Difficult TEE Probe Placement: The Evidence, Troubleshooting Techniques, and a Guide to Alternative Monitoring Options for Intraoperative Physicians

被引：12

作者：

Hillenbrand, Karl D. ^{[1
]}

Racine, Christopher L. ^{[1
]}

McNeil, John S. ^{[1
]}

Kleiman, Amanda M. ^{[1
]}

机构：

[1] Univ Virginia, Charlottesville, VA USA

来源：

SEMINARS IN CARDIOTHORACIC AND VASCULAR ANESTHESIA | 2019年 / 23卷 / 04期

关键词：

transesophageal echocardiography; complications; intraoperative transesophageal echocardiography; intracardiac echocardiography; transthoracic echocardiography; epicardial echocardiography; epiaortic echocardiography; TRANSESOPHAGEAL ECHOCARDIOGRAPHY PROBE; EPICARDIAL ECHOCARDIOGRAPHY; AMERICAN-SOCIETY; TRANSTHORACIC ECHOCARDIOGRAPHY; INTRACARDIAC ECHOCARDIOGRAPHY; ASSISTED INSERTION; ASCENDING AORTA; CARDIAC-SURGERY; IMAGE QUALITY; ADULT;

D O I：

10.1177/1089253219842836

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Transesophageal echocardiography (TEE) imaging has become an essential component of many open and interventional cardiac procedures and has increasing use in monitoring for noncardiac procedures, partly because of an aging population. Whether expected or not, encountering difficulty when inserting the TEE probe presents the anesthesiologist with a conundrum. Repeated insertion attempts increase the risk of a serious complication; however, proceeding without TEE may be unacceptable to the proceduralist or surgeon. The aim of this review is to present the spectrum of complications possible with TEE, propose several evidence-based insertion tips, examine potential alternative cardiac imaging options, and finally, propose a roadmap for providers who encounter difficulty when placing a TEE probe.

引用

页码：369 / 378

页数：10