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   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