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TEE Flashcards

1
Q
A
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2
Q

what motions move the TEE probe anterior and posterior

A

anteflex/retroflex

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3
Q

what motions move the TEE probe R and L

A

flex to right, flex to Left

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4
Q

what is used to rotate the ultrasound beam

A

omniplane

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5
Q

what information do we get form basic TEE

A

L and R vent function
heat wall motion
heart chamber volume
vessel integrity
valve function and integrity
heart tumors
pericardial effusion

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6
Q

what are absolute contraindications to TEE

A

perforated viscous
esophageal stricture/tumor
esophageal perforation/laceration
esophageal diverticulum
active upper GI bleed

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7
Q

what are some relative contraindications to TEE

A

radiation fo neck/mediastinum
GI surgery/bleed
barretts esophagus
dysphagia/hiatal hernia
neck immobility/cervical disc disease
symptomatic hiatal hernia
esophageal varicies
coagulopathy

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8
Q

what distance do you initially insert TEE probe to

A

30-35 centimeters

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9
Q

what are the four positions for TEE

A

upper esophageal
mid esophageal
transgastric
deep transgastric

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10
Q

the LV should be ______x larger than the RV

A

1.5

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11
Q

what is the first view we go for in TEE

A

mid esophageal four chamber view

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12
Q

what distance for mid esophageal four chamber view

A

30-35 cm

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13
Q

what do we assess in mid esophageal four chamber view

A

chamber size
ventricular function
anterolateral/inferoseptal WMA
mitral valve disease
tricuspid valve disease
atrial septal defect
pericardial effusion

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14
Q

what is the second view we do in TEE

A

mid esophageal two chamber (LA/LV)

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15
Q

how do we get midesophageal two chamber view

A

rotate 80-100 degrees

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16
Q

what structures are visible in midesophageal two chamber view

A

LA
LV
mitral valve (posterior on left, anterior Right)

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17
Q

what do we assess in midesophageal two chamger

A

LA mass/thrombus
LV size and function
anterior/inferior WMA
MV disease
MV annulus measurement

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18
Q

what is the third view in TEE

A

midesophageal long axis

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19
Q

how do we get midesophageal long axis view

A

rotate to 130 degrees

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20
Q

what structures are in midesophageal long axis view

A

LA
LV
LVOT
Aortic valve
mitral valve
RV

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21
Q

what can we assess with midesophageal long axis

A

LV function
anterospeptal/infeolateral WMA
MV disease
AV and aortic root disease
interventricular septum pathology
cardiac air

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22
Q

what is the fourth view for TEE

A

midesophageal bicaval

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23
Q

how do we get midesophageal bicaval

A

omni to 90?

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24
Q

what is visible in ME bicaval

A

LA
RA
SVC
IVC
intratrial septum

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25
Q

what view is good for finding PFOs/ASDs

A

ME bicaval

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26
Q

what can be assessed in ME bicaval

A

ASD
PFO
lines/wires
venous cannula

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27
Q

what is the fifth view for TEE

A

ME aortic valve short axis

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28
Q

how do we get ME aortic valve short axis view

A

pull probe back, rotate to 10 degrees

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29
Q

what structures are in ME aortic valve short axis view

A

LA
IAS
RA
RV
PA
Aortic valve (L, R and non coronary cusps)

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30
Q

what do we assess in ME aortic valve short axis view

A

aortic valve disease
ASD
LA size
coronaries

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31
Q

what is the sixth view on TEE

A

ME RV inflow outflow view

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32
Q

what structures are in ME RV in flow out flow view

A

LA
RA
TV
AV
PA
PV
RV

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33
Q

what do we assess in ME RV in flow out flow view

A

pulmonic valve disease
pulmonary artery
RVOT
tricuspid valve disease
PAC position

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34
Q

what is the seventh view of TEE

A

ME ascending aorta Short access view

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35
Q

how do we find ME ascending aorta Short access view

A

pull back from ME aortic valve view

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36
Q

what structures are in ME ascending aorta Short access view

A

PA
PV
ascending aorta
SVC
RPA

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37
Q

what do we assess for in ME ascending aorta Short access view

A

pulmonary artery pathology
pulmonary emboli
ascending aorta pathology
PDA
PAC position
atherosclerotic disease

