<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-1273</journal-id>
<journal-title><![CDATA[Anestesia Analgesia Reanimación]]></journal-title>
<abbrev-journal-title><![CDATA[Anest Analg Reanim]]></abbrev-journal-title>
<issn>1688-1273</issn>
<publisher>
<publisher-name><![CDATA[Sociedad de Anestesiología del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-12732018000200005</article-id>
<article-id pub-id-type="doi">10.31042/aa3.31.1.6</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[ECOCARDIOGRAFÍA INTRAOPERATORIA: CAUSA DE LA HIPOTENSIÓN POST CIRCULACIÓN EXTRACORPOREA.]]></article-title>
<article-title xml:lang="en"><![CDATA[INTRAOPERATIVE ECHOCARDIOGRAPHY. CAUSE OF THE HYPOTENSION POST CIRCULATION EXTRACORPOREA.]]></article-title>
<article-title xml:lang="pt"><![CDATA[ECOCARDIOGRAFIA INTRAOPERATÓRIA. CAUSA DA HIPOTENSÃO PÓS-CIRCULAÇÃO EXTRACORPOREA.]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez]]></surname>
<given-names><![CDATA[Walter Damián]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Dohmen]]></surname>
<given-names><![CDATA[Maximiliano]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Longo]]></surname>
<given-names><![CDATA[Silvina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Department Humberto Notti Hospital.Mendoza-Argentina.  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Anaesthesia Department; Humberto Notti Hospital. Mendoza-Argentina  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Privado Universitario de Cordoba-Argentina Anaesthesia Department ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Argentina</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<volume>31</volume>
<numero>2</numero>
<fpage>5</fpage>
<lpage>14</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-12732018000200005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-12732018000200005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-12732018000200005&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN: En la práctica diaria uno de los eventos que más se presenta es la hipotensión luego de la salida de circulación extracorpórea (CEC). La posibilidad de contar con ecocardiografía a partir del 2015 en el nosocomio ha ayudado a orientar al anestesiólogo sobre el estado hemodinámico, sin embargo, no se ha podido esclarecer la causa de esta hipotensión utilizando esta herramienta. El objetivo de este estudio es hallar los parámetros ecocardiográficos que más se relacionan con la hipotensión refractaria luego de la salida de la (CEC). Se seleccionaron pacientes sometidos a cirugías de comunicación interauricular e interventricular monitorizados con ecocardiografía transesofágica. La muestra se estratificó en dos grupos, hipotensos (casos) y normotensos (controles) luego de la salida de CEC. Estudio observacional, de casos y controles, retrospectivo. En el análisis del total de pacientes se encontraron diferencias estadísticamente significativas (p&lt;0.05) de los parámetros ecocardiográficos indicadores de hipovolemia entre los grupos. No hubo diferencias estadísticas (p=0.083) en los parámetros ecocardiográficos de contractilidad. Los resultados obtenidos demostraron que los parámetros ecográficos de hipovolemia fueron los que más se asociaron al momento de la hipotensión. Esto permite orientar al profesional a un uso racional de drogas inotrópicas y reposición de volumen.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[SUMMARY: In daily practice, one of the most frequent events is hypotension after the of extracorporeal circulation (ECC). The possibility of having an echocardiography from 2015 has been a guiding means in the hemodynamic state, however, the cause of this hypotension has not been clarified. The aim of this study is to find the echocardiographic parameters that are most related to refractory hypotension after ECC. Patients undergoing atrial and interventricular communication surgeries monitored with transesophageal echocardiography were selected. The sample was stratified into two groups, hypotensive (cases) and normotensive (controls) after ECC. Observational, case-control study, retrospective. In the analysis of the total of the patients, were found statistically significant differences (p &lt;0.05) in the echocardiographic parameters indicating hypovolemia between the groups. There were no differences in the statistics (p = 0.83) in the echocardiographic parameters of contractility. The results showed that the ultrasonographic parameters of hypovolemia were those associated with hypotension. This allows the professional to be guided to a rational use of inotropic drugs and volume replacement.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO: Na prática diária, um dos eventos mais frequentes é a hipotensão após a saída da circulação extracorpórea (CEC). A possibilidade de ter ecocardiografia a partir de 2015 no hospital ajudou a orientar o anestesista sobre o estado hemodinâmico, no entanto, não foi capaz de esclarecer a causa desta hipotensão usando esta ferramenta. O objetivo deste estudo é encontrar os parâmetros ecocardiográficos mais relacionados à hipotensão refratária após a saída da artéria coronária (CEC). Pacientes submetidos a cirurgias de comunicação atrial e interventricular monitoradas por ecocardiograma transesofágico foram selecionados. A amostra foi estratificada em dois grupos, hipotensivos (casos) e normotensos (controles) após a saída do CEC. Estudo observacional, caso-controle, retrospectivo. Na análise do número total de pacientes, foram encontradas diferenças estatisticamente significantes (p &lt;0,05) nos parâmetros ecocardiográficos indicativos de hipovolemia entre os grupos. Não houve diferenças estatísticas (p = 0,083) nos parâmetros ecocardiográficos de contratilidade. Os resultados obtidos mostraram que os parâmetros ultrassonográficos da hipovolemia foram os mais associados no momento da hipotensão. Isso permite que o profissional seja orientado para o uso racional de drogas inotrópicas e reposição de volume.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Ecocardiografía transesofágica]]></kwd>
<kwd lng="es"><![CDATA[hipotensión]]></kwd>
<kwd lng="es"><![CDATA[circulación post-extracorpórea]]></kwd>
<kwd lng="en"><![CDATA[Transesophageal echocardiography]]></kwd>
<kwd lng="en"><![CDATA[hypotension]]></kwd>
<kwd lng="en"><![CDATA[post-Extracorporeal circulation.]]></kwd>
<kwd lng="pt"><![CDATA[Ecocardiograma transesofágico]]></kwd>
<kwd lng="pt"><![CDATA[hipotensão]]></kwd>
<kwd lng="pt"><![CDATA[circulação pós-extracorpórea]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hisanaga]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Hisanaga]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Nagata]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Yoshida]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A new transesophageal real-time two-dimensional echocardiographic system using a flexible tube and its clinical application]]></article-title>
<source><![CDATA[Proc Jpn Soc Ultrasonics Med]]></source>
<year>1977</year>
