The Effect of Orogastric Suctioning on Quality of Transesophageal Echo Images in Cardiac Surgery
Wake Forest University Health Sciences
Summary
During heart surgery images of the heart are taken with transesophageal echocardiography. The images track how the heart is doing during surgery. It is normal practice to place an oral gastric tube in the stomach during heart surgery. The oral gastric tube is used to suction out stomach contents to avoid potential aspiration and avoid stomach acid build up. The purpose of this research study is to see if the images of the heart have better quality after your stomach has been emptied. This project hopes to help determine the best method to obtain the better quality images of the heart during cardiac surgery.
Description
After induction, the transesophageal echocardiography (TEE) probe will be placed in the usual fashion for the cardiac surgery case. Five specific images that are part of a standard TEE exam will be obtained by TEE. An oral gastric (OG) tube will then be placed to suction stomach contents. The OG tube will then be removed and the same five images previously taken will be repeated. The five images reviewed from the TEE include mid esophageal four chamber, mid esophageal two chamber, transgastric basal, transgastric mid-papillary and deep transgastric. Two blinded and independent cardiologists wh…
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: \- Transesophageal echocardiography assisted cardiac surgery Exclusion Criteria: * hiatal hernia * documented or suspected esophageal stricture * contraindications to a TEE
Interventions
- Diagnostic TestTransesophageal Echocardiography
Transesophageal echocardiography images will be taken prior to and post oral gastric suction.
Location
- Atrium Health-Wake Forest BaptistWinston-Salem, North Carolina