed

56.

Swenson JD, Bull DA. Intraoperative diagnosis and treatment of pleural effusion based on transesophageal echocardiographic findings. Anesth Analg. 1999;89(2):309–10.PubMed

57.

Ross JJ, Braidley PC, Morgan-Hughes NJ. TEE for estimating pleural effusion volumes. J Cardiothorac Vasc Anesth. 2011;25(6):e52.CrossRefPubMed

58.

Rehfeldt KH, Bruggink SM, Pulido JN. Transesophageal echocardiographic imaging of ultrasound lung rockets. Anesthesiology. 2014;121(6):1335.CrossRefPubMed

59.

Tsubo T, Yatsu Y, Suzuki A, Iwakawa T, Okawa H, Ishihara H, et al. Daily changes of the area of density in the dependent lung region—evaluation using transesophageal echocardiography. Intensive Care Med. 2001;27(12):1881–6.CrossRefPubMed

60.

Perlas A, Davis L, Khan M, Mitsakakis N, Chan VW. Gastric sonography in the fasted surgical patient: a prospective descriptive study. Anesth Analg. 2011;113(1):93–7.CrossRefPubMed

61.

Perlas A, Mitsakakis N, Liu L, Cino M, Haldipur N, Davis L, et al. Validation of a mathematical model for ultrasound assessment of gastric volume by gastroscopic examination. Anesth Analg. 2013;116(2):357–63.CrossRefPubMed

62.

Perlas A, Chan VW, Lupu CM, Mitsakakis N, Hanbidge A. Ultrasound assessment of gastric content and volume. Anesthesiology. 2009;111(1):82–9.CrossRefPubMed

63.

Arzola C, Carvalho JC, Cubillos J, Ye XY, Perlas A. Anesthesiologists’ learning curves for bedside qualitative ultrasound assessment of gastric content: a cohort study. Can J Anaesth. 2013;60(8):771–9.CrossRefPubMed

64.

Lock G, Reng M, Messman H, Grune S, Scholmerich J, Holstege A. Inflation and positioning of the gastric balloon of a Sengstaken–Blakemore tube under ultrasonographic control. Gastrointest Endosc. 1997;45(6):538.PubMed

65.

Vigneau C, Baudel JL, Guidet B, Offenstadt G, Maury E. Sonography as an alternative to radiography for nasogastric feeding tube location. Intensive Care Med. 2005;31(11):1570–2.CrossRefPubMed

66.

Royse CF, Canty DJ, Faris J, Haji DL, Veltman M, Royse A. Core review: physician-performed ultrasound: the time has come for routine use in acute care medicine. Anesth Analg. 2012;115(5):1007–28.CrossRefPubMed

67.

••Via G, Hussain A, Wells M, Reardon R, ElBarbary M, Noble VE, et al. International evidence-based recommendations for focused cardiac ultrasound. J Am Soc Echocardiogr. 2014;27(7):683 e1–e33. This evidence based recommendations define scope of practice and training for focused cardiac ultrasound.

68.

Breitkreutz R, Price S, Steiger HV, Seeger FH, Ilper H, Ackermann H, et al. Focused echocardiographic evaluation in life support and peri-resuscitation of emergency patients: a prospective trial. Resuscitation. 2010;81(11):1527–33.CrossRefPubMed

69.

•Botker MT, Vang ML, Grofte T, Sloth E, Frederiksen CA. Routine pre-operative focused ultrasonography by anesthesiologists in patients undergoing urgent surgical procedures. Acta Anaesthesiol Scand. 2014;58(7):807–14. This case series presents the impact of point of care ultrasound performed in the operating room prior to emergency procedures and its impact on clinical management.

70.

Cowie B. Focused transthoracic echocardiography predicts perioperative cardiovascular morbidity. J Cardiothorac Vasc Anesth. 2012;26(6):989–93.CrossRefPubMed

71.

Hilberath JN, Oakes DA, Shernan SK, Bulwer BE, D’Ambra MN, Eltzschig HK. Safety of transesophageal echocardiography. J Am Soc Echocardiogr. 2010;23(11):1115–27 quiz 220–1.CrossRefPubMed

72.

Sullivan B, Puskas F, Fernandez-Bustamante A. Transesophageal echocardiography in noncardiac thoracic surgery. Anesthesiol Clin. 2012;30(4):657–69.CrossRefPubMed

73.

American Society of Anesthesiologists, Society of Cardiovascular Anesthesiologists Task Force on Transesophageal Echocardiography. 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(5):1084–96.

74.

Hahn RT, Abraham T, Adams MS, Bruce CJ, Glas KE, Lang RM, et al. Guidelines for performing a comprehensive transesophageal echocardiographic examination: recommendations from the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists. J Am Soc Echocardiogr. 2013;26(9):921–64.CrossRefPubMed

75.

Fletcher N, Geisen M, Meeran H, Spray D, Cecconi M. Initial clinical experience with a miniaturized transesophageal echocardiography probe in a cardiac intensive care unit. J Cardiothorac Vasc Anesth. 2015;29(3):582–7.CrossRefPubMed

76.

•Ashes C, Roscoe A. Transesophageal echocardiography in thoracic anesthesia: pulmonary hypertension and right ventricular function. Curr Opin Anaesthesiol. 2015;28(1):38–44. This reviews summarized the transesophageal echocardiographic methods to quantify right ventricular function and pulmonary hypertension.

77.

Slinger P. Update on anesthetic management for pneumonectomy. Curr Opin Anaesthesiol. 2009;22(1):31–7.CrossRefPubMed

78.

