TEE

Question 1

1. Absolute CI for TEE (3)
2. Relative CI

Answer 1

1. Perf viscous of any kind, esoph pathology (diveriticulm, lac, cancer,stricture), bleeding upper active (recent is a relative CI)
2. Relative CI
   - recent gI bleeding
   - radiation to neck
   - Hx of GI surgery (esp stomach or esoph)
   - dysphagia hx
   - Barretts
   - Neck restricted mobility
   - hiatal hernia (sx)
   - esop varicosities
   - TCP,
   - Esophagitis
   - active PUD

(Think anatomically down) Mouth, neck, esop x 6, stomach, blood —> odynophagia, dysphagia (mouth) atlantoaxial disease, neck arthritis, (neck) neck or mediastinal radiation, esoph disease (esoph), varicies, Barrett’s, Hiatal hernia, esophagitis, PUD, blood disorders

Question 2

TEE first view and where is it

Answer 2

ME at zero degress is 4 chamber view

Question 3

How do get to bicaval from starting 4 C

What are structures of bicaval view

CM mark of mid TEE view usually.

Answer 3

4 C ME go to 90 and rotate right until see it.

\Left of screen is IVC and right is SVC. Ra is flask of beaker.

30-35 cm

Question 4

4C ME view may need to do what with the probe and why?

Nyquist for TEE?

Answer 4

Retroflex. To bring in the inferior plane of the apex.

50-60 cm/sec