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003 EG-GiCUC
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008 160410s2015 ua dh f m 000 0 eng d
040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aM.Sc
099 _aCai01.11.01.M.Sc.2015.Ka.R
100 0 _aKareem Nagy Abbas Ahmed
245 1 0 _aRole of perioperative transesophageal echocardiography in decision making in cardiac surgery /
_cKareem Nagy Abbas Ahmed ; Supervised Maged Salah Abdullah , Asser Hussein Manaa , Yasser Mohamed Abdalwahab
246 1 5 _aدور تخطيط صدى القلب عبر المريء في الفترة المحيطة بالجراحة فى عملية صنع القرار فى جراحات القلب
260 _aCairo :
_bKareem Nagy Abbas Ahmed ,
_c2015
300 _a79 Leaves :
_bcharts , facsimiles ;
_c25cm
502 _aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Anesthesia
520 _aThis study is based on the hypothesis that the routine use of transesophageal echocardiography in cardiac surgery will influence the surgical decision taken by the surgeon intraoperative in Kasr Al-Ainy. Study design: Patients were examined with IOTEE before and after cardiopulmonary bypass. Complete and comprehensive intraoperative TEE examinations will be performed by TEE certified cardiac anesthesiologists. Data that will be collected from the intraoperative examination will be compared with preoperative transthoracic echocardiography and the surgical decision that was taken preoperatively will be revised again with cardiothoracic surgeon before the start of surgery. Also, TEE will be used again after weaning from bypass for revision and assessment of our decision. Results: We examined the utility of TEE in 100 selected patients undergoing different types of cardiac procedures in Kasr Al-Ainy hospital. This prospective clinical investigation found that the pre- and post-CPB TEE examinations influenced surgical decision making in 10% of all evaluated patients. Conclusion: Intraoperative TEE has the potential to significantly influence clinical decision making for cardiac surgical patients. It is useful in surgical planning, guiding various hemodynamic interventions, and assessing the immediate results of surgery. Thus, IOTEE should be used routinely in all patients undergoing all types of cardiac surgeries
530 _aIssued also as CD
653 4 _aAHA
653 4 _aIOTEE
653 4 _aMHz
700 0 _aAsser Hussein Manaa ,
_eSupervisor
700 0 _aMaged Salah Abdullah ,
_eSupervisor
700 0 _aYasser Mohamed Abdalwahab ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aNazla
_eRevisor
905 _aSoheir
_eCataloger
942 _2ddc
_cTH
999 _c55928
_d55928