Interactions and Liaisons:
European Society of Anaesthesiology (ESA)
www.esahq.org
Journal: EJA

TEE Template for Adults

Dear friends and colleagues,

It has been pondered a while regarding a universal TEE template for intraoperative use in the operating room. Although it is very challenging to include a template which will be recognized wholly without its pitfalls, we have now reached a consensus where we, as a group from the Echo subcommittee, are able to provide you with a TEE template for intraoperative use.

This TEE template has been formulated keeping in mind all the present guidelines available for intraoperative TEE in the operating room/cath lab. After extensive inputs from all members of the subcommittee, we offer you a TEE template which can be universally used in Europe.

This is to prevent any discrepancies of echocardiography standards performed in the operating room. This also enables the user of the template to conform to the existing guidelines and standards for performing echocardiography in an operative set-up. This template can also be used as a guide in fulfilling your requirements for certification of TEE examination.

We hope that this TEE template will provide you with the necessities of performing intraoperative TEE, and will be a guiding tool for both advanced and enthusiastic anaesthetists/ Echo cardiographers at the start of their practice.

Hope you enjoy the same as we do, and appreciate your feedback.

With best wishes,
Dr. Chirojit Mukherjee MD PhD FASE MBA
Chairman, EACTAIC ECHO subcommittee

Click here for the template

TEE Template – Paediatric

Dear colleagues,

Please find for download a template for an echocardiography report to be used in congenital cardiac surgery and in the perioperative treatment of patients with grown-up congenital heart disease.

It can be applied both for transthoracic and for transoesophageal echocardiography, and should be appropriate for use in the operation theatre, the catheterization laboratory/angiography suite and on the intensive care unit.

The template is the result of an intense discussion within the EACTAIC Paediatric & Congenital committee and the EACTAIC ECHO committee and should therefore represent a consensus of the current state of the art in perioperative echocardiography for congenital heart disease. This helps to prevent major discrepancies in echocardiography standards applied in the perioperative setting and aims to create a pan-European standard.

We also hope that the template will provide both advanced practitioners and enthusiastic anaesthetists/ echo cardiographers at the start of their practice with a structured approach that will ultimately help to improve the perioperative outcome of our patients.

The template can also be used to fulfil your requirements for certification in echocardiography.

We hope that you enjoy the template, and sincerely appreciate your feedback.

With kind regards,
Prof. Dr. Steffen Rex
Chairman, EACTAIC Paediatric & Congenital subcommittee

Click here for the template

Guidelines / Articles

• EACTAIC Echo Subcommittee and EACVI organize written examination 2x/year as part of certification in TOE.
• Guidelines for performing a comprehensive transesophageal echocardiographic examination:
  Recommendations from the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists.
  Anesth Analg. 2014 Jan;118(1):21–68
• Practice guidelines for perioperative transesophageal echocardiography:
  An updated report by the American Society of Anesthesiologists and the Society of Cardiovascular Anesthesiologists Task Force on Transesophageal Echocardiography.
  Anesthesiology. 2010 May;112(5):1084–96
• Recommendations for transoesophageal echocardiography: EACVI update 2014.
  Eur Heart J Cardiovasc Imaging. 2014 Apr;15(4):353–65
• SE/SCA guidelines for performing a comprehensive intraoperative multiplane transesophageal echocardiography examination:
  Recommendations of the American Society of Echocardiography Council for Intraoperative Echocardiography and the Society of Cardiovascular Anesthesiologists Task Force for Certification in Perioperative Transesophageal Echocardiography.
  Anesth Analg. 1999 Oct;89(4):870–84

Aim

To promote cardiothoracic intensive care within EACTAIC and beyond.

Current Work

TEE Template – Paediatric

Dear colleagues,

Please find for download a template for an echocardiography report to be used in congenital cardiac surgery and in the perioperative treatment of patients with grown-up congenital heart disease.

