{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T07:49:49Z","timestamp":1790668189557,"version":"4.1.0"},"reference-count":62,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"8","license":[{"start":{"date-parts":[[2020,7,21]],"date-time":"2020-07-21T00:00:00Z","timestamp":1595289600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2020,7,21]],"date-time":"2020-07-21T00:00:00Z","timestamp":1595289600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Liver Transpl"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:p>More anesthesiologists are routinely using transesophageal echocardiography (TEE) during liver transplant surgery, but the effects on patient outcome are unknown. Transplant anesthesiologists are therefore uncertain if they should undergo additional training and adopt TEE. In response to these clinical questions, the Society for the Advancement of Transplant Anesthesia appointed experts in liver transplantation and who are certified in TEE to evaluate all available published evidence on the topic. The aim was to produce a summary with greater explanatory power than individual reports to guide transplant anesthesiologists in their decision to use TEE. An exhaustive search recovered 51 articles of uncontrolled clinical observations. Topics chosen for this study were effectiveness and safety because they were a major or minor topic in all articles. The pattern of clinical use was a common topic and was included to provide contextual information. Summarized observations showed effectiveness as the ability to make a new and unexpected diagnosis and to direct the choice of clinical management. These were reported in each stage of liver transplant surgery. There were observations that TEE facilitated rapid diagnosis of life\u2010threatening conditions difficult to identify with other types of monitoring commonly used in the operating room. Real\u2010time diagnosis by TEE images made anesthesiologists confident in their choice of interventions, especially those with a high risk of complications such as use of anticoagulants for intracardiac thrombosis. The summarized observations in this systematic review suggest that TEE is an effective form of monitoring with a safety profile similar to that in cardiac surgery patients.<\/jats:p>","DOI":"10.1002\/lt.25800","type":"journal-article","created":{"date-parts":[[2020,5,19]],"date-time":"2020-05-19T20:56:50Z","timestamp":1589921810000},"page":"1019-1029","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":57,"title":["Safety and Benefit of Transesophageal Echocardiography in Liver Transplant Surgery: A Position Paper From the Society for the Advancement of Transplant Anesthesia (SATA)"],"prefix":"10.1097","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9399-9524","authenticated-orcid":false,"given":"Lorenzo","family":"De Marchi","sequence":"first","affiliation":[{"name":"Department of Anesthesiology,MedStar\u2010Georgetown University Hospital,Washington,DC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cindy J.","family":"Wang","sequence":"additional","affiliation":[{"name":"US Anesthesia Partners \u2013 Washington,Seattle,WA"},{"name":"Swedish Heart and Vascular Institute,Seattle,WA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikolaos J.","family":"Skubas","sequence":"additional","affiliation":[{"name":"Cardiothoracic Anesthesiology,Anesthesiology Institute Cleveland Clinic,Cleveland,OH"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rishi","family":"Kothari","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Perioperative Care,University of California San Francisco,San Francisco,CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeron","family":"Zerillo","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Perioperative and Pain Medicine,Icahn School of Medicine at Mount Sinai,New York,NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathirvel","family":"Subramaniam","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology,University of Pittsburgh School of Medicine,Pittsburgh,PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guy E.","family":"Efune","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Management,University of Texas Southwestern Medical Center,Dallas,TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle Y.C.","family":"Braunfeld","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology & Perioperative Medicine,University of California Los Angeles,Los Angeles,CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Mandel","sequence":"additional","affiliation":[{"name":"Department of Anesthesia,University of Colorado,Aurora,CO"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020,7,21]]},"reference":[{"key":"lt25800-bib-0001-20240115","first-page":"1084","article-title":"Practice guidelines for perioperative transesophageal echocardiography. 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