Undiagnosed perioperative ischemia is a serious concern for the practicing anesthesiologist. In this regard, timely sensitive reliable monitors are a key tool to alert, guide, and inform the clinician. Systemic monitors such as pulse oximetry and cardiac output determinations can identify inadequate oxygen delivery to the whole body. However, most pertinent to the current discussion are tools that target organ-specific well-being. A good example is myocardial monitors such as the electrocardiogram (i.e., ST segment) and the development of left ventricular wall motion abnormalities by transesophageal echocardiography (TEE). Paired with effective interventions, the value of all such monitors is their major impact on clinical management and improved surgical outcomes. No anesthesiologist would disagree that, should a patient at any point during the perioperative period unexpectedly develop myocardial ischemia, clinical management would be radically altered from that moment...

You do not currently have access to this content.