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ANE E ECHO DIDACTICS ANE Perioperative Use of Focus Assessed Transthoracic Echocardiography (FATE) Anesthesia & Analgesia Jimmy Højberg Holm, MD,* Christian Alcaraz Frederiksen, MD,†‡ Peter Juhl-Olsen, MD,†‡ and Erik Sloth, MD, DMSc†‡ 47-year-old man with severe cardiac failure (New It therefore follows that simple 2-dimensional ultrasound York Heart Association class III) underwent an offers interpretation of the basic hemodynamic determi- 0003-2999 A uneventful heart transplant. Initial recovery in the nants. The FATE protocol has been developed specifically thoracic intensive care unit (ICU) was satisfactory, and he to address these key issues. In addition, obvious pathology Lippincott Williams & Wilkins returned to the surgical ward 2 days later. During the fol- that directly causes or contributes to the hemodynamic state lowing days, leakage appeared from the sternal wound, and is visualized. The FATE protocol is rapid and repeatable. It aids the physician in evaluating the genesis of circulatory a resuturing was planned. The standard preoperative anes- instability, serially monitors hemodynamic status, and thetic assessment, performed by a consultant with >20 years assesses the effect of intervention without delay. of experience in cardiothoracic anesthesia, did not disclose The FATE protocol helps to solve circulatory problems any specific hemodynamic challenges. On arrival
Anesthesia & Analgesia – Wolters Kluwer Health
Published: Nov 1, 2012
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