It can be applied both for transthoracic and for transoesophageal echocardiography, and should be appropriate for use in the operation theatre, the catheterization laboratory/angiography suite and on the intensive care unit.

The template is the result of an intense discussion within the EACTAIC Paediatric & Congenital committee and the EACTAIC ECHO committee and should therefore represent a consensus of the current state of the art in perioperative echocardiography for congenital heart disease. This helps to prevent major discrepancies in echocardiography standards applied in the perioperative setting and aims to create a pan-European standard.

We also hope that the template will provide both advanced practitioners and enthusiastic anaesthetists/ echo cardiographers at the start of their practice with a structured approach that will ultimately help to improve the perioperative outcome of our patients.

The template can also be used to fulfil your requirements for certification in echocardiography.

We hope that you enjoy the template, and sincerely appreciate your feedback.

With kind regards,
Prof. Dr. Steffen Rex
Chairman, EACTAIC Paediatric & Congenital subcommittee

Click here for the template

Aim

The mission of the group is to promote educational and research programmes in the field of vascular anesthesia. We contribute to guidelines and recommendations in the field of anesthesia for vascular surgery. Furthermore, we try to offer a network for discussion, collaboration, and ideas in the practice of vascular anesthesia. The group contributes to the scientific programme of our annual EACTAIC congress.

Colleagues sharing these fields of interest or proposing new ideas and projects and colleagues who wish to become member of the vascluar subcommittee are cordially invited to contact one of the committee members.

Guidelines / Articles

• Guidelines for pre-operative cardiac risk assessment and perioperative cardiac management in non-cardiac surgery.
  Eur J Anaesthesiol. 2010 Feb;27(2):92-137. doi: 10.1097/EJA.0b013e328334c017.
  Eur J Anaesthesiol. 2013 Jun;30(6):270-382. doi: 10.1097/EJA.0b013e32835f4d5b.
• Management of severe perioperative bleeding: guidelines from the European Society of Anaesthesiology.
  Eur J Anaesthesiol. 2013 Jun;30(6):270-382. doi: 10.1097/ EJA.0b013e32835f4d5b.

Aim

To promote research, interest and investigation in the fields of anesthesia for thoracic and lung surgery.

To develop programs to improve education and information on thoracic anaesthesia.

Interactions and Liaisons

European Society of Anesthesiologists (ESA)
Website: www.esahq.org
Journal: European Journal of Anesthesia
Activities planned with this society f.e.:

• Joint lectures at each other’s congresses: Thoracic Workshop and invited lectures
• Joint educational activities Thoracic Workshop and invited lectures

Society of Cardiovascular Anesthesiologists (SCA)
Website: www.scahq.org
Journal: Anesthesia & Analgesia
Activities planned with this society f.e.:

• Joint lectures at each other’s congresses: Thoracic Workshop and invited lectures
• Joint educational activities Thoracic Workshop and invited lectures

European Airway Management Society (EAMS)
Website: www.eamsonline.org
Activities planned with this society f.e.:

• Joint lectures at each other’s congresses: Thoracic Workshop at the congress in December 2013
• Joint educational activities Invited lectures and PBLDs at the EAMS congress 2013

Guidelines/Articles/Recommendations

Surveys:

1. The EACTAIC Survey on the Changes in the Current Practice in Thoracic Anaesthesia during the COVID-19 pandemic. (Endorsed by EACTAIC)
2. Survey on thoracic anaesthesia and one-lung ventilation. Presented at the EACTA Annual Meeting in Barcelona, 2013.