<volume>32</volume>
<page-range>43-4</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kallmeyer]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Collard]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Fox]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Body]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Shernan]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The safety of intraoperative transesophageal echocardiography a case series of 7200 cardiac surgical patients]]></article-title>
<source><![CDATA[Anesth Analg]]></source>
<year>2001</year>
<volume>92</volume>
<page-range>1126-30</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zamorano]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[L, Badano L P, Bruce C, Chan , Goncalves A, Hahn R.T, et al. EAE/ASE recommendations for the use of echocardiography in new transcatheter interventions for valvular heart disease]]></article-title>
<source><![CDATA[J Am Soc Echocardiogr]]></source>
<year>2011</year>
<volume>24</volume>
<page-range>937-65</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rebecca]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Abraham]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Mark]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<source><![CDATA[Guidelines for Performing a Comprehensive Transesophageal Echocardiographic Examination: Recommendations from the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists.]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B5">
<label>5.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kamra]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Russel]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Wanda]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Role of transesophageal echocardiography in the management of pediatric patients with congenital heart disease]]></article-title>
<source><![CDATA[Pediatric Anesthesia]]></source>
<year>2011</year>
<volume>21</volume>
<page-range>479-93</page-range><publisher-loc><![CDATA[10.1111/j.1460-9592.2011.03570.x ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Khalid]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Koenig]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The use of echocardiography in congenital heart surgery and intervention]]></article-title>
<source><![CDATA[Expert Rev Cardiovasc Ther]]></source>
<year>2006</year>
<volume>4</volume>
<page-range>263-71</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dominique]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Schmidlin]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Bernath]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A, et al]]></article-title>
<source><![CDATA[Intraoperative Transesophageal Echocardiography in Pediatric Congenital Cardiac Surgery: A Two-Center Observational StudyAnesth Analg]]></source>
<year>2003</year>
<volume>97</volume>
<page-range>1275-82</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dominique Bettex]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Prete]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Jenni]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cost-Effectiveness of Routine Intraoperative Transesophageal Echocardiography in Pediatric Cardiac Surgery A 10-Year Experience]]></article-title>
<source><![CDATA[Anesth Analg]]></source>
<year>2005</year>
<volume>100</volume>
<page-range>1271-5</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Matthew]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Hung-mo]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Castillo]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Early On-Cardiopulmonary Bypass Hypotension and Other Factors Associated With Vasoplegic Syndrome]]></article-title>
<source><![CDATA[Circulation]]></source>
<year>2009</year>
<volume>120</volume>
<page-range>1664-71</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Shahzad]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Guilles]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Vasoplegic Syndrome after Off-Pump Coronary Artery Bypass Surgery]]></article-title>
<source><![CDATA[Tex Heart Inst J]]></source>
<year>2004</year>
<volume>31</volume>
<page-range>421-4</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lang]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Bierig]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Devereux]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Recommendations for chamber quantification]]></article-title>
<source><![CDATA[Eur J Echocardiography]]></source>
<year>2006</year>
<volume>7</volume>
<page-range>79-108</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Blanco]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Aguiar]]></surname>
<given-names><![CDATA[FM]]></given-names>
</name>
<name>
<surname><![CDATA[Blaivas]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Rapid Ultrasound in Shock (RUSH) Velocity-Time Integral: A Proposal to Expand the RUSH]]></article-title>
<source><![CDATA[Protocol. J Ultrasound Med]]></source>
<year>2015</year>
<volume>34</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>1691-700</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dinh]]></surname>
<given-names><![CDATA[VA]]></given-names>
</name>
<name>
<surname><![CDATA[Ko]]></surname>
<given-names><![CDATA[HS]]></given-names>
</name>
<name>
<surname><![CDATA[Rao]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Bansal]]></surname>
<given-names><![CDATA[RC]]></given-names>
</name>
<name>
<surname><![CDATA[Smith]]></surname>
<given-names><![CDATA[DD]]></given-names>
</name>
<name>
<surname><![CDATA[Kim]]></surname>
<given-names><![CDATA[TE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Measuring cardiac index with a focused cardiac ultrasound examination in the ED]]></article-title>
<source><![CDATA[Am J Emerg Med]]></source>
<year>2012</year>
<volume>30</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>1.845-51</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Price]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Platz]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Cullen]]></surname>
<given-names><![CDATA[L.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Expert consensus document: Echocardiography and lung ultrasonography for the assessment and management of acute heart failure.]]></article-title>
<source><![CDATA[Nature Reviews Cardiology]]></source>
<year>2017</year>
<volume>14,</volume>
<page-range>427-40</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rose]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Mandavia]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Kinser]]></surname>
<given-names><![CDATA[DJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The UHP ultrasound protocol a novel ultrasound approach to the empiric evaluation of the undifferentiated hypotensive patient]]></article-title>
<source><![CDATA[The American J of Em Med]]></source>
<year>2001</year>
<volume>19</volume>
<page-range>299-302</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
