Ap2 Cardiac Tee

Front 1

1. What are the indications for TEE during cardiac surgery?

Back 1

a. Used to direct the surgical procedure and diagnose unanticipated problems and complications.
b. Monitors cardiac function

Front 2

2. What are the Three categories of TEE usefulness based on strength of evidence in lit:

Back 2

a. Category 1: Valve repair, congential heart defects, hypertrophic obstructive cardiomyopathy, obstructive cardiomyopathy, aortic dissection, infective endocarditis, and life threatening hemodynamics.

b. Category 2: Monitoring for MI, valve replacement,cardiac aneurysms, intracardiac tumors

c. Category 3: myocardial perfusion, monitoring for emboli, placement for intraoperative balloon pumps and PA catheters.

Front 3

3. What are the complications of TEE?

Back 3

a. Dental /oral trauma
b. Laryngeal dysfunction
c. Endotracheal tube displacement
d. UGI bleed
e. Esophageal perforation

Front 4

what are teh ABSOLUTE contraindications of TEE?

Back 4

1. pt refusal
2. esophageal stricture
3. Esophageal perforation
4. Obstructing esophageal neoplasms
5. Active GI bleed
6. Cervical spine instability

Front 5

What are the 4 modes of TEE monitoring?

Back 5

1. 2D
2. Pulsed wave doppler
3. Color wave Doppler
4. Continous Wave doppler

Front 6

What is 2D TEE used for?

Back 6

2D is used for evaluating ventricular function, Valvular function, Masses and defects

Front 7

What is pulsed Wave TEE doppler used for?

Back 7

Used for low velocity flows such as : pulmonary veins, mitral valve flows

Front 8

What is Color Wave TEE doppler used for?

Back 8

Measures direction and velocity of flow.
Blue= flow away from probe.
Red= flow toward probe
White/Green = high velocity flows

Front 9

What is the Continuous Wave TEE Doppler used for?

Back 9

Measures velocities along entire cursor (less specific than pulsed wave)
Used for high velocity flows: Aortic valve or stenotic valve.

Front 10

Does TEE provide a Quantitative or Qualitative assessment of the heart?

Back 10

Qualitative