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Purpose: Transesophageal probe insertion in the ventilated patients often is difficult. Different complex techniques were suggested for easier placement of the transesophageal probe. In this work, we describe a simple technique of TEE probe insertion in ventilated patients.
Methods And Results: In the period 2015-2018, 66 transesophageal echocardiographic examinations in anesthetized ventilated patients were carried out in accordance with the standard algorithm developed by us. During the transesophageal examination, all the patients were in the left decubital position and with their head tilted forward. In all the patients, TEE was done smoothly, from the 1st attempt, without complications.
Conclusion: In the anesthetized intubated and ventilated patients, the TEE probe can be easily inserted when the patient is in the left decubital position. We suggest this algorithm in all such patients, when appropriate.
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http://dx.doi.org/10.1016/j.jcrc.2018.11.020 | DOI Listing |
Future Cardiol
August 2025
Cardiovascular Institute, Detroit Medical Center, Detroit, Michigan, USA.
The role of echocardiography is critical in the diagnostic evaluation and management of ischemic stroke, especially cryptogenic stroke, in which the cause is unknown. About 15-30% of ischemic strokes are caused by cardiogenic embolism, making cardiac imaging a critical component of evaluation. Guidelines from the American Heart Association and the American College of Cardiology highlight the importance of echocardiography and mobile cardiac telemetry or implantable loop recorders to identify possible sources of cardiac embolism and monitor for atrial fibrillation, thus guiding secondary prevention.
View Article and Find Full Text PDFInt J Comput Assist Radiol Surg
August 2025
Biomedical Engineering, University of Technology Eindhoven, Groene Loper 3, 5612 AE, Eindhoven, The Netherlands.
Purpose: Valvular heart disease affects 2.5% of the general population and 10% of people aged over 75, with many patients untreated due to high surgical risks. Transcatheter valve therapies offer a safer, less invasive alternative but rely on ultrasound and X-ray image guidance.
View Article and Find Full Text PDFWest J Emerg Med
June 2025
Washington University School of Medicine, Department of Emergency Medicine, St. Louis, Missouri.
Introduction: Resuscitative transesophageal echo (rTEE) is a promising adjunct to cardiac arrest resuscitation. However, it is a high-acuity diagnostic tool that is rarely used in this setting and its safety establishment is limited because of low occurrence. High-acuity, low occurrence skills such as rTEE during cardiac arrest inevitably decay.
View Article and Find Full Text PDFCardiovasc Ultrasound
August 2025
Department of Medicine, Columbia University Irving Medical Center/New York-Presbyterian Hospital, 177 Fort Washington Avenue, New York, NY, 10032, USA.
With the growing complexity of structural heart disease procedures, the need for advanced intraprocedural imaging has become increasingly critical. Transesophageal echocardiography remains the gold standard for procedural guidance but is associated with risks such as upper gastrointestinal tract injury and the need for general anesthesia for patient comfort and safety. Miniaturized three-dimensional transesophageal echocardiography (miniTEE) probes offer a promising solution by providing high-resolution imaging which could be performed under conscious sedation.
View Article and Find Full Text PDFBMC Anesthesiol
July 2025
Department of Anesthesiology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, 325000, China.
Background: Transesophageal echocardiography (TEE) is a vital diagnostic procedure, but retching can be provoked during TEE examination, potentially resulting in severe complications. The internal branch of the superior laryngeal nerve (iSLN) block has potential to attenuate supraglottic discomfort and inhibit the retching caused by foreign body stimulation in the larynx and glottis. Therefore, the objective of this study was to evaluate the efficacy of iSLN block in mitigating complications associated with TEE examinations and improving patient comfort.
View Article and Find Full Text PDF