McGoon MD, Benza RL, Escribano-Subias P, Jiang X, Miller DP, Peacock AJ, et al. Pulmonary arterial hypertension: epidemiology and registries. J Am Coll Cardiol. 2013;62(25 Suppl):D51–9.CrossRefPubMed

79.

Kaw R, Pasupuleti V, Deshpande A, Hamieh T, Walker E, Minai OA. Pulmonary hypertension: an important predictor of outcomes in patients undergoing non-cardiac surgery. Respir Med. 2011;105(4):619–24.CrossRefPubMed

80.

Lai HC, Lai HC, Wang KY, Lee WL, Ting CT, Liu TJ. Severe pulmonary hypertension complicates postoperative outcome of non-cardiac surgery. Br J Anaesth. 2007;99(2):184–90.CrossRefPubMed

81.

Rudski LG, Lai WW, Afilalo J, Hua L, Handschumacher MD, Chandrasekaran K, et al. Guidelines for the echocardiographic assessment of the right heart in adults: a report from the American Society of Echocardiography endorsed by the European Association of Echocardiography, a registered branch of the European Society of Cardiology, and the Canadian Society of Echocardiography. J Am Soc Echocardiogr. 2010;23(7):685–713 quiz 86–8.CrossRefPubMed

82.

Calcutteea A, Chung R, Lindqvist P, Hodson M, Henein MY. Differential right ventricular regional function and the effect of pulmonary hypertension: three-dimensional echo study. Heart. 2011;97(12):1004–11.CrossRefPubMed

83.

Taams MA, Gussenhoven WJ, Schippers LA, Roelandt J, van Herwerden LA, Bos E, et al. The value of transoesophageal echocardiography for diagnosis of thoracic aorta pathology. Eur Heart J. 1988;9(12):1308–16.CrossRefPubMed

84.

Shapiro MJ, Yanofsky SD, Trapp J, Durham RM, Labovitz A, Sear JE, et al. Cardiovascular evaluation in blunt thoracic trauma using transesophageal echocardiography (TEE). J Trauma. 1991;31(6):835–9 discussion 9–40.CrossRefPubMed

85.

Orihashi K, Matsuura Y, Sueda T, Watari M, Okada K, Sugawara Y, et al. Echocardiography-assisted surgery in transaortic endovascular stent grafting: role of transesophageal echocardiography. J Thorac Cardiovasc Surg. 2000;120(4):672–8.CrossRefPubMed

86.

Evans A, Dwarakanath S, Hogue C, Brady M, Poppers J, Miller S, et al. Intraoperative echocardiography for patients undergoing lung transplantation. Anesth Analg. 2014;118(4):725–30.CrossRefPubMedPubMedCentral

87.

Nagendran M, Maruthappu M, Sugand K. Should double lung transplant be performed with or without cardiopulmonary bypass? Interact CardioVasc Thorac Surg. 2011;12(5):799–804.CrossRefPubMed

88.

Gorcsan J 3rd, Edwards TD, Ziady GM, Katz WE, Griffith BP. Transesophageal echocardiography to evaluate patients with severe pulmonary hypertension for lung transplantation. Ann Thorac Surg. 1995;59(3):717–22.CrossRefPubMed

89.

Gonzalez-Fernandez C, Gonzalez-Castro A, Rodriguez-Borregan JC, Lopez-Sanchez M, Suberviola B, Francisco Nistal J, et al. Pulmonary venous obstruction after lung transplantation. Diagnostic advantages of transesophageal echocardiography. Clin Transplant. 2009;23(6):975–80.CrossRefPubMed

90.

Felten ML, Michel-Cherqui M, Sage E, Fischler M. Transesophageal and contact ultrasound echographic assessments of pulmonary vessels in bilateral lung transplantation. Ann Thorac Surg. 2012;93(4):1094–100.CrossRefPubMed

91.

D’Armini AM, Zanotti G, Ghio S, Magrini G, Pozzi M, Scelsi L, et al. Reverse right ventricular remodeling after pulmonary endarterectomy. J Thorac Cardiovasc Surg. 2007;133(1):162–8.CrossRefPubMed

92.

•Doufle G, Roscoe A, Billia F, Fan E. Echocardiography for adult patients supported with extracorporeal membrane oxygenation. Crit Care. 2015;19:326. This review summarises the indications and the impact of echocardiography in the management of patient supported on extracorporeal membrane oxygenator.

93.

Dolch ME, Frey L, Buerkle MA, Weig T, Wassilowsky D, Irlbeck M. Transesophageal echocardiography-guided technique for extracorporeal membrane oxygenation dual-lumen catheter placement. ASAIO J. 2011;57(4):341–3.CrossRefPubMed

94.

Abrams D, Bacchetta M, Brodie D. Recirculation in venovenous extracorporeal membrane oxygenation. ASAIO J. 2015;61(2):115–21.CrossRefPubMed

95.

Hirose H, Yamane K, Marhefka G, Cavarocchi N. Right ventricular rupture and tamponade caused by malposition of the Avalon cannula for venovenous extracorporeal membrane oxygenation. J Cardiothorac Surg. 2012;7:36.CrossRefPubMedPubMedCentral

Title: Imaging in Thoracic Surgery
Author: Massimiliano Meineri
Publication date: 01-06-2016
Publisher: Springer US
Published in: Current Anesthesiology Reports / Issue 2/2016
Electronic ISSN: 2167-6275
DOI: https://doi.org/10.1007/s40140-016-0163-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Imaging in Thoracic Surgery

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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