Evaluation of the Supraglottic Retractor for Guided Intraopertive Transesophageal Echocardiography Probe Insertion

2006 ◽  
Vol 20 (6) ◽  
pp. 914-915 ◽  
Author(s):  
Paul G. Loubser
Keyword(s):  
Transesophageal Echocardiography ◽  
Probe Insertion

scholarly journals The Effect of Transesophageal Echocardiography Probe Insertion in Endotracheal Tube Cuff Pressure in Adult Cardiac Surgical Patients.

2021 ◽  
Vol 18 (1) ◽  
pp. 49-51
Author(s):  
Santosh Sharma Parajuli ◽  
Parbesh Kumar Gyawali ◽  
Suraj KC
Keyword(s):  
Endotracheal Tube ◽  
Transesophageal Echocardiography ◽  
Cuff Pressure ◽  
Surgical Patients ◽  
Surgical Patient ◽  
Routine Practice ◽  
Endotracheal Tube Cuff ◽  
Tube Cuff ◽  
Endotracheal Tube Cuff Pressure ◽  
Probe Insertion

 Background and Aims: Insertion of transesophageal echocardiography probe in cardiac surgical patient is a routine practice for surgical planning and decision making. However it may increase the endotracheal tube cuff pressure as it lies adjacent to the posterior wall of trachea. The aim of this study is to evaluate the changes in cuff pressure after insertion of the transesophageal echocardiography probe and after completion of initial manipulation of the transesophageal echocardiography probe during various examinations in adult cardiac surgical patients. Methods: Thirty six patients undergoing elective cardiac surgery requiring Transesophageal Echocardiography (TEE) monitoring were enrolled in the study. After induction of general anesthesia and endotracheal intubation cuff pressure were measured at 3 points of time; just after intubation (T1), after transesophageal probe insertion (T2) and after initial completion of TEE study (T3). The mean increase in cuff pressure at various point of time were compared. Results: The cuff pressure (mean±SD) at T1, T2 and T3 were 24.61±2.72, 30.22±5.61 and 32.25±4.45 cm of H2O respectively.The cuff pressure increased significantly from T1 to T2 (p<0.001) and from T1 to T3 (p<0.001). The cuff pressure was > 30 cm of H2O in 18 (50%) of patients at T3 which was readjusted back to 25-30 cm of H2O by with drawing air from the cuff. Conclusion: Endotracheal tube cuff pressure should be routinely monitored either intermittently or continuously after transesophageal echocardiography probe insertion till it is in situ and pressure should be readjusted to avoid unwanted complications.

scholarly journals The superiority of midazolam-pethidine combination in three different anesthetic methods applied in conscious sedation during transesophageal echocardiography procedure

2022 ◽  
Vol 13 (1) ◽  
pp. 38-45
Author(s):  
Hulya Yilmaz AK ◽  
Yasemin Ozsahin ◽  
Mehmet Ali Yesiltas ◽  
Sukru Arslan ◽  
Cem Bostan ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Randomized Trial ◽  
Transesophageal Echocardiography ◽  
Conscious Sedation ◽  
Deep Sedation ◽  
Physician Satisfaction ◽  
Clinical Effects ◽  
Moderate Sedation ◽  
Probe Placement ◽  
Probe Insertion

Background: During the transesophageal echocardiography (TEE) procedure, as in many other diagnostic semi-invasive applications, moderate sedation is preferred over deep sedation. Rarely, patients who cannot tolerate moderate sedation may require deep sedation when difficulties are encountered during TEE probe insertion. Although many different methods have been tried for the TEE procedure in clinical practice, the most appropriate sedation method is still controversial. Aims and Objectives: We aimed to evaluate the clinical effects of three different sedoanalgesia methods consisting of midazolam, propofol, and midazolam-pethidine combination protocols applied for conscious sedation in the patients undergoing a TEE procedure, and to evaluate the patient and doctor satisfaction during the procedure. Materials and Methods: One-hundred twenty five patients who underwent TEE for diagnostic purposes in our hospital were included consecutively in our prospective randomized trial. The patients were divided into three groups as those who were administered midazolam (group M), propofol (group Pr), and midazolam-pethidine (group MPe) during the TEE procedure. Results: In the MPe group, both patient and doctor satisfaction were significantly higher than the two groups. The rate of difficulty in probe placement was lower in the Pr and MPe groups compared to the M group (P<0.05). Conclusion: In this study, it has been observed that conscious sedation with the combination of midazolam-pethidine was significantly advantageous in terms of patient and physician satisfaction compared to the use of only midazolam and only propofol.

Transesophageal Echocardiography Probe Insertion Failure in Infants Undergoing Cardiac Surgery

2012 ◽  
Vol 8 (3) ◽  
pp. 240-245 ◽  
Author(s):  
Shari L. Wellen ◽  
Andrew C. Glatz ◽  
J. William Gaynor ◽  
Lisa M. Montenegro ◽  
Meryl S. Cohen
Keyword(s):  
Cardiac Surgery ◽  
Transesophageal Echocardiography ◽  
Probe Insertion

Transesophageal echocardiography: a new window on the heart and great vessels

1993 ◽  
Vol 13 (5) ◽  
pp. 55-66 ◽  
Author(s):  
EJ Thompson
Keyword(s):  
Transesophageal Echocardiography ◽  
Complication Rate ◽  
Stress Testing ◽  
Exercise Stress ◽  
Exercise Stress Testing ◽  
Close Observation ◽  
Great Vessels ◽  
Pediatric Use ◽  
Probe Insertion

TEE adds an exciting new dimension to the field of echocardiography. It has expanded the physician's ability to clearly examine cardiac structures and bloodflow; in many instances it has been the means by which rapid and lifesaving diagnoses have been made. The nurse collaborates with the physician during TEE by ensuring adequate preparation, remaining at the patient's bedside to assist with and monitor the effects of probe insertion and ensuring close observation and postprocedural follow up. The complication rate for TEE is negligible. Possibilities include routine pediatric use, biplane imaging and incorporation with exercise stress testing.

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