Table of Contents  
EDITORIAL
Year : 2014  |  Volume : 8  |  Issue : 2  |  Page : 57-58

New applications in cardiac anaesthesiology: portable technology improves echocardiography reporting


Department of Anaesthesia and Critical Care Medicine, Cardiothoracic Anaesthesia and Intensive Care Medicine, University Hospital of Pisa, Pisa, Italy

Date of Submission20-Jul-2014
Date of Acceptance05-Aug-2014
Date of Web Publication20-Oct-2014

Correspondence Address:
Pietro Bertini
Department of Anaesthesia and Critical Care Medicine, Cardiothoracic Anaesthesia and Intensive Care Medicine, University Hospital of Pisa, Paradisa 2 - 56123, Pisa
Italy
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1687-9090.143255

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Keywords: Transesophageal, TEE, Echocardiography, App, Reporting


How to cite this article:
Bertini P, Guarracino F. New applications in cardiac anaesthesiology: portable technology improves echocardiography reporting. Egypt J Cardiothorac Anesth 2014;8:57-8

How to cite this URL:
Bertini P, Guarracino F. New applications in cardiac anaesthesiology: portable technology improves echocardiography reporting. Egypt J Cardiothorac Anesth [serial online] 2014 [cited 2019 Nov 20];8:57-8. Available from: http://www.ejca.eg.net/text.asp?2014/8/2/57/143255

Traditionally, transthoracic echocardiography (TTE) has been considered prerogative of cardiologists, whereas we have seen a large diffusion of this technique well beyond the cardiac field in the last decade. In particular, echocardiography has become crucially important in the bag of tricks of the intensive care physician and the cardiac anaesthesiologist [1].

TTE, a well-acknowledged diagnostic technique, is available bedside since many years, and miniaturizing technology and the introduction of portable machines have significantly improved over the years, with smaller and easier-to-use devices supporting the echo users.

Transoesophageal echocardiography (TEE) is mostly applied in the operating theatres to help cardiac surgeons during their operations or in the emergency room for the diagnosis of cardiac or vascular abnormalities difficult to see on TTE.

What emerges from an informal survey over the Internet among intensive care physicians and anaesthesiologists is that there is lack of attitude to reporting the examination, mostly because the majority of the examinations are carried out in a hurry. Sometimes, this defect might be related to an educational issue.

To overcome this issue, ultrasound machines usually provide built-in software for echo reporting. However, such tools are mainly thought for comprehensive and specialist examination, mainly in the setting of elective patient evaluation.

Having portable device technology widespread; as intensivists and cardiac anaesthesiologists, we thought it might be very useful to support our echocardiography examinations by having a friendly tool to report the echo exam even in the emergency or intraoperative scenario, where time-consuming systems are not welcome.

Two applications [2] for iOS platform (Apple Inc., Cupertini, California, US) have been designed and built by cardiac anaesthesiologists working in the field based on the last guidelines and recommendations [Figure 1] [3].
Figure 1:

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The examiner is facilitated in the process by scrolling over multiple-choice pages to construct a comprehensive report.

It is possible to store data and also generate PDF documents to be saved, printed, or sent through email immediately at the end of the exam.

An educational section showing conventional views and calculation is also implemented.

We believe that our applications could be instrumental to our practice; moreover, in our opinion, it should be considered a valid aid even for cardiologists or other healthcare providers involved in TEE reporting.


  Acknowledgements Top


Conflicts of interest

The authors projected and published TEE Report and TTE Report on the iTunes Store, Pietro Bertini stands to benefit financially.

 
  References Top

1.
Oren-Grinberg A, D Talmor, SM Brown. Focused critical care echocardiography. Crit Care Med 2013; 41:2618-2626.  Back to cited text no. 1
    
2.
Bertini P. TEE Report & TTE Report. 2013; Available at: https://itunes.apple.com/us/artist/pietro-bertini/id554451570 [Last accessed on 2014 August 24]  Back to cited text no. 2
    
3.
Feneck R, et al. Recommendations for reporting perioperative transoesophageal echo studies. Eur J Echocardiogr 2010; 11:387-393.  Back to cited text no. 3
    


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