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| Value of TEE in detection of ventricular venting after cardiac surgery with CPB |
| NING Lijuan, TIAN Ye, LIU Xiaomei |
| Department of Anesthesiology, the Sixth Medical Center of PLA General Hospital, Beijing 100048, China |
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Abstract Objective To investigate the value of transesophageal echocardiography(TEE)in the detection of ventricular venting after cardiac surgery with cardiopulmonary bypass (CPB).Methods Seventy patients who underwent cardiac surgery with CPB in our hospital from January 2020 to December 2021were randomly divided into the observation group (n=35) monitored by TEE and the control group (n=35) monitored by traditional method. The monitoring Results of the two groups were compared and analyzed.Results The rebeat time of the observation group [(25.12±2.13 ) min]was shorter than that of the control group [(29.45±2.84)min] , and there was statistical difference (t=7.2159.P<0.05). There were different degrees of left cardiac gas in the observation group after CPB, and there were no complications after TEE instruction. Comparison of MAP indexes in T1-T3 time and the lactic acid values between the two groups at T0-T4 time both showed statistical difference (P<0.05). After surgery, LVESD and LVEDD values in observation group were significantly lower than those in the control group, while LVEF values were completely opposite, with statistical significance (P<0.05).Conclusion The clinical value of TEE monitoring in CPB surgery is obvious, which can guide cardiac exhaust, maintain intraoperative circulation stability, and improve cardiac function.
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Received: 10 March 2022
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2022, Vol. 33 
