Transesophageal Echocardiography and Stress Echocardiography

Sonography Fundamentals

Materials Included

Text
Video
Anatomy
Quiz

Transesophageal echocardiography is an invasive procedure that is undertaken by a suitably qualified physician, with assistance from a nurse and a sonographer.

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Transesophageal echocardiography (TEE) is an invasive procedure that is undertaken by a suitably qualified physician, with assistance from a nurse and a sonographer. This SIMTICS module teaches you how to prepare for and assist with transesophageal echocardiography (TEE). It also covers how to perform stress echocardiography, where the heart is imaged under simulated exercise conditions. The interactive simulator provides three scenarios that test your ability to assist with TEE and to perform stress echocardiography. Online simulations offer a safe practice environment and also give you the opportunity to try out procedures that you might not otherwise experience. This module is ideal if you are studying for the American Registry for Diagnostic Medical Sonography (ARDMS) registry exams.

You’ll learn

about transesophageal echocardiography (TEE), including the indications and protocols for TEE
the standard views obtained during a TEE examination
how to work with the physician during a TEE examination to obtain optimal images and carry out all necessary measurements
the scanning protocol for stress echocardiography
how to evaluate normal and abnormal stress echocardiography images
to better visualize and understand the anatomy and physiology of the heart, with our 3D model and illustrations
and more (see “Content Details” for more specific information).

Introduction

Step 1 - Preparation

Step 1.1 - Equipment preparation

Step 1.2 - Patient preparation

Step 1.2.1 - Position the patient

Step 1.2.2 - Apply ECG electrodes

Step 1.3 - Operator preparation

Step 2 - Select the transducer and apply the gel

Step 3 - Obtain the four primary views

Step 3.1 - Obtain the 0 degree view

Step 3.2 - Obtain the 45 degree view

Step 3.3 - Obtain the 90 degree view

Step 3.4 - Obtain the 135 degree view

Step 4 - Obtain the longitudinal TEE views

Step 4.1 - Obtain the 90 degree counterclockwise (slight leftward tip placement) rotation view

Step 4.2 - Obtain the 90 degree clockwise (slight rightward tip placement) rotation view

Step 4.3 - Obtain the 100 degree view (neutral tip position)

Step 5 - Obtain the transgastric multiplane views

Step 5.1 - Obtain the 0 degree view

Step 5.2 - Obtain the 90 degree view

Step 5.3 - Obtain the 120 degree view

Step 6 - Obtain the pulmonary artery bifurcation views

Step 6.1 - Obtain the 0 degree view

Step 7 - Obtain the left atrial appendage views

Step 7.1 - Obtain the 90 degree view

Step 8 - Obtain the thoracic aorta views

Step 8.1 - Obtain the 0 degree view

Step 8.2 - Obtain the 90 degree view

Step 9 - Remove probe

Step 10 - Complete the procedure

Step 11 - Stress echocardiography

Step 11.1 - Types of stress echocardiography

Step 11.2 - Scanning protocol for stress echocardiography

Step 11.2.1 - Clinical indications

Step 11.2.2 - Protocol

Step 11.3 - Normal stress echocardiography

Step 11.4 - Abnormal stress echocardiography

Step 11.5 - Regional wall motion analysis

Step 11.6 - Comparison of stress echocardiography with nuclear imaging

Describe and discuss transesophageal echocardiography (TEE).
Discuss the indications and protocols for TEE, and identify standard TEE views.
Describe and discuss stress echocardiography.
Evaluate normal and abnormal stress echocardiography images.
Define and use related medical terminology.
Explain the Patient Privacy Rule (HIPAA) and Patient Safety Act.

The SIMTICS modules are all easy to use and web-based. This means they are available at any time as long as the learner has an internet connection. No special hardware or other equipment is required, other than a computer mouse for use in the simulations. Each of the SIMTICS modules covers one specific procedure or topic in detail. Each module contains:

an online simulation (available in Learn and Test modes)
descriptive text, which explains exactly how to perform that particular procedure including key terms and hyperlinks to references
2D images and a 3D model of applied anatomy for that particular topic
a step by step video demonstration by an expert
a quiz
a personal logbook that keeps track of all the modules the learner has studied and how long