Get the free Transesophageal Echocardiogram - UW Medicine

Patient Education Echocardiography Lab Transesophageal Echocardiogram Read this handout to learn about a transesophageal echocardiogram, a special ultrasound of your heart that is taken through your

How to fill out transesophageal echocardiogram - uw

How to fill out a transesophageal echocardiogram - UW:

1. Prepare the patient: Before performing the transesophageal echocardiogram, ensure that the patient has fasted for at least 6 hours to minimize the risk of aspiration. Explain the procedure to the patient and obtain informed consent.
2. Position the patient: Place the patient in the left lateral decubitus position to facilitate passage of the transesophageal echocardiogram probe. Ensure that the patient's neck is extended and provide appropriate padding to ensure comfort.
3. Administer local anesthesia: Apply a topical anesthetic spray or gel to the posterior pharynx to minimize discomfort during probe insertion. Allow a few minutes for the anesthetic to take effect before proceeding.
4. Insert the transesophageal echocardiogram probe: Gently insert the probe through the patient's mouth and into the esophagus. Advance the probe carefully while monitoring the patient's response and adjusting the probe angle as necessary to obtain optimal imaging.
5. Obtain images: Activate the transesophageal echocardiogram probe to obtain a series of high-quality images of the heart and surrounding structures. Manipulate the probe and adjust settings as needed to visualize specific cardiac structures and evaluate for any abnormalities.
6. Document findings: Record detailed findings from the transesophageal echocardiogram examination, including measurements, observations, and any abnormalities detected. Use standardized terminology and clearly describe any relevant anatomical or functional abnormalities.

Who needs a transesophageal echocardiogram - UW:

1. Patients with suspected heart valve abnormalities: Transesophageal echocardiograms are often indicated for evaluating the structure and function of heart valves, particularly when there is suspicion of valve stenosis or regurgitation. The test can provide detailed information on valve morphology, motion, and any associated complications.
2. Patients with suspected intracardiac masses or thrombi: Transesophageal echocardiograms are useful in identifying intracardiac masses, such as tumors or blood clots (thrombi). The close proximity of the esophagus to the heart allows for better visualization of these structures compared to a standard transthoracic echocardiogram.
3. Patients with suspected congenital heart disease: Transesophageal echocardiography can be employed as a complementary imaging tool in the evaluation of congenital heart disease. It provides detailed visualization of cardiac structures, allowing for accurate diagnosis, assessment of severity, and guidance for interventions if needed.
4. Patients undergoing cardiac surgery: Transesophageal echocardiograms are commonly used intraoperatively during cardiac surgery to assess valve function, ventricular size and function, and potential complications. The real-time imaging allows for immediate decision-making and adjustment during surgery.
5. Patients with suspected infective endocarditis: Transesophageal echocardiography is highly sensitive in detecting infective endocarditis, particularly when the infection involves the heart valves. The detailed imaging can identify vegetations, abscesses, and other signs of infection within the heart.

In summary, a transesophageal echocardiogram - UW is filled out by following a specific procedure involving patient preparation, positioning, probe insertion, image acquisition, and documentation of findings. This procedure is most commonly performed on patients with suspected heart valve abnormalities, intracardiac masses or thrombi, congenital heart disease, undergoing cardiac surgery, and those with suspected infective endocarditis.

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