Chris.Rishel at 22:17, 19 August 2022

2022-08-19T22:17:45Z

← Older revision		Revision as of 15:17, 19 August 2022
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	}}		}}'''Transesophageal echocardiography''' ('''TEE''') is diagnostic procedure performed to evaluate the structure and function of the heart. TEE uses a specialized ultrasound probe which is inserted into the esophagus and pointed anteriorly to capture images and measurements of the heart. TEE may be performed as a standalone procedure, but is also routinely used intraoperatively in cardiac surgeries.

	Transesophageal echocardiography (TEE) is a specialized probe ~~with an ultrasound transducer that~~ is inserted into the esophagus and pointed anteriorly to capture images of the heart. ~~It can~~ be ~~done~~ as a standalone procedure, but is also used ~~routinely~~ in cardiac surgeries.

	== Overview ==		== Overview ==

Tony.Wang: creation

2022-08-19T22:07:05Z

creation

New page

{{Infobox surgical procedure
| anesthesia_type = MAC
| airway = Natural airway
| lines_access = 1 PIV
| monitors = Standard ASA
| considerations_preoperative =
| considerations_intraoperative =
| considerations_postoperative =
}}

Transesophageal echocardiography (TEE) is a specialized probe with an ultrasound transducer that is inserted into the esophagus and pointed anteriorly to capture images of the heart. It can be done as a standalone procedure, but is also used routinely in cardiac surgeries.

== Overview ==

=== Indications ===

=== Surgical procedure ===

== Preoperative management ==

=== Patient evaluation ===
{| class="wikitable"
|+
!System
!Considerations
|-
|Airway
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|-
|Neurologic
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|-
|Cardiovascular
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|-
|Pulmonary
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|-
|Gastrointestinal
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|-
|Hematologic
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|-
|Renal
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|-
|Endocrine
|
|-
|Other
|
|}

=== Labs and studies ===

=== Operating room setup ===

=== Patient preparation and premedication ===
Lidocaine 4% spray into back of oropharynx. Ask patient to gargle for 10 seconds.

=== Regional and neuraxial techniques ===

== Intraoperative management ==

=== Monitoring and access ===

=== Induction and airway management ===
Because patients requiring TEE typically have poor cardiac function, hemodynamically stable cardiac induction is preferred. This can be achieved with small amounts of propofol, midazolam, and fentanyl. That said, midazolam (0.5-1 mg) followed by ketamine (20-30 mg) is a very popular induction of choice in patients with critically low EF and tenuous respiratory status to avoid afterload reduction and to avoid hypoventilation worsening right heart function.

=== Positioning ===
Supine with head at 30 degrees, slight tilt to left.

Bite block is placed for TEE probe.

=== Maintenance and surgical considerations ===
Insertion of TEE probe is facilitated with jaw thrust. This is the most stimulating part of procedure by far. Minimal anesthesia is generally required for maintenance.

=== Emergence ===

== Postoperative management ==

=== Disposition ===
PACU

=== Pain management ===

=== Potential complications ===

== Procedure variants ==

{| class="wikitable wikitable-horizontal-scroll"
|+
!
!Variant 1
!Variant 2
|-
|Unique considerations
|
|
|-
|Position
|
|
|-
|Surgical time
|
|
|-
|EBL
|
|
|-
|Postoperative disposition
|
|
|-
|Pain management
|
|
|-
|Potential complications
|
|
|}

== References ==

[[Category:Surgical procedures]]

Transesophageal echocardiography - Revision history

Chris.Rishel at 22:17, 19 August 2022

Tony.Wang: creation