TEE

Question 1

Which wall is closest to the probe in the TG view?

Answer 1

Posterior (inferior lateral) wall

Question 2

Name 4 indications for TEE

Answer 2

Prosthetics, source of embolus, abnormal LV/Ao, CHD, masses, trauma, valvular disease

Question 3

Name 3 advantages

Answer 3

Closer to the heart, better views for TDS, less invasive than OHS, no lungs/ribs

Question 4

Name 3 disadvantages

Answer 4

Invasive, patient discomfort, complications, expertise required

Question 5

What needs to be done to prep the patient?

Answer 5

Informed consent, history, IV, physical (ECG, BP, etc), medications

Question 6

Name 2 absolute and 2 relative contraindications

Answer 6

Absolute: esophageal strictures/masses, recent upper GI bleed/surgery, noncooperative patient, respiratory depression
Relative: coagulation issues, restricted neck mobility, esophageal trauma/surgery, esophageal varices, dysphagia, sleep apnea

Question 7

Name 3 complications

Answer 7

Dental trauma, esophageal trauma/bleed, aspiration, dislodgement of other medical tubes, sore throat

Question 8

Benzocaine

Answer 8

Topical anesthesia

Question 9

Valium/benzodiazepine

Answer 9

Sedation

Question 10

Flumazenile/lidocaine

Answer 10

Reversal agents

Question 11

Epinephrine/atropine

Answer 11

For bradycardia

Question 12

This view is good for the Ao, AV, LAA, superior IAS

Answer 12

Upper esophageal

Question 13

This view is good for the MV/TV, IAS, IVS, LAA

Answer 13

Mid esophageal

Question 14

This view is good for the apical structures up to the AV

Answer 14

Trans-gastric