Recommendations and Guidelines:

1. Thoracic Anesthesia of Patients with suspected or confirmed 2019 Novel Coronavirus Infection: Preliminary Recommendations for Airway Management by the European Association of Cardiothoracic Anaesthesiology Thoracic Subspecialty Committee. Published: May 12, 2020. (Endorsed by EACTAIC) –
DOI: https://doi.org/10.1053/j.jvca.2020.03.059 – Click here to read the full text
M. Şentürk, M.R. El Tahan, L.L. Szegedi, N. Marczin, W. Karzai, B. Shelley, F. Piccioni, M. Granell Gil, S. Rex, M. Sorbello, J. Bence, E. Cohen, G. Di Gregorio, I. Kawagoe, M. Drnovšek Globokar, M.-J. Jimenez, M.-J. Licker, J. Mourisse, C. Mukherjee, R. Navarro, V. Neskovic, B. Paloczi, G. Paternoster, P. Pelosi, A. Salaheldeen, R. Stoica, C. Unzueta, C. Vanpeteghem, T. Vegh, P. Wouters, D. Yapici, F. Guarracino

2. Thoracic Anesthesia during the 2019 Novel Coronavirus Infection Pandemic: 2021 Updated Recommendations for Airway Management by the EACTAIC Thoracic Subspecialty Committee. Published: July 27, 2021. (Endorsed by EACTAIC) –
DOI: https://doi.org/10.1053/j.jvca.2021.07.027 – Click here to read the full text
M. Şentürk, M.R. El Tahan, B. Shelley, L.L. Szegedi, F. Piccioni, M.-J. Licker, W. Karzai, M. Granell, V. Neskovic, C. Vanpeteghem, P. Pelosi, E. Cohen, M. Sorbello, J. Bence, R. Stoica, J. Mourisse, A. Brunelli, M.-J. Jimenez, M. Drnvsek-Globoikar, D. Yapici, A. Salaheldin Morsy, I. Kawagoe, T. Végh, R. Navarro-Ripoll, N. Marczin, B. Paloczi, C. Unzueta, G. Di Gregorio, P. Wouters, S. Rex, C. Mukherjee, G. Paternoster, F. Guarracino

Working on

1. The Thoracic Subcommittee is working on TOSSCA (Thoracic Anaesthesia Consensus Agreement) guidelines for the Good Clinical Practice in Thoracic Anaesthesia. (Endorsed by EACTAIC)
2. The PROTHOR study (endorsed by EACTAIC and ESAIC) – Click here for more information

Activities

Members of the Thoracic SubCom are actively participating on International Congresses with lectures and The Thoracic Workshop (NWAC, European Airway Society Congress, SMART) and some of the members will participate at a meeting organised in Hungary on Thoracic Anaesthesia (organised by the faculty of Medicine of Debrecen, 19 th October 2014, with the participation of some members of the thoracic subcom).

Aim

Patient blood management (PBM) in cardiac surgery is an evidence-based, multidisciplinary approach that aims for maintenance of haemostasis and minimization of blood loss in patients who are at risk for allogeneic blood transfusion. PBM transcends individual medical disciplines, and consists of a chain of care that spans the preoperative, intraoperative, and postoperative period.

PBM in cardiac surgery should be considered as separate entity, as the interaction between the cardiothoracic surgeon, anaesthesiologist and clinical perfusionist, the surgical procedures, the unique patient characteristics and the impact of cardiopulmonary bypass distinguishes this discipline from other surgical specialties.

The mission of the subcommittee Haemostasis and Transfusion is to promote educational and research programmes in the field of PBM and to contribute to evidence-based guidance for the clinician in involved in cardiac surgery.

Interactions and Liaisons

Society of Cardiovascular Anesthesiologists – (SCA)
Website: www.scahq.org
Journal: Anesthesia & Analgesia

Network for the Advancement of Patient Blood Management, Haemostasis and Thrombosis (NATA)
Website: www.nataonline.com
Journal: Transfusion Medicine
Contact: David Faraoni, Christa Boer

International Society on Thrombosis and Hemostasis (ISTH)
Website: www.isth.org
Journal: Journal of Thrombosis and Hemostasis

European Association for Cardiothoracic Surgery (EACTS)
Website: www.eacts.org
Journal: Interactive Cardiovascular and Thoracic Surgery

Patient Blood Management Guideline

In a joint effort, the European Association of Cardio-Thoracic Surgery (EACTS) and European Association of Cardiothoracic Anaesthesiology and Intensive Care (EACTAIC) worked together towards a common guideline for Patient Blood Management (PBM) in cardiac surgery.

