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DMST 367 Echo 3 > TEE Async. > Flashcards

TEE Async. Flashcards

1
Q

What kind of procedure is TEE?

A

Invasive

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2
Q

What does TEE require in terms of skill?

A

Expertise, Non-invasive cardiologists are trained in this

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3
Q

What does TEE need from the patient?

A
  1. Cooperation
  2. Preparation
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4
Q

Where is the Ultrasound traducer on the TEE?

A

Gastroscope

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5
Q

Images are from where in the chest cavity?

A

Behind/ under the heart

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6
Q

What are some advantages of TEE?

A
  1. Proximity to heart
  2. No lung and ribs
  3. Somewhat non-invasive compared to OHS
  4. Somewhat portable
  5. Improves imaging for technically difficult patients
  6. Visualization of posterior structures
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7
Q

What are some disadvantages of TEE?

A
  1. Somewhat invasive
  2. Expertise required
  3. Patient discomfort
  4. Complications
  5. Operator dependent
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8
Q

What is TEE patient preparation?

A
  1. Procedure explained
  2. Patient history taken
  3. Ensure fasting (patient may vomit during gag reflux)
  4. Physical
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9
Q

What is the physical portion of TEE patient prep?

A
  1. IV started - easier administrations of medications
  2. Removal of dentures
  3. Set up ECG
  4. Set up blood pressure and pulse oximeters
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10
Q

What should be done for patient care during TEE?

A
  1. Vitals (O2 and BP)
  2. Instruction to patient (breathing and swallowing)
  3. Post examination process
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11
Q

What is included in the patient post examination care?

A
  1. Looking for esophageal damage
  2. Tooth damage
  3. Blood pressure dropping
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12
Q

What are some indications for TEE?

A
  1. Source of embolus
  2. Valvular disease
  3. Abnormal LV
  4. Masses
  5. Prosthetic devices
  6. Interoperative
  7. Aortic disease
  8. Non-diagnostic TTE
  9. CHD
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13
Q

What are 4 absolute contraindications for TEE?

A
  1. Esophageal strictures, masses, perforations
  2. Recent bleed or surgery
  3. Poorly cooperative patient
  4. Severe respiratory depression
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14
Q

What are some relative contraindications (with caution)?

A
  1. Coagulopathy issues
  2. Restricted cervical mobility
  3. Recent esophageal trauma/ radiation
  4. Esophageal varices
  5. Dysphagia (trouble swallowing)
  6. Sleep apnea
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15
Q

What are some TEE complications?

A
  1. Dental trauma
  2. Esophageal truama/ bleeding/ perforation
  3. Laryngospasm or bronchospasm
  4. **Aspiration
  5. Dislodgement of endotracheal/ nasogastric tubes
  6. Sore throat, hoarseness
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16
Q

What are some complications of TEE with the technologist?

A
  1. Combative patient under sedation
  2. Bites
  3. cleaning
  4. Vomit
  5. Equipment damage
17
Q

What are 5 TEE probe manipulations?

A
  1. Advance/ withdraw
  2. Flexion
  3. Extension
  4. Rotation
  5. Side to side
18
Q

What are three TEE probe positions?

A
  1. Transgastric
  2. Mid esophageal
  3. Upper esophageal
19
Q

Label

A
20
Q

What is the most superior TEE view?

A

Upper esophageal

21
Q

What are some structures seen with UE view?

A
  1. Aorta
  2. Ao valve
  3. Superior IAS
  4. LA appendage
22
Q

Where is most of the TEE exam done?

A

Mid esophageal because it is similar to AP4 in TTE

23
Q

What is seen with ME TEE?

A
  1. The MV/TV valves
  2. IAS
  3. IVS
  4. LA appendage
  5. Almost all structures except LV apex
24
Q

What is seen with transgastric view?

A
  1. Apical structures up to the AV valves
  2. Especially LV apex
  3. Apical IVS
25
Q

Label

A
26
Q

What is the Upper esophageal TEE view good for?

A

Looking at aorta and surrounding structures

27
Q

What chamber is closest to the probe with ME view?

A

LA

28
Q

Label

A
29
Q

What is the TG view?

A

The probe is advanced further down the esophagus into the stomach

30
Q

What does TG view allow? What view is the closest to the probe?

A
  1. Allows us to see more inferior heart structures
  2. Posterior wall
31
Q

What is TEE GE good for?

A

Evaluation of
1. LV
2. MV
3. Muscular IVS

32
Q
A

DMST 367 Echo 3 (27 decks)

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