Transesophageal echocardiography interpretation: A comparative analysis between cardiac anesthesiologists and primary echocardiographers

Joseph P. Mathew, Manuel L. Fontes, Susan Garwood, Elizabeth Davis, William D. White, Gerard McCloskey, Jane C.K. Fitch, Sherif Afifi, David L. Lee, Phillip Kraker, Terence D. Rafferty, Paul G. Barash, Linda Gillam, Edward Prokop

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Diagnostic interpretation of intraoperative transesophageal echocardiography (TEE) examinations may vary, particularly when the echocardiographer is also the anesthesiologist. We therefore evaluated the concordance of TEE interpretation as part of a process of continuous quality improvement (CQI). Ten cardiac anesthesiologists participating in a CQI program conducted 154 comprehensive TEE examinations, each consisting of 16 major fields describing cardiac anatomy and function. These examinations were subsequently interpreted offline by two primary echocardiographers (a radiologist and a cardiologist). Agreement was assessed using the K coefficient and percent agreement. Overall K and percent agreement were 0.58 and 83% for anesthesiologists versus radiologist, 0.57 and 80% for anesthesiologists versus cardiologist, and 0.60 and 82% for radiologist versus cardiologist. Anesthesiologists with longer than 5 yr of TEE experience had higher levels of agreement with the radiologist when assessing the aorta, right atrium, pulmonary vein flow, transmitral flow, and fractional area change. Cardiac anesthesiologists supported by a CQI program interpret TEE examinations at a level comparable with physicians whose primary practice is echocardiography. Thus, the anesthesiologist and the intraoperative echocardiographer need not be mutually exclusive.

Original languageEnglish (US)
Pages (from-to)302-309
Number of pages8
JournalAnesthesia and Analgesia
Volume94
Issue number2
DOIs
StatePublished - Jan 1 2002
Externally publishedYes

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Transesophageal Echocardiography
Quality Improvement
Pulmonary Veins
Anesthesiologists
Heart Atria
Echocardiography
Aorta
Anatomy
Physicians
Radiologists
Cardiologists

All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine

Cite this

Mathew, Joseph P. ; Fontes, Manuel L. ; Garwood, Susan ; Davis, Elizabeth ; White, William D. ; McCloskey, Gerard ; Fitch, Jane C.K. ; Afifi, Sherif ; Lee, David L. ; Kraker, Phillip ; Rafferty, Terence D. ; Barash, Paul G. ; Gillam, Linda ; Prokop, Edward. / Transesophageal echocardiography interpretation : A comparative analysis between cardiac anesthesiologists and primary echocardiographers. In: Anesthesia and Analgesia. 2002 ; Vol. 94, No. 2. pp. 302-309.
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Mathew, JP, Fontes, ML, Garwood, S, Davis, E, White, WD, McCloskey, G, Fitch, JCK, Afifi, S, Lee, DL, Kraker, P, Rafferty, TD, Barash, PG, Gillam, L & Prokop, E 2002, 'Transesophageal echocardiography interpretation: A comparative analysis between cardiac anesthesiologists and primary echocardiographers', Anesthesia and Analgesia, vol. 94, no. 2, pp. 302-309. https://doi.org/10.1213/00000539-200202000-00013

Transesophageal echocardiography interpretation : A comparative analysis between cardiac anesthesiologists and primary echocardiographers. / Mathew, Joseph P.; Fontes, Manuel L.; Garwood, Susan; Davis, Elizabeth; White, William D.; McCloskey, Gerard; Fitch, Jane C.K.; Afifi, Sherif; Lee, David L.; Kraker, Phillip; Rafferty, Terence D.; Barash, Paul G.; Gillam, Linda; Prokop, Edward.

In: Anesthesia and Analgesia, Vol. 94, No. 2, 01.01.2002, p. 302-309.

Research output: Contribution to journalArticle

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AU - McCloskey, Gerard

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AU - Kraker, Phillip

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AU - Prokop, Edward

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