You can see more using a TEE probe, in comparison to a TTE probe, because TEE probes have a higher ____.
Frequency
What are some indications that a patient may need a TEE?
- Cardiac source of embolism
- Endocarditis
- Prosthetic heart valve dysfunction
- Diseases of the aorta
- Pre-cardioversion in patients with a-fib
- Intracardiac masses
- CHF, ASD, VSD
- Native valve disease (MR, Stenosis…)
- Pericardial disease
For a TEE, what three people are needed in the room?
Physician, nurse and cardiac sonographer.
TEE is NOT good as seeing LV ____.
Clots/thombus
In TTE the apex is in the ____ field.
Near
A TTE is usually ____-____ minutes and a TEE is ____-____ minutes.
40-45; 12-20
In TEE the apex is in the ____ field, so it’s more difficult to visualize.
Far
What are some things the sonographer is responsible for grabbing for a TEE?
- Probe
- Bite block
- K-Y jelly
- Pillowcase
- Hurricane spray
For a TEE, the patient needs to have fasted for a minimum of ____ hours.
4-6 hours
Probe passage during a TEE is completed by the ____.
Physician
What are the three primary views for a TEE?
- Upper esophageal
- Mid esophageal
- Transgastric (aka. Lower esophageal)
What are the upper esophageal views in a TEE?
- Descending aorta (SAX & LAX)
- Aortic arch (SAX & LAX)
What are the mid esophageal views in a TEE?
- 4 chamber
- 2 chamber
- 3 chamber
- MV commissural
- AV (SAX & LAX)
- Bicaval
- Ascending aorta (SAX & LAX)
- RVOT
What are the transgastric views in a TEE?
- Mid SAX
- 2 chamber
- Basal SAX
- RVIT
- LAX
- Deep LAX
What are the steps for proper probe care?
- Wipe the probe with First Step cleanser
- Soak probe in sink with Enzymatic cleaner for 3-5 minutes
- Place probe in a cleaning system 16 minute run time
- Store probe in a clean, closed cabinet with protective sheath over it
