TEE Flashcards

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

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2
Q

TEE first view and where is it

A

ME at zero degress is 4 chamber view

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3
Q

How do get to bicaval from starting 4 C

What are structures of bicaval view

CM mark of mid TEE view usually.

A

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

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4
Q

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

Nyquist for TEE?

A

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

50-60 cm/sec

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