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Cardiac Anesthesia Intraoperative Interpretation Accuracy of Transesophageal Echocardiograms: A Review of the Current Literature and Meta-Analysis

BACKGROUND: In the United States, echocardiography is an essential component of the care of many cardiac patients. Recently, increased attention has been given to the accuracy of interpretation of cardiac-based procedures in different specialties, amongst them the field of cardiac anesthesiology and...

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Autores principales: Kawana, Eric, Vachirakorntong, Benjamin, Zhitny, Vladislav Pavlovich, Wajda, Michael C, Alexander, Luzviminda, Young, Jake Patrick, Tun, Kyaw Min, Al-Taweel, Omar, Ahsan, Chowdhury, Varsanyi, Gyorgy, Singh, Aditi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10086216/
https://www.ncbi.nlm.nih.gov/pubmed/37056574
http://dx.doi.org/10.2147/VHRM.S400117
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author Kawana, Eric
Vachirakorntong, Benjamin
Zhitny, Vladislav Pavlovich
Wajda, Michael C
Alexander, Luzviminda
Young, Jake Patrick
Tun, Kyaw Min
Al-Taweel, Omar
Ahsan, Chowdhury
Varsanyi, Gyorgy
Singh, Aditi
author_facet Kawana, Eric
Vachirakorntong, Benjamin
Zhitny, Vladislav Pavlovich
Wajda, Michael C
Alexander, Luzviminda
Young, Jake Patrick
Tun, Kyaw Min
Al-Taweel, Omar
Ahsan, Chowdhury
Varsanyi, Gyorgy
Singh, Aditi
author_sort Kawana, Eric
collection PubMed
description BACKGROUND: In the United States, echocardiography is an essential component of the care of many cardiac patients. Recently, increased attention has been given to the accuracy of interpretation of cardiac-based procedures in different specialties, amongst them the field of cardiac anesthesiology and primary echocardiographers for transesophageal echocardiogram (TEE). The purpose of this study was to assess the TEE skills of cardiac anesthesiologists in comparison to primary echocardiographers, either radiologists or cardiologists. In this systematic review, we evaluated available current literature to identify if cardiac anesthesiologists interpret TEE procedures at an identical level to that of primary echocardiographers. METHODS: A PRISMA systematic review was utilized from PubMed from the years 1952–2022. A broad keyword search of “Cardiology Anesthesiology Echocardiogram” and “Echocardiography Anesthesiology” to identify the literature was used. From reviewing 1798 articles, there were a total of 9 studies included in our systematic review, 3 of which yielded quantitative data and 6 of which yielded qualitative data. The mean accuracy from each of these three qualitative studies was calculated and used to represent the overall accuracy of cardiac anesthesiologists. RESULTS: Through identified studies, a total of 8197 TEEs were interpreted by cardiac anesthesiologists with a concordance rate of 84% to the interpretations of primary echocardiographers. Cardiac anesthesiologists had a concordance rate of 83% when compared to radiologists. On the other hand, cardiac anesthesiologists and cardiologists had a concordance rate of 87% in one study and 79% in another study. CONCLUSION: Based on these studies, cardiac anesthesiologists are shown to interpret TEEs similarly to that of primary echocardiographers. At this time, there is no gold standard to evaluate the accuracy of TEE readings. One way to address this is to individually assess the TEE interpretation of anesthesiologists and primary echocardiographers with a double-blind study.
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spelling pubmed-100862162023-04-12 Cardiac Anesthesia Intraoperative Interpretation Accuracy of Transesophageal Echocardiograms: A Review of the Current Literature and Meta-Analysis Kawana, Eric Vachirakorntong, Benjamin Zhitny, Vladislav Pavlovich Wajda, Michael C Alexander, Luzviminda Young, Jake Patrick Tun, Kyaw Min Al-Taweel, Omar Ahsan, Chowdhury Varsanyi, Gyorgy Singh, Aditi Vasc Health Risk Manag Review BACKGROUND: In the United States, echocardiography is an essential component of the care of many cardiac patients. Recently, increased attention has been given to the accuracy of interpretation of cardiac-based procedures in different specialties, amongst them the field of cardiac anesthesiology and primary echocardiographers for transesophageal echocardiogram (TEE). The purpose of this study was to assess the TEE skills of cardiac anesthesiologists in comparison to primary echocardiographers, either radiologists or cardiologists. In this systematic review, we evaluated available current literature to identify if cardiac anesthesiologists interpret TEE procedures at an identical level to that of primary echocardiographers. METHODS: A PRISMA systematic review was utilized from PubMed from the years 1952–2022. A broad keyword search of “Cardiology Anesthesiology Echocardiogram” and “Echocardiography Anesthesiology” to identify the literature was used. From reviewing 1798 articles, there were a total of 9 studies included in our systematic review, 3 of which yielded quantitative data and 6 of which yielded qualitative data. The mean accuracy from each of these three qualitative studies was calculated and used to represent the overall accuracy of cardiac anesthesiologists. RESULTS: Through identified studies, a total of 8197 TEEs were interpreted by cardiac anesthesiologists with a concordance rate of 84% to the interpretations of primary echocardiographers. Cardiac anesthesiologists had a concordance rate of 83% when compared to radiologists. On the other hand, cardiac anesthesiologists and cardiologists had a concordance rate of 87% in one study and 79% in another study. CONCLUSION: Based on these studies, cardiac anesthesiologists are shown to interpret TEEs similarly to that of primary echocardiographers. At this time, there is no gold standard to evaluate the accuracy of TEE readings. One way to address this is to individually assess the TEE interpretation of anesthesiologists and primary echocardiographers with a double-blind study. Dove 2023-04-06 /pmc/articles/PMC10086216/ /pubmed/37056574 http://dx.doi.org/10.2147/VHRM.S400117 Text en © 2023 Kawana et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Review
Kawana, Eric
Vachirakorntong, Benjamin
Zhitny, Vladislav Pavlovich
Wajda, Michael C
Alexander, Luzviminda
Young, Jake Patrick
Tun, Kyaw Min
Al-Taweel, Omar
Ahsan, Chowdhury
Varsanyi, Gyorgy
Singh, Aditi
Cardiac Anesthesia Intraoperative Interpretation Accuracy of Transesophageal Echocardiograms: A Review of the Current Literature and Meta-Analysis
title Cardiac Anesthesia Intraoperative Interpretation Accuracy of Transesophageal Echocardiograms: A Review of the Current Literature and Meta-Analysis
title_full Cardiac Anesthesia Intraoperative Interpretation Accuracy of Transesophageal Echocardiograms: A Review of the Current Literature and Meta-Analysis
title_fullStr Cardiac Anesthesia Intraoperative Interpretation Accuracy of Transesophageal Echocardiograms: A Review of the Current Literature and Meta-Analysis
title_full_unstemmed Cardiac Anesthesia Intraoperative Interpretation Accuracy of Transesophageal Echocardiograms: A Review of the Current Literature and Meta-Analysis
title_short Cardiac Anesthesia Intraoperative Interpretation Accuracy of Transesophageal Echocardiograms: A Review of the Current Literature and Meta-Analysis
title_sort cardiac anesthesia intraoperative interpretation accuracy of transesophageal echocardiograms: a review of the current literature and meta-analysis
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10086216/
https://www.ncbi.nlm.nih.gov/pubmed/37056574
http://dx.doi.org/10.2147/VHRM.S400117
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