The anesthetic and intraoperative management of patients undergoing surgical procedures, particularly those of high complexity, requires rigorous monitoring and the ability to promptly respond to hemodynamic changes. In this context, transthoracic echocardiography (TTE) has emerged as an important imaging tool, allowing real-time assessment of cardiac function. This study aims to review the literature published in the last five years (2020-2025) on the role of TTE in anesthetic and intraoperative management. A narrative literature review was conducted using the PubMed, Web of Science, and Embase databases. The findings of this study affirm that TTE is an essential and promising tool in anesthetic practice, with the potential to optimize hemodynamic management and improve patient safety during surgical procedures. Its integration into the perioperative routine represents a significant advancement in modern anesthesiology, contributing to the reduction of complications and enhancement of clinical outcomes. However, its use should be combined with a critical assessment of the patient’s clinical condition and the technical limitations of the equipment, ensuring the selection of the best strategy for each case.
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