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38
Q

what is the eight view of TEE

A

ME ascending aorta long axis view

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39
Q

how do we get ME ascending aorta long axis view

A

turn 90 degrees from ascending aorta short axis

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40
Q

what structures are in ME ascending aorta long axis view

A

RPA
Ascending aorta

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41
Q

what do we assess in ME ascending aorta long axis view

A

aortic pathology
pericardial effusion
pulmonary embolus

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42
Q

what is the ninth view of the TEE

A

descending aorta short axis

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43
Q

how do we get descending aorta short axis

A

rotate to left

44
Q

what structures are in descending aorta short axis

A

descending aorta

45
Q

what do we assess in descending aorta short axis

A

aortic pathology
flow reversal (aortic regurge)
balloon pump/percutaneous bypass wire position
left pleural effusoin
atherosclerotic disease

46
Q

what is the the tenth view of the TEE

A

descending aorta long axis

47
Q

how do we get descending aorta long axis

A

90 -105 degrees degrees omni beam to go verticle

48
Q

what structures are in descending aorta long axis

A

descending aorta

49
Q

what do we assess in descending aorta long axis

A

aortic pathology (dissection)
flow reversal from AR
IABP position

50
Q

what is the eleventh view of TEE

A

trans gastric short-axis view

51
Q

how do we get to transgastric short axis view

A

70 cm into stomach
anteflex

52
Q

what structures are in transgastric short axis view

A

LV
ventricular septal wall
papillary muscles
ventricle walls

53
Q

what do we assess for in transgastric short axis view

A

LV size function
interventricualr septal motion
VSD
pericardial effusion
volume status

54
Q

what views do we get in ME location

A

four chamber
two chamber
long axis
short axis
bicaval
aortic valve short axis
RV IF/OF
ascending aorta short axis
ascending aorta long axis
descending aorta short axis
descending aorta long axis

55
Q

what is the only non ME view in basic TEE

A

TG short axis

56
Q

what is red flow on color doppler

A

towards transducer

57
Q

what is blue flow on color doppler

A

away from the transducer

58
Q

what view is this

A

ME 4 chamber

59
Q

what is 1

60
Q

what is 2

61
Q

what is 3

62
Q

what is 4

63
Q

what view is this

A

ME two chamber

64
Q

what is 1

65
Q

what is 2

66
Q

what view is this

A

ME long axis

67
Q

what is 1

68
Q

what is 2

69
Q

what is 3

70
Q

what is 4

71
Q

what is 5

72
Q

what view is this

A

ME bicaval

73
Q

what is 1

74
Q

what is 2

75
Q

what is 3

76
Q

what is 4

77
Q

what view is this

A

ME right ventricular inflow outflow

78
Q

what is 1

79
Q

what is 2

80
Q

what is 3

81
Q

what is 4

82
Q

what is 5

A

pulm valve

83
Q

what is 6

84
Q

what is 7

A

Aortic valve

85
Q

what view is this

A

ME aortic valve short axis

86
Q

what is 1

87
Q

what is 2

88
Q

what is 3

89
Q

what is 4

90
Q

what is 5

A

left coronary cusp

91
Q

what is 6

A

right coronary cusp

92
Q

what is 7

A

noncoronary cusp

93
Q

what view is this

A

ME ascending aorta short axis

94
Q

what is 1

95
Q

what is 2

A

ascending aorta

96
Q

what is 3

A

pulm valve

97
Q

what is 4

98
Q

what is 5

A

right pulm art

99
Q

what view is this

A

ME ascending aorta long axis

100
Q

what is 1

A

right pulm art

101
Q

what is 2

A

ascending aorta

102
Q

what view is this

A

descending aorta short axis

103
Q

what is 1

A

descending aorta

104
Q

what view is this

A

descending aorta long axis

105
Q

what is 1

A

descending aorta

106
Q

what view is this

A

transgastric short axis

107
Q

what is 1

Cardiac Anesthesia (4 decks)

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