Observational studyAnnals of cardiac anaesthesia2026
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.
Observational study in Annals of cardiac anaesthesia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
4 authors.
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Abstract
backgroundHemodynamic 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. PATIENTS AND
methodsIn 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.
resultsFTTE 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.
conclusionFTTE had a high diagnostic impact of 96.66% and a management impact of 75% in post-CS ICU admissions.
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