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Tag Archives: transoesophageal echocardiography

March 2012 Br J Cardiol 2012;19:15

Correspondence: Safe practice in TOE

Drs Richard Wheeler and Rick Steeds

Abstract

Recommendations for safe practice in transoesophageal echocardiography: a  summary document from the BSE education committee Dear Sirs, Transoesophageal echocardiography (TOE) is an established diagnostic technique, which is used with increasing frequency in a number of clinical settings. By definition it is semi-invasive with potential for significant complications.1 It therefore requires a high level of expertise and should only be performed by trained individuals. TOE often requires the use of sedation and it is recognised that there is wide variation in practice between cardiac units in the UK.2 It has become mandatory for NHS Trusts to

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Should the BSE collaborate with the BSG on intravenous sedation?

May 2010 Br J Cardiol 2010;17:103

Should the BSE collaborate with the BSG on intravenous sedation?

Terry McCormack

Abstract

Gastroenterology guidelines The British Society of Gastroenterology (BSG) guidelines suggest that the opiate is used before the benzodiazepine.3 The BSG guidelines also suggest a maximum dose of 5 mg midazolam and 50 mg pethidine. Mankia et al. seem to permit 10 mg midazolam and 75 mg pethidine in their proposed protocol. Such doses would seem excessive unless you have confidence in your ability to provide assisted ventilation. In the survey nobody appears to have used more than 50 mg pethidine and, therefore, practitioners appear to set their own sensible cut-off points. In gastroscopy, sedation is often avoided, however, the TEE is of a mu

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May 2010 Br J Cardiol 2010;17:125-7

Safe combined intravenous opiate/benzodiazepine sedation for transoesophageal echocardiography

Kulveer Mankia, Rokas Navickas, Edward D Nicol, Sacha Bull, Junaid Khan, Sayeed Raza, Harald Becher, Paul Leeson, Christopher Palin

Abstract

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