Rob Arntfield, MD, FRCPC and Atul Jaidka, MD, PGY2 takes us through the fundamentals of performing a transesophageal echocardiography (TEE). This video uses a live demonstration to introduce probe manipulation, how to obtain different views, and how to landmark for these different views. The techniques being presented will help you in performing goal-directed TEE in critically ill patients, whether it be for visualizing valvular [...]
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Critical Care Transesophageal Echocardiography (TEE) For most point-of-care needs, one can do both basic and more advanced applications of echocardiography with transthoracic scanning. However, there ARE times whereby having ability to perform transesophageal echocardiography (TEE) can be extremely helpful in the point-of-care. This is especially true when windows are hard to obtain in transthoracic echo (TTE) during a technically difficult study, or when a more sensitive and specific [...]
In this case a sudden deterioration in the emergency department prompts a TTE which shows some concerning physiology. It is not until the TEE is inserted, however, that the culprit disease can be identified. *Images courtesy of Dr. Drew Thompson, Division of EM, Western University https://www.youtube.com/watch?v=i8gAObUA-vY Case Highlights: *TEE in the ED is valuable for critically ill patients *TEE has advanced diagnostic potential, including the identification [...]
The transesophageal approach echocardiography has numerous advantages for those providing resuscitation to the critically ill, including those with cardiac arrest. While the transthoracic approach is often quite useful, quality images in ventilated patients are more challenging. Thus, the reliable, high quality image acquisition of TEE is very attractive for the resus room. It is, however, the continuous nature of TEE - due to the probe [...]
The point of care, critical care ultrasound (CCUS) program at Western University has become enabled with transesophageal echo (TEE) capability. The arrival of new TEE transducers that function on the bedside, point of care machines in all our ICU’s will allow for expanded capabilities in properly trained hands. With several Critical Care Western program faculty (as well as some fellows) being trained in TEE use, [...]
Greetings POCUS people! The weather finally seems to have calmed down (this westcoast girl has been sweltering in the humidity - bring on the rain!), the leaves are turning, and the smell of pumpkin spice lattes fills the air. It's officially fall - a whole new season of POCUS goodness. The Case This is a 69-year old male post-PEA arrest admitted with [...]
Happy Monday POCUS enthusiasts! First off - as Dany mentioned last week, his time with us has sadly ended and I'll be taking the reins as the sole POCUS fellow and COTW curator. I don't expect to be able to match his level of Dad jokes (he did write the answers to last week's COTW below, for those of you needing one last plethora [...]
The last week of August is here already so get your whites out before they go out of fashion (done this mean I need to drop my gain after labor day?). If you're feeling that pre long weekend prostration the POCUS posse is here to help you power(doppler) through. The Case Our case of the week features a 63M admitted in the [...]
A blithesome beginning of the week my B-line chasing brethren (and sisteren?) Hopefully you've all returned home energized from the recent CRUS course and are ready to Make Artefacts Great Again! If you're still looking for a little extra inspiration, the COTW/COTG has you covered, so let's get down to business. The Case Our first case features a 69F admitted with SOB [...]
Happy Monday A-line Aficionados, The best week of the year is finally here, CRUS week! It's time to see old friends, share some laughs and rediscover the pleasure of finding the costodiaphragmatic angle in healthy volunteers. But for now, lube up it's COTW time! The Case Our COTW case comes from ED POCUS Pro Pedagogue Drew Thompson. It features a young gentleman with testicular cancer and a history of [...]