Role of Point of care TEE for prosthetic valves, pleural effusion or ascites and the pulsatility index in transcranial doppler

In this episode, we start by taking you through our take on the role of point of care TEE for prosthetic valves. We then discuss a case where looking beyond the pleura was important in identifying large volume ascites causing restriction of diaphragmatic excursion. Finally we touch on transcranial doppler and the pulsatility index. Tune in to listen to the discussion between Dr Robert Arntfield, Dr. Thamer Alaifan, Dr Mathilde Gaudreau-Simard and Dr Jag Brar.

For questions, comments or feedback, please email us at [email protected]
Post-production by Hubert Gaudreau-Simard
Multimedia support by Brian Park, Meds 2023
Music: Nightchaser by Shane Ivers – https://www.silvermansound.com

Clips

Clip 1: Bioprosthetic aortic valve in deep transgastric TEE view

Clip 2: Large volume ascites rather than pleural effusion likely responsible for restrictive respiratory failure

Transcranial doppler

Lau VI, Jaidka A, Wiskar K, Packer N, Tang JE, Koenig S, Millington SJ, Arntfield RT. Better With Ultrasound: Transcranial Doppler. Chest. 2020 Jan;157(1):142-150. doi: 10.1016/j.chest.2019.08.2204. Epub 2019 Sep 30. PMID: 31580841.