The PBM guideline presents an evidence-based, multidisciplinary approach that aims for maintenance of haemostasis and minimization of blood loss in patients who might need allogeneic blood transfusion. In addition to a description of the current evidence for PBM in cardiac surgery, the guideline provides practical solutions for daily problems in this field. The guidelines also underline that further improvement of the evidence-base of PBM in cardiac surgery is warranted.

We hope that this guideline might aid clinicians in their daily practice, and contributes to a multidisciplinary approach with respect to patient haemostasis and transfusion practice in cardiac surgery.

Warm regards,
Christa Boer
Chair, EACTAIC Haemostasis and Transfusion subcommittee

CLICK HERE TO READ THE PBM GUIDELINE

Guidelines/Articles

The SubCom directly produced a letter to comment the ESA guidelines on hemostasis management. This was published in the European Journal of Anaesthesiology and signed by the SubCom members of the BoD.

Dietrich W, Faraoni D, von Heymann C, Bolliger D, Ranucci M, Sander M, Rosseel P.
“ESA guidelines on the management of severe perioperative bleeding: comments on behalf of the Subcommittee on Transfusion and Haemostasis of the European Association of Cardiothoracic Anaesthesiologists”
Eur J Anaesthesiol. 2014 Apr;31(4):239-41.

Endorsed by EACTAIC and SCA:

Faraoni D, Samama CM, Ranucci M, Dietrich W, Levy JH.
“Perioperative management of new oral anticoagulants: an international survey.”
Clinics Lab Med 2014 In press.

Three members of the SubCom participated in the development of the Universal Definition of Perioperative Bleeding, recently published:

Dyke C, Aronson S, Dietrich W, Hofmann A, Karkouti K, Levi M, Murphy GJ, Sellke FW, Shore-Lesserson L, von Heymann C, Ranucci M.
“Universal definition of perioperative bleeding in adult cardiac surgery.”
J Thorac Cardiovasc Surg. 2014 May;147(5):1458-1463.

——————

Other articles published by at least 2 members of the subcom:

• Song HK, von Heymann C, Jespersen CM, Karkouti K, Korte W, Levy JH, Ranucci M, Saugstrup T, Sellke FW. “Safe application of a restrictive transfusion protocol in moderate-risk patients undergoing cardiac operations.” Ann Thorac Surg. 2014 May;97(5):1630-5
• Karkouti K, von Heymann C, Jespersen CM, Korte W, Levy JH, Ranucci M, Sellke FW, Song HK. “Efficacy and safety of recombinant factor XIII on reducing blood transfusions in cardiac surgery: a randomized, placebo-controlled, multicenter clinical trial.” J Thorac Cardiovasc Surg. 2013 Oct;146(4):927-39.

——————

Future activities:

survey of the use of PCCs and thrombotic complications (Wulf Dietrich);
sytematic review on management of anticoagulation and bleeding on ECMO (David Faraoni)

Aim

To create and publicize new knowledge in the field of perioperative management and of end stage heart and lung diseases through networking on a global scale; to translate such knowledge to the highest clinical standards of cardiothoracic anaesthesia and intensive care. We shall build the subcommittee on the principles of broad constituency to represent comprehensive expertise on the field and with the overarching goal of inclusivity and collaboration.

Interactions and Liaisons

International Society for Heart & Lung Transplantation (ISHLT)
www.ishlt.org
Journal: Journal Heart and Lung Transplantation.

Guidelines/Articles

Working on:
Initiating Lung Tx perioperative management guidelines, consensus recommendation.
Guideline with SCA, ISHLT, and Thoracic Surgeons societies.