3. When NOT to use TEE - Contraindications

Understanding TEE Contraindications and Safe Practices In Episode 3 of ’TEE Time,’ Dr. Plackis discusses when NOT to use Transesophageal Echocardiography (TEE). The episode elaborates on perioperative scenarios where TEE might be risky, different guidelines regarding its contraindications, and a proprietary acronym ’PROBE’ (Patent, Robust, Other, Bleeding, Explore) to assess TEE safety. It also covers steps to minimize risks during TEE probe insertion and manipulation, explores specific pathologies like esophageal varices, strictures, and prior surgeries, and emphasizes GI consultation for high-risk patients. 00:00 Introduction to TEE Safety 00:32 Shoutout and Music Credits 00:46 Clinical Questions and TEE Risks 01:05 Understanding TEE Contraindications 02:26 The PROBE System for TEE Safety 03:45 Reducing TEE Probe Risks 06:29 Specific Pathologies and TEE 10:02 Key Takeaways and Conclusion 10:44 Next Episode Preview and Closing

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TEE Time is the first-of-its-kind video podcast dedicated to the use of transesophageal echocardiography (TEE) in the perioperative setting. It is specifically designed for anesthesiologists, cardiologists, cardiac surgeons, cardiac sonographers, emergency medicine providers, and cardiac ICU team members. Dr. Andreas Plackis is a triple board-certified, Vanderbilt-trained cardiac anesthesiologist and TEE enthusiast whose mission is to transform perioperative TEE education by delivering high-yield, concise video episodes packed with clinically relevant TEE tips and expert recommendations to elevate your practice. TEE Time episodes take a case-based approach, diving deep into how TEE is best utilized throughout the perioperative setting, including valve repair and replacement, temporary and durable mechanical support, aortic dissection, heart and lung transplants, structural heart interventions, rescue echo, non-cardiac surgery, and much more! If you want to enhance your TEE skills and improve patient care, subscribe now and join on this journey to mastering perioperative TEE! 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. Keywords: TEE, Echocardiography, Anesthesia, Cardiology, Critical Care, Emergency Medicine, Sonographer, Cardiac Surgery, FOAMed, POCUS, Ultrasound, Anesthesiology, Perioperative, Cardiac Anesthesia, Anesthesia Podcast, Echo, Surgery Podcast, Advanced TEE, Perioperative TEE, TTE, Sonography, PulmCrit, TEE Time, Transesophageal Echocardiography, CICU, CVICU, ICU, Valve, CABG, LVAD, ECMO, CPB, Transplant, Structural Heart, Cardiopulmonary Bypass, Monitoring, Echo Training, Anesthesia Tips, Anesthesia Care, Echo Pearls, Heart Failure, Congenital Heart Disease, Rescue TEE, Imaging Guidance, Echo Techniques, Valve Stenosis, Mitral Stenosis, Aortic Stenosis, Tricuspid Stenosis, Pulmonary Stenosis, Endocarditis, Prosthetic Heart Valve, IABP, Impella, Cardiac Masses, Aortic Dissection, Aneurysm, Heart Transplant, Lung Transplant, Cardiac Tamponade, TEE Imaging, LV Function, RV Function, Gradient Evaluation, Mechanical Support, TEE Contraindications, LV Hypertrophy, Aortic Insufficiency, TAVR, Mitral Clip, Paravalvular Leak, PISA, Ventricular Septal Defect, Atrial Septal Defect, Cardiac Pathology, Intraoperative Monitoring, Echo Training, Anesthesia Tips, Anesthesia Care, Echo Pearls, Heart Failure, Congenital Heart Disease, Rescue TEE, Imaging Guidance, Echo Techniques, Echocardiographer Keywords w/ Hashtag: #TEE #Echocardiography #Anesthesia #Cardiology #CriticalCare #EmergencyMedicine #Sonographer #CardiacSurgery #FOAMed #POCUS #Ultrasound #Anesthesiology #Perioperative #CardiacAnesthesia #AnesthesiaPodcast #Anesthesiology #Echo #Surgery #AdvancedTEE #PerioperativeTEE #TTE #Sonography #PulmCrit #TEETime #TransesophagealEchocardiography #CICU #CVICU #ICU #ResuscitativeTEE #Valve #ACLS