5. The MOST Efficient TEE Exam

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

 

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