Health Condition 1: I00-I99- Diseases of the circulatory system Health Condition 2: I20-I25- Ischemic heart diseases Health Condition 3: I05-I09- Chronic rheumatic heart diseases Health Condition 4: I25- Chronic ischemic heart disease Health Condition 5: I34- Nonrheumatic mitral valve disorders Health Condition 6: I35- Nonrheumatic aortic valve disorders Health Condition 7: I36- Nonrheumatic tricuspid valve disorders Health Condition 8: I05- Rheumatic mitral valve diseases Health Condition 9: I0
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: This study will carried out for patients Scheduled for elective cardiac surgery requiring intraoperative TEE monitoring with ASA grade 1,2 and 3 with aged 18-75 years under General anaesthesia
Exclusion criteria
Exclusion criteria: Known esophageal pathology: esophageal stricture, diverticulum, tumor, perforation, severe esophagitis. History of esophagectomy or upper GI bleeding. Relative contraindications: Barrett s esophagus, esophageal varices, active peptic ulcer disease, previous neck radiation. Suspected/known cervical spine instability. Coagulopathy or thrombocytopenia. Patients refusing consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To determine the most reliable predictor of difficult TEE probe insertion among the selected parameters (neck circumference, POGO score, mouth opening, hyomental distance, sternomental distance).Timepoint: (a)- During pre-anesthetic chekup (b)- before intubation (c)-During TEE Probe insertion | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.To assess the association between age & difficulty of TEE probe insertion. 2.To assess the association between gender & difficulty of TEE probe insertion. 3.To assess the association between BMI & difficulty of TEE probe insertion. 4.Assessment of manoeuvres used in case of difficult TEE probe insertion. 5.To record number of insertion attempts, insertion time (from probe entry to successful placement). 6.Complications if any (mucosal injury, bleeding, hemodynamic instability, etc).Timepoint: (a)- During pre-anesthetic chekup (b)- before intubation (c)-During TEE Probe insertion | — |
Countries
India
Contacts
Pt. B.D.Sharma PGIMS, Rohtak