TEE Time: The Perioperative TEE Video Podcast (Anesthesia, Cardiology, Echocardiography, Sonography, Critical Care ICU)
TEE Time is the first-of-its-kind video podcast dedicated to the use of transesophageal echocardiography (TEE) in the perioperative setting. It is specifically designed for anesthesiologists, cardiologists, cardiac surgeons, cardiac sonographers, emergency medicine providers, and cardiac ICU team members. Dr. Andreas Plackis is a triple board-certified, Vanderbilt-trained cardiac anesthesiologist and TEE enthusiast whose mission is to transform perioperative TEE education by delivering high-yield, concise video episodes packed with clinically relevant TEE tips and expert recommendations to elevate your practice. TEE Time episodes take a case-based approach, diving deep into how TEE is best utilized throughout the perioperative setting, including valve repair and replacement, temporary and durable mechanical support, aortic dissection, heart and lung transplants, structural heart interventions, rescue echo, non-cardiac surgery, and much more! If you want to enhance your TEE skills and improve patient care, subscribe now and join on this journey to mastering perioperative TEE! DISCLAIMER: This podcast provides recommendations intended for educational purposes only and should not be used as the sole basis for making medical decisions. The information reflects expert opinions rather than scientifically-verified data, and no express or implied warranties are made regarding its accuracy, completeness, or fitness for any particular purpose. Listeners are encouraged to verify all information independently and consult additional reliable sources. Neither the authors, publishers, nor any parties involved assume responsibility for any errors, omissions, or outcomes resulting from the use of this material. All non-original material featured in this podcast is either used with explicit permission from the copyright owner or is believed to fall under the Fair Use provisions of U.S. copyright law for purposes such as education, commentary, and criticism. If you believe any material has been used improperly, please contact the author directly so the matter can be promptly reviewed and addressed. Keywords: TEE, Echocardiography, Anesthesia, Cardiology, Critical Care, Emergency Medicine, Sonographer, Cardiac Surgery, FOAMed, POCUS, Ultrasound, Anesthesiology, Perioperative, Cardiac Anesthesia, Anesthesia Podcast, Echo, Surgery Podcast, Advanced TEE, Perioperative TEE, TTE, Sonography, PulmCrit, TEE Time, Transesophageal Echocardiography, CICU, CVICU, ICU, Valve, CABG, LVAD, ECMO, CPB, Transplant, Structural Heart, Cardiopulmonary Bypass, Perioperative Anesthesia, Valve Surgery, Mitral Valve, Aortic Valve, Tricuspid Valve, Pulmonary Valve, Valve Evaluation, Mitral Regurgitation, Aortic Regurgitation, Tricuspid Regurgitation, Pulmonary Regurgitation, Valve Stenosis, Mitral Stenosis, Aortic Stenosis, Tricuspid Stenosis, Pulmonary Stenosis, Endocarditis, Prosthetic Heart Valve, IABP, Impella, Cardiac Masses, Aortic Dissection, Aneurysm, Heart Transplant, Lung Transplant, Cardiac Tamponade, TEE Imaging, LV Function, RV Function, Gradient Evaluation, Mechanical Support, TEE Contraindications, LV Hypertrophy, Aortic Insufficiency, TAVR, Mitral Clip, Paravalvular Leak, PISA, Ventricular Septal Defect, Atrial Septal Defect, Cardiac Pathology, Intraoperative Monitoring, Echo Training, Anesthesia Tips, Anesthesia Care, Echo Pearls, Heart Failure, Congenital Heart Disease, Rescue TEE, Imaging Guidance, Echo Techniques, Echocardiographer, Echo for Anesthesiologists, Echo in Anesthesia, Echo in Practice, Heart Team, Echo Innovation, Heart Podcast, TEE Probes, Color Doppler, Spectral Doppler, 2D Echo, 3D Echo, Echocardiography Tips, Echo Gradients, TEE