Aliases:
TOE
TEE
Oesophageal echo
Tranesophageal echo
Tranesophageal echocardiography

Topic aliases are alternate phrasings for a particular topic.


Absolute contraindications for TOE/TEE. Oesophagectomy, oesophagogastrectomy, recent upper GI surgery, oesophageal pathology (strictures, tumour, scleroderma, trauma, Mallory-Weiss tear, diverticulum), previous mediastinal irradiation, active upper GI bleeding, recent upper GI surgery. refl.in/mx

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Good, comprehensive overview of safety of TOE/TEE. refl.in/mx

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Relative contraindications to TOE/TEE: Oesophagitis; peptic ulcer disease; history of dysphagia; coagulopathy; prior radiation to the chest; symptomatic hiatal/hiatus hernia; atlantoaxial joint disease, severe cervical arthritis, thoracoabdominal aortic aneurism. refl.in/mx

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Understand the indications for the procedure and the possible underlying cardiac conditions.

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Standard views in transoesophageal echocardiography. Image from the excellent CTSNet wiki refl.in/li.

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Transgastric short axis midpapillary view

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Insert an IV cannula large enough for the cardiologist to aspirate blood for the bubble study

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Lateral position

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Can be >20min procedure. Midazolam helps reduce propofol dose & improve amnesia

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Fentanil may help to blunt upper airway response to insertion of probe in sedated patients.

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