Emerging technology review| Volume 23, ISSUE 4, P544-548, August 2009

Transesophageal Echocardiography Simulator: A New Learning Tool

Published:March 20, 2009DOI:https://doi.org/10.1053/j.jvca.2009.01.014
      TRANSESOPHAGEAL ECHOCARDIOGRAPHY (TEE) is a minimally invasive monitoring modality. The initial use of TEE was limited to the acquisition of images in patients with suboptimal echo windows during transthoracic echocardiography. Its role has exponentially expanded to become almost a standard of care during cardiac surgery and a valuable procedural adjunct.
      • Mahmood F.
      • Christie A.
      • Matyal R.
      Transesophageal echocardiography and noncardiac surgery.
      Although the definitive direct benefit of utilization of TEE during high-risk noncardiac surgery is lacking, its role during life-threatening hemodynamic instability is well established.
      Practice guidelines for perioperative transesophageal echocardiography A report by the American Society of Anesthesiologists and the Society of Cardiovascular Anesthesiologists Task Force on Transesophageal Echocardiography.
      However, proficiency in the performance of a TEE examination requires significant training and expertise. Training in perioperative TEE presently is available only as part of a dedicated fellowship year (cardiac anesthesia) in addition to the core anesthesia training years only at major academic centers. Furthermore, competence can be established by either successfully taking the National Board of Echocardiography Special Competence in Perioperative TEE to achieve the “testamur” status or the “board-certified” status by showing continued performance of TEE at a consistent level.

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