Views, Mitral Valve Repair, Aortic Valve Replacement, Tricuspid Valve Repair, Pulmonic Valve Surgery, Vena Contracta, Flow Reversal, Cardiac Output, Stroke Volume, Heart Imaging, Clinical Cases, Echo Cases, TEE Guidelines, Aortic Root, Sinus of Valsalva, Interventional Echo, Cardiac Anatomy, Echo Safety, Echo Applications, Surgical Guidance, TEE Protocols, Heart Assessment, Echo Parameters, Valve Function, Echocardiography Education, Advanced Cardiac Imaging, TEE Review, Echo Masters, Heart Visualization, Echo Evaluation, Doppler Analysis, Echo Challenges, Cardiovascular Surgery, Echo Solutions, Aortic Keywords w/ Hashtag: #TEE #Echocardiography #Anesthesia #Cardiology #CriticalCare #EmergencyMedicine #Sonographer #CardiacSurgery #FOAMed #POCUS #Ultrasound #Anesthesiology #Perioperative #CardiacAnesthesia #AnesthesiaPodcast #Anesthesiology #Echo #Surgery #AdvancedTEE #PerioperativeTEE #TTE #Sonography #PulmCrit #TEETime #TransesophagealEchocardiography #CICU #CVICU #ICU #ResuscitativeTEE #Valve #ACLS
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Episodes
Tuesday Apr 22, 2025
Tuesday Apr 22, 2025
Episode 7: TEE for CABG Surgery - Part 2: Valvular Disorders, Post-MI Complications, and other findings in CABG Surgery
In this episode of TEE Time, host Dr. Andreas Plackis discusses the importance of transesophageal echocardiography (TEE) during coronary artery bypass graft (CABG) surgery, focusing on valvular assessment and post-myocardial infarction (MI) mechanical complications. Dr. Plackis examines moderate valvular disorders such as aortic stenosis, aortic regurgitation, and secondary mitral regurgitation, referencing the latest guidelines from the ACC/AHA and European societies. He also dives into the significance of post-MI complications like ventricular septal defects, LV free wall rupture, and papillary muscle rupture. The episode concludes with a summary of key points for performing TEE effectively during CABG and a preview of the upcoming valve series.
00:00 Introduction to TEE for CABG Surgery
01:10 Valvular Assessment During CABG
02:13 Moderate Aortic Stenosis and Regurgitation
03:09 Mitral Regurgitation: Secondary and Ischemic
05:35 Guidelines and Decision-Making for MR
10:05 Additional Valvular and Aortic Considerations
11:45 Post-MI Mechanical Complications
14:49 Conclusion and Upcoming Series
Keywords: TEE, CABG, valvular assessment, aortic stenosis, myocardial infarction, mechanical complications, cardiac surgery, LV function, heart disease, wall motion, ischemic changes, dual intervention, patient comorbidities, AVR, ACC/AHA guidelines, European guidelines
#TEE #Echocardiography #Anesthesia #Cardiology #CriticalCare #EmergencyMedicine #Sonographer #CardiacSurgery #FOAMed #POCUS #Ultrasound #Anesthesiology #Perioperative #CardiacAnesthesia #AnesthesiaPodcast #Anesthesiology #Echo #Surgery
#AdvancedTEE #PerioperativeTEE #TTE #Sonography #CABG #TEETime #TransesophagealEchocardiography #CICU #CVICU #ICU #ResuscitativeTEE #ACLS #myocardialinfarction
Tuesday Apr 08, 2025
Tuesday Apr 08, 2025
Optimal TEE Techniques for CABG Surgery - Part 1: Focus on Left Ventricular Function Assessment
In this episode of TEE Time, Dr. Andreas Plackis explores the use of Transesophageal Echocardiography (TEE) during Coronary Artery Bypass Grafting (CABG) surgery. The focus is on assessing left ventricular (LV) function, including global and regional function, using methods like the eyeball test, Simpson's biplane method, and 3D quantification. Additionally, Dr. Plackis discusses when CABG is preferable to PCI, the importance of TEE in high-risk CABG patients, and how to detect wall motion abnormalities indicative of coronary artery issues. Stay tuned for part two, which will cover valvular assessment and post-myocardial infarction complications.
00:00 Introduction to TEE for CABG Surgery
01:18 Understanding CABG vs PCI
02:43 Importance of TEE in CABG Surgery
03:45 Assessing Global LV Function
05:11 Simpson's Biplane Method
06:42 3D Quantification of LV Function
08:38 Regional LV Function and Wall Motion Abnormalities
12:34 Practical Tips for TEE in CABG Surgery
14:29 Conclusion and Next Steps
Keywords: Wall thickening, Simpson’s Biplane, paradoxical motion, global LV function, LV function, chamber quantification, mitral annulus, low-risk CABG, left circumflex lesion, 3D echocardiographic measurements, post-MI complications, end systolic volume, CABG, TEE, moderate valvular disease, 2D echocardiography, akinesis, syntax score, transgastric view, high-risk CABG, graft failure, coronary artery disease, end diastolic volume, mid esophageal view, LAD lesion, inferoseptal wall, mechanical complications, ventricular function, intraoperative TEE, regional assessment, TEE guidelines, surgical interventions, Philips system, ASE recommendations, RCA lesion, anterior wall, thrombosis, dyskinesis, left ventricle, cardiac surgery, myocardial infarction, modified Simpson’s rule, PCI, diabetic patients, 3D quantification, bypass surgery, hypokinesis, inferolateral wall, eyeball test, wall motion abnormalities.
DISCLAIMER: This podcast provides recommendations intended for educational purposes only and should not be used as the sole basis for making medical decisions. The information reflects expert opinions rather than scientifically-verified data, and no express or implied warranties are made regarding its accuracy, completeness, or fitness for any particular purpose. Listeners are encouraged to verify all information independently and consult additional reliable sources. Neither the authors, publishers, nor any parties involved assume responsibility for any errors, omissions, or outcomes resulting from the use of this material. All non-original material featured in this podcast is either used with explicit permission from the copyright owner or is believed to fall under the Fair Use provisions of U.S. copyright law for purposes such as education, commentary, and criticism. If you believe any material has been used improperly, please contact the author directly so the matter can be promptly reviewed and addressed.
#TEE #Echocardiography #Anesthesia #Cardiology #CriticalCare #EmergencyMedicine #Sonographer #CardiacSurgery #FOAMed #POCUS #Ultrasound #Anesthesiology #Perioperative #CardiacAnesthesia #AnesthesiaPodcast #Anesthesiology #Echo #SurgeryPodcast #AdvancedTEE #PerioperativeTEE #TTE #Sonography #PulmCrit #TEETime #TransesophagealEchocardiography #CICU #CVICU #ICU #ResuscitativeTEE
#LVFunction #ChamberQuantification #CABG #CoronaryArteryDisease #LeftVentricle #WallMotionAbnormalities
Tuesday Mar 25, 2025
Tuesday Mar 25, 2025
In Episode 5 of ‘TEE Time’, a systematic approach to performing a Transesophageal Echocardiography (TEE) exam efficiently in a cardiac surgery setting is explored. The discussion focuses on the importance of quickly generating crucial clinical information, a key necessity in fast-paced surgical environments. A repeatable step-by-step system, summarized by the acronym L-R-S-A-S (look, rotate, slide, ascend, scan), is introduced to ensure a comprehensive examination of heart structures. The method prioritizes evaluating left-sided heart structures first, followed by the right side, the stomach, the aorta, and special findings such as the interatrial septum, pulmonary veins, and left atrial appendage. The episode also provides practical tips on maintaining speed without compromising accuracy and addresses the limitations of certain assessment techniques, such as diastolic function evaluation. Emphasizing the value of a structured approach, the discussion concludes with a preview of the next episode, which will cover TEE exams for coronary artery bypass surgery.
00:00 Introduction to Efficient TEE Exams
00:43 Setting the Stage: Clinical Questions and Previous Episodes
01:08 Goals and Systematic Approach for TEE
02:16 Introducing the L-R-S-A-S Acronym
02:57 Detailed Examination of Left-Sided Heart Structures
05:02 Evaluating the Right Heart
06:41 Transgastric Views and Aortic Examination
07:51 Special Findings and Final Steps
11:54 Review and Final Thoughts
12:53 Conclusion and Next Episode Preview
DISCLAIMER: This podcast provides recommendations intended for educational purposes only and should not be used as the sole basis for making medical decisions. The information reflects expert opinions rather than scientifically-verified data, and no express or implied warranties are made regarding its accuracy, completeness, or fitness for any particular purpose. Listeners are encouraged to verify all information independently and consult additional reliable sources. Neither the authors, publishers, nor any parties involved assume responsibility for any errors, omissions, or outcomes resulting from the use of this material. All non-original material featured in this podcast is either used with explicit permission from the copyright owner or is believed to fall under the Fair Use provisions of U.S. copyright law for purposes such as education, commentary, and criticism. If you believe any material has been used improperly, please contact the author directly so the matter can be promptly reviewed and addressed.
#TEE #Echocardiography #Anesthesia #Cardiology #CriticalCare #EmergencyMedicine #Sonographer #CardiacSurgery #FOAMed #POCUS #Ultrasound #Anesthesiology #Perioperative #CardiacAnesthesia #AnesthesiaPodcast #Anesthesiology #Echo #SurgeryPodcast #AdvancedTEE #PerioperativeTEE #TTE #Sonography #PulmCrit #TEETime #TransesophagealEchocardiography #CICU #CVICU #ICU #Valve #CABG #LVAD #ECMO #CPB #Transplant #StructuralHeart #CardiopulmonaryBypass
Tuesday Mar 11, 2025
Tuesday Mar 11, 2025
Mastering TEE Probe Insertion - Techniques and Troubleshooting
In Episode 4 of TEE Time, we delve into the intricacies of safe and effective TEE probe insertion under general anesthesia. We cover the importance of pre-insertion checks, proper patient positioning, and the step-by-step procedure for insertion. Furthermore, we discuss troubleshooting techniques for difficult insertions and the role of video laryngoscopes in reducing complications. The episode emphasizes gentle handling and knowing when to seek help from a gastroenterologist.
00:00 Introduction to TEE Probe Insertion
01:42 Pre-Insertion Preparations
03:54 Insertion Techniques and Tips
05:52 Post-Insertion Considerations
06:43 Troubleshooting Difficult Insertions
09:41 Advanced Troubleshooting and Techniques
12:16 Conclusion and Next Steps
DISCLAIMER: This podcast provides recommendations intended for educational purposes only and should not be used as the sole basis for making medical decisions. The information reflects expert opinions rather than scientifically-verified data, and no express or implied warranties are made regarding its accuracy, completeness, or fitness for any particular purpose. Listeners are encouraged to verify all information independently and consult additional reliable sources. Neither the authors, publishers, nor any parties involved assume responsibility for any errors, omissions, or outcomes resulting from the use of this material. All non-original material featured in this podcast is either used with explicit permission from the copyright owner or is believed to fall under the Fair Use provisions of U.S. copyright law for purposes such as education, commentary, and criticism. If you believe any material has been used improperly, please contact the author directly so the matter can be promptly reviewed and addressed.
#TEE #TEETime #TransesophagealEchocardiography #Podcast #TEETimePodcast #Anesthesiology #CardiacAnesthesia #Echocardiography #CardiacSurgery #Ultrasound #POCUS #Anesthesia #Cardiology #Sonographer #CriticalCare #EmergencyMedicine #AnesthesiaPodcast #AnesthesiologyPodcast #CardiologyPodcast #EchoPodcast #SurgeryPodcast #ClinicalEchocardiography #AdvancedTEE #MedicalPodcast #PerioperativeTEE #TTE #SonographerPodcast #Sonography #CriticalCarePodcast #AndreasPlackis #Valve #CABG #VAD #ECMO #Transplant #Tamponade #StructuralHeart #CardiopulmonaryBypass #TEEEducation
#PerioperativeAnesthesia #AnesthesiaMatters #HeartHealth #CardiacCare #AnesthesiaEducation #AnesthesiaInsights #ValveSurgery #MitralValve #AorticValve #TricuspidValve #PulmonaryValve #ValveEvaluation #MitralRegurgitation #AorticRegurgitation #TricuspidRegurgitation #PulmonaryRegurgitation #ValveStenosis #MitralStenosis #AorticStenosis #TricuspidStenosis #PulmonaryStenosis #Endocarditis #ProstheticHeartValve #LVAD #IABP #Impella #CardiacMasses #AorticDissection #Aneurysm #HeartTransplant #LungTransplant #CardiacTamponade #TEEImaging #LVFunction #RVFunction #GradientEvaluation #MechanicalSupport #TEEContraindications #LVHypertrophy #AorticInsufficiency #TAVR #MitralClip #ParavalvularLeak #PISA #VentricularSeptalDefect #AtrialSeptalDefect #CardiacPathology #IntraoperativeMonitoring #EchoTraining #AnesthesiaTips #AnesthesiaCare #EchoPearls #HeartFailure #CongenitalHeartDisease #RescueTEE #ImagingGuidance #EchoTechniques #Echocardiographer #EchoForAnesthesiologists #EchoInAnesthesia #EchoInPractice #HeartTeam #EchoInnovation #HeartPodcast #TEEProbes #ColorDoppler #SpectralDoppler #2DEcho #3DEcho #EchocardiographyTips #EchoGradients #TEEViews #MitralValveRepair #AorticValveReplacement #TricuspidValveRepair #PulmonicValveSurgery #VenaContracta #FlowReversal #CardiacOutput #StrokeVolume #HeartImaging #ClinicalCases #EchoCases #TEEGuidelines #AorticRoot #SinusOfValsalva #InterventionalEcho #CardiacAnatomy #EchoSafety #EchoApplications #SurgicalGuidance #TEEProtocols #HeartAssessment #EchoParameters #ValveFunction #EchocardiographyEducation #AdvancedCardiacImaging #TEEReview #EchoMasters #HeartVisualization #EchoEvaluation #DopplerAnalysis #EchoChallenges #CardiovascularSurgery #EchoSolutions #AorticEvaluation #EndocarditisEcho #HeartSurgerySupport #EchoTrainingTips #SurgicalEchocardiography #EchoMeasurements #HeartValveImaging #PericardialDiseases #HeartMonitoring #EchoTechniquesExplained #TEEExperts #EchoTechniquesDeepDive #TEECaseStudies #InnovativeEcho #EchoForSurgeons #EchoEssentials #TEEInsights #EchoTools #EchoFundamentals #CardiacCaseDiscussions #TEEInnovation #EchoUpdates #HeartSurgeryInsights #IntraOpTEE #EchoMasterclass #EchoCaseFiles #TEEProtocolsExplained #EchoImagingSkills #ValvularHeartDisease #EchoPioneers #EchoSimplified #EchocardiographySimplified #EchoQuickTips #HeartDiagnosticTips #InnovativeHeartCare #TEEHeartFocus #EchoBreakdown #HeartSciencePodcast #CardiacAnesthesiaPodcast #EchocardiographyFuture #EchoPractice #TEEPractice
Tuesday Feb 25, 2025
Tuesday Feb 25, 2025
Understanding TEE Contraindications and Safe Practices
In Episode 3 of 'TEE Time,' Dr. Plackis discusses when NOT to use Transesophageal Echocardiography (TEE). The episode elaborates on perioperative scenarios where TEE might be risky, different guidelines regarding its contraindications, and a proprietary acronym 'PROBE' (Patent, Robust, Other, Bleeding, Explore) to assess TEE safety. It also covers steps to minimize risks during TEE probe insertion and manipulation, explores specific pathologies like esophageal varices, strictures, and prior surgeries, and emphasizes GI consultation for high-risk patients.
00:00 Introduction to TEE Safety
00:32 Shoutout and Music Credits
00:46 Clinical Questions and TEE Risks
01:05 Understanding TEE Contraindications
02:26 The PROBE System for TEE Safety
03:45 Reducing TEE Probe Risks
06:29 Specific Pathologies and TEE
10:02 Key Takeaways and Conclusion
10:44 Next Episode Preview and Closing
DISCLAIMER: This podcast provides recommendations intended for educational purposes only and should not be used as the sole basis for making medical decisions. The information reflects expert opinions rather than scientifically-verified data, and no express or implied warranties are made regarding its accuracy, completeness, or fitness for any particular purpose. Listeners are encouraged to verify all information independently and consult additional reliable sources. Neither the authors, publishers, nor any parties involved assume responsibility for any errors, omissions, or outcomes resulting from the use of this material. All non-original material featured in this podcast is either used with explicit permission from the copyright owner or is believed to fall under the Fair Use provisions of U.S. copyright law for purposes such as education, commentary, and criticism. If you believe any material has been used improperly, please contact the author directly so the matter can be promptly reviewed and addressed.
#TEE #TEETime #TransesophagealEchocardiography #Podcast #TEETimePodcast #Anesthesiology #CardiacAnesthesia #Echocardiography #CardiacSurgery #AnesthesiaPodcast #AnesthesiologyPodcast #CardiologyPodcast #EchoPodcast #SurgeryPodcast #ClinicalEchocardiography #AdvancedTEE #MedicalPodcast #PerioperativeTEE #TTE #SonographerPodcast #Sonography #CriticalCarePodcast #AndreasPlackis #Valve #CABG #VAD #ECMO #Transplant #Tamponade #StructuralHeart #CardiopulmonaryBypass #TEEEducation #Ultrasound
Saturday Feb 15, 2025
Saturday Feb 15, 2025
When should you reach for TEE in the perioperative setting? What does the evidence say? In Episode 2 of TEE Time, we explore the clinical scenarios where transesophageal echocardiography (TEE) provides critical benefits. From cardiac and non-cardiac surgery to interventional cardiology, electrophysiology, and critical care, we break down the guidelines, key studies, and real-world applications of perioperative TEE.
Tune in to gain clinically relevant, high-yield insights that you can apply in your practice.
DISCLAIMER: This podcast provides recommendations intended for educational purposes only and should not be used as the sole basis for making medical decisions. The information reflects expert opinions rather than scientifically-verified data, and no express or implied warranties are made regarding its accuracy, completeness, or fitness for any particular purpose. Listeners are encouraged to verify all information independently and consult additional reliable sources. Neither the authors, publishers, nor any parties involved assume responsibility for any errors, omissions, or outcomes resulting from the use of this material. All non-original material featured in this podcast is either used with explicit permission from the copyright owner or is believed to fall under the Fair Use provisions of U.S. copyright law for purposes such as education, commentary, and criticism. If you believe any material has been used improperly, please contact the author directly so the matter can be promptly reviewed and addressed.
#TEE #TEETime #TransesophagealEchocardiography #Echocardiography #Podcast #Perioperative #Anesthesia #CardiacSurgery #Cardiology #Sonography #CriticalCare
Friday Jan 31, 2025
Friday Jan 31, 2025
Join Dr. Andreas Plackis, a Vanderbilt-trained cardiac anesthesiologist and TEE enthusiast, as he introduces TEE Time—the first-ever video podcast dedicated to Perioperative Transesophageal Echocardiography (TEE). In this episode, he shares the inspiration behind the podcast and his mission to transform TEE education with high-yield, concise, and clinically relevant content. Learn why TEE is essential for intraoperative decision-making, patient outcomes, and the evolving role it plays in perioperative care. Subscribe now to join in mastering perioperative TEE!
DISCLAIMER: This podcast provides recommendations intended for educational purposes only and should not be used as the sole basis for making medical decisions. The information reflects expert opinions rather than scientifically-verified data, and no express or implied warranties are made regarding its accuracy, completeness, or fitness for any particular purpose. Listeners are encouraged to verify all information independently and consult additional reliable sources. Neither the authors, publishers, nor any parties involved assume responsibility for any errors, omissions, or outcomes resulting from the use of this material. All non-original material featured in this podcast is either used with explicit permission from the copyright owner or is believed to fall under the Fair Use provisions of U.S. copyright law for purposes such as education, commentary, and criticism. If you believe any material has been used improperly, please contact the author directly so the matter can be promptly reviewed and addressed.
#TEE #TEETime #TransesophagealEchocardiography #Anesthesiology #CardiacAnesthesia #Echocardiography #CardiacSurgery #AnesthesiaPodcast #AnesthesiologyPodcast #CardiologyPodcast #SurgeryPodcast #ClinicalEchocardiography #AdvancedTEE #MedicalPodcast #PerioperativeTEE #TTE #SonographerPodcast #Sonography #CriticalCarePodcast #AndreasPlackis #Valve #CABG #VAD #Transplant #StructuralHeart #CardiopulmonaryBypass #Ultrasound