The role of trans-oesophageal echocardiography for perioperative cardiovascular monitoring during orthotopic liver transplantation

Abstract
Patients undergoing orthotopic liver transplantation frequently display considerable physiological changes during the procedure as a result of both the disease process and the surgery. Anaesthesia is often challenging and relies upon advanced monitoring techniques to provide data pertinent to peri‐operative management. Traditionally the pulmonary artery flotation catheter has been regarded as the gold standard for cardiac output and right heart monitoring. This review examines whether trans‐oesophageal echocardiography merits a place in the continuing evolution of this technically advanced and challenging anaesthetic field. Liver Transpl 12:1577–1583, 2006. © 2006 AASLD.