By Martin G. St. John Sutton, Alan R. Maniet, Jerry Blaivas, David A. McGowan, David Gordon, Stuart Stanton

Clinically correct emphasis right here presents the reader with an authoritative evaluation of what ideas can be found and what photographs may be got. The multiplane probe, paediatric and 3D probes, and colour stream Doppler are integrated.

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Extra resources for An Atlas of Multiplane Transesophageal Echocardiography

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Unconscious patient In the unconscious or anesthetized patient a different approach is required, since the patient is usually in the supine or semi-supine position and intubated. These patients are usually the easiest to perform esophageal echocardiograms upon, but the operator must pay careful attention to the endotracheal tube to avoid extubating the patient. The object of esophageal intubation is to adequately open the oropharynx to allow passage of the probe. If a nasogastric tube is in place, it may be necessary to remove it in order to pass Normal transesophageal echocardiographic examination 23 the transducer after initially aspirating the gastric contents.

J Thorac Cardiovascular Surg 1989;91:329–37. 16. Fraser AG. Disease of the mitral and tricuspid valves. In: Suther-land GR, Roelandt JRTC, Fraser AG, Anderson RH (eds). Transesophageal echocardiography in clinical practice. Gower Medical Publisher: London, 1991. 17. Mendelson LS, Steers JC, Pieniek MS, et al. Is there utility for transesophageal echocardiography during routine coronary artery surgery (abstract)? Circulation 1996;94(suppl 1):455. 18. Freeman WK, Schaff HV, Khandheria BK, et al. Intraoperative evaluation of mitral valve regurgitation and repair by transesophageal echocardiography: incidence and significance of systolic anterior motion.

30). 31) to notify the laboratory directly if any problems are encountered or if questions arise after the transesophageal echocardiogram. Transesophageal echocardiography scope care Following the procedure the transesophageal echocardiography transducer also requires special attention. The probe should be carefully inspected for damage (bite marks, breaks in the integrity of the protective insulating cover, normal probe tip movement). Periodically the transducer should be checked for electrical leakage, to ensure electrical safety according to manufacturer’s recommendations.

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