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An update on transesophageal echocardiography views 2016: 2D versus 3D tee views


1 Department of Cardiac Anaesthesia, Cardio Neuro Centre, All India Institute of Medical Sciences, New Delhi, India
2 Department of Anaesthesia and Critical Care, Narayana Hrudayalaya Hospitals, Bangalore, Karnataka, India
3 Distinguished Professor of Medicine and Cardiovascular Disease, University of Alabama at Birmingham, Alabama, USA
4 Department of Critical Care and Anaesthesiology, Medicity-The Medanta, Gurgoan, Haryana, India
5 Department of Anesthesia, SAL Hospital, Ahmedabad, Gujarat, India
6 Department of Cardiac Anaesthesia, Fortis Escorts Hospital, Faridabad, Haryana, India

Correspondence Address:
Poonam Malhotra Kapoor
Department of Cardiac Anaesthesia, CTC, AIIMS, New Delhi, India - 110 029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.192624

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Year : 2016  |  Volume : 19  |  Issue : 5  |  Page : 56-72

 

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In 1980, Transesophageal Echocardiography (TEE) first technology has introduced the standard of practice for most cardiac operating rooms to facilitate surgical decision making. Transoesophageal echocardiography as a diagnostic tool is now an integral part of intraoperative monitoring practice of cardiac anaesthesiology. Practice guidelines for perioperative transesophageal echocardiography are systematically developed recommendations that assist in the management of surgical patients, were developed by Indian Association of Cardiac Anaesthesiologists (IACTA). This update relates to the former IACTA practice guidelines published in 2013 and the ASE/EACTA guidelines of 2015. The current authors believe that the basic echocardiographer should be familiar with the technical skills for acquiring 28 cross sectional imaging planes. These 28 cross sections would provide also the format for digital acquisition and storage of a comprehensive TEE examination and adds 5 more additional views, introduced for different clinical scenarios in recent times. A comparison of 2D TEE views versus 3D TEE views is attempted for the first time in literature, in this manuscript. Since, cardiac anaesthesia variability exists in the precise anatomic orientation between the heart and the oesophagus in individual patients, an attempt has been made to provide specific criteria based on identifiable anatomic landmarks to improve the reproducibility and consistency of image acquisition for each of the standard cross sections.






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1 Department of Cardiac Anaesthesia, Cardio Neuro Centre, All India Institute of Medical Sciences, New Delhi, India
2 Department of Anaesthesia and Critical Care, Narayana Hrudayalaya Hospitals, Bangalore, Karnataka, India
3 Distinguished Professor of Medicine and Cardiovascular Disease, University of Alabama at Birmingham, Alabama, USA
4 Department of Critical Care and Anaesthesiology, Medicity-The Medanta, Gurgoan, Haryana, India
5 Department of Anesthesia, SAL Hospital, Ahmedabad, Gujarat, India
6 Department of Cardiac Anaesthesia, Fortis Escorts Hospital, Faridabad, Haryana, India

Correspondence Address:
Poonam Malhotra Kapoor
Department of Cardiac Anaesthesia, CTC, AIIMS, New Delhi, India - 110 029
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.192624

Rights and Permissions

In 1980, Transesophageal Echocardiography (TEE) first