{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:37:56Z","timestamp":1787071076714,"version":"build-2736575974"},"reference-count":31,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Hemodynamic instability and respiratory distress are leading causes of intensive care unit (ICU) admissions following cesarean section (CS). Focused transthoracic echocardiography (FTTE) may help diagnose or rule out a cardiac cause of the clinical dilemma. We studied the diagnostic and therapeutic impact of FTTE in post-CS patients in the ICU.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods:<\/jats:title>\n                    <jats:p>In this prospective observational study, 60 post-CS patients in the ICU requiring FTTE were studied for indications for FTTE. Following FTTE, the hemodynamic cause of hypotension was differentiated as hypovolemia, cardiac failure due to underlying cardiac conditions such as cardiomyopathy or valvular heart disease, sepsis, pulmonary embolism, and myocardial infarction. In respiratory distress, FTTE differentiated pulmonary edema secondary to cardiac causes from non-cardiac causes. FTTE was considered to have a diagnostic impact whenever, in a clinically unsuspected case, it diagnosed a new cardiac disorder, thus helping to narrow down to a single cause out of multiple differential diagnoses or ruled out a cardiac cause in a clinically suspected case. FTTE was considered to have a therapeutic impact whenever it led to an alteration in management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>FTTE diagnosed a new cardiac pathology in 18 (30%) patients and ruled out a worsening of existing cardiac function in 18 (30%) patients with known cardiac disease. An underlying cardiac condition was ruled out in 22 (36.66%) patients, supporting an alternate diagnosis. FTTE led to a change in the management of 45 (75%) patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>FTTE had a high diagnostic impact of 96.66% and a management impact of 75% in post-CS ICU admissions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/aca.aca_136_25","type":"journal-article","created":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T16:00:33Z","timestamp":1768579233000},"page":"64-71","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["A Prospective Observational Study to Assess the Impact of Focused Transthoracic Echocardiography on Diagnosis and Management in Patients Admitted to the Intensive Care Unit Post-Cesarean Section"],"prefix":"10.4103","volume":"29","author":[{"given":"Jyoti S.","family":"Magar","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruchi A.","family":"Jain","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anila D.","family":"Malde","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madhushri N.","family":"Jethliya","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,1,16]]},"reference":[{"key":"R1-20260331","doi-asserted-by":"crossref","first-page":"1091","DOI":"10.1111\/anae.13525","article-title":"Focused echocardiography: A systematic review of diagnostic and clinical decision-making in anaesthesia and critical care","volume":"71","author":"Heiberg","year":"2016","journal-title":"Anaesthesia"},{"key":"R2-20260331","doi-asserted-by":"crossref","first-page":"724","DOI":"10.4103\/ija.IJA_577_18","article-title":"Critical care in obstetrics","volume":"62","author":"Pandya","year":"2018","journal-title":"Indian J Anaesth"},{"key":"R3-20260331","doi-asserted-by":"crossref","first-page":"3848","DOI":"10.1093\/eurheartj\/ehz136","article-title":"Pregnancy outcomes in women with cardiovascular disease: Evolving trends over 10 years in the ESC Registry of Pregnancy and Cardiac disease (ROPAC)","volume":"40","author":"Roos-Hesselink","year":"2019","journal-title":"Eur Heart J"},{"issue":"Suppl 3","key":"R4-20260331","first-page":"S230","article-title":"Critical care management of the parturient with cardiac disease","volume":"25","author":"Garg","year":"2021","journal-title":"Indian J Crit Care Med"},{"key":"R5-20260331","doi-asserted-by":"crossref","first-page":"e021019","DOI":"10.1161\/JAHA.121.021019","article-title":"Maternal heart failure","volume":"10","author":"Bright","year":"2021","journal-title":"J Am Heart Assoc"},{"key":"R6-20260331","doi-asserted-by":"crossref","first-page":"1265","DOI":"10.1111\/anae.14354","article-title":"Diagnostic point-of-care ultrasound: Applications in obstetric anaesthetic management","volume":"73","author":"Zieleskiewicz","year":"2018","journal-title":"Anaesthesia"},{"key":"R7-20260331","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1016\/j.bjae.2018.06.001","article-title":"Focused transthoracic echocardiography in obstetrics","volume":"18","author":"Griffiths","year":"2018","journal-title":"BJA Educ"},{"key":"R8-20260331","doi-asserted-by":"crossref","first-page":"e320","DOI":"10.1097\/AOG.0000000000003243","article-title":"Presidential Task Force on Pregnancy and Heart Disease and Committee on Practice Bulletins\u2014Obstetrics. 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