THORACIC ANESTHESIA: Edited by Torsten LoopTransesophageal echocardiography for perioperative management in thoracic surgeryKim, Kevin K.a; Krause, Martina; Brandes, Ivo F.b; Khanna, Ashish K.c,d; Bartels, Karstena,dAuthor Information aDepartment of Anesthesiology, University of Colorado, School of Medicine, Aurora, Colorado, USA bUniversitätsmedizin Göttingen, Klinik für Anästhesiologie, Göttingen, Germany cDepartment of Anesthesiology, Section on Critical Care Medicine, Wake Forest University, School of Medicine, Winston-Salem, North Carolina, USA dOutcomes Research Consortium, Cleveland, OH, USA Correspondence to Karsten Bartels, MD, PhD, Department of Anesthesiology, University of Colorado School of Medicine, 12401 E. 17th Ave., Leprino Office Building, 7th Floor, MS B-113, Aurora, CO 80045, USA. Tel: +1 720 848 6709; fax: +1 720 848 7375; e-mail: [email protected] Current Opinion in Anaesthesiology: February 2021 - Volume 34 - Issue 1 - p 7-12 doi: 10.1097/ACO.0000000000000947 Buy Metrics Abstract Purpose of review Perioperative transesophageal echocardiography (TEE) is most often employed during cardiac surgery. This review will summarize some of the recent findings relevant to TEE utilization during thoracic surgical procedures. Recent findings Hemodynamic monitoring is a key component of goal-directed fluid therapy, which is also becoming more common for management of thoracic surgical procedures. Although usually not required for the anesthetic management of common thoracic surgeries, TEE is frequently used during lung transplantation and pulmonary thromboendarterectomy. Few clinical studies support current practice patterns, and most recommendations are based on expert opinion. Summary Currently, routine use of TEE in thoracic surgery is often limited to specific high-risk patients and/or procedures. As in other perioperative settings, TEE may be utilized to elucidate the reasons for acute hemodynamic instability without apparent cause. Contraindications to TEE apply and have to be taken into consideration before performing a TEE on a thoracic surgical patient. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.