TEE Flashcards
- Absolute CI for TEE (3)
- Relative CI
- Perf viscous of any kind, esoph pathology (diveriticulm, lac, cancer,stricture), bleeding upper active (recent is a relative CI)
- 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
TEE first view and where is it
ME at zero degress is 4 chamber view
How do get to bicaval from starting 4 C
What are structures of bicaval view
CM mark of mid TEE view usually.
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
4C ME view may need to do what with the probe and why?
Nyquist for TEE?
Retroflex. To bring in the inferior plane of the apex.
50-60 cm/sec