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Focused Transesophageal Echocardiography for Bedside Diagnosis of Iatrogenic Cardiac Perforation: A Case Report

Yeoh, Cindy B. MD; Fischer, Gregory W. MD; Tollinche, Luis E. MD

doi: 10.1213/XAA.0000000000001077
Case Reports
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We describe an extremely rare complication of chest tube placement and focused transesophageal echocardiography (TEE) in the diagnosis of a life-threatening condition. It illustrates the value and utility of point-of-care ultrasound (POCUS) by way of a focused TEE in confirming a diagnosis and contributing toward the expeditious operative management of a life-threatening scenario. POCUS continues to gain traction in the field of anesthesiology. However, incorporation of POCUS training into curriculum of anesthesia residency programs is still in the infancy stages. Our report demonstrates the need for development and standardization of POCUS training for anesthesiologists in the perioperative setting.

From the Department of Anesthesiology and Critical Care Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.

Accepted for publication July 15, 2019.

Funding: The authors’ work was supported and funded in part by the National Institutes of Health/NCI Cancer Center Support Grant P30 CA008748.

The authors declare no conflicts of interest.

Address correspondence to Cindy B. Yeoh, MD, Department of Anesthesiology and Critical Care Medicine, Memorial Sloan Kettering Cancer Center, 1275 York Ave, New York, NY 10065. Address e-mail to yeohc@mskcc.org.

Copyright © 2019 International Anesthesia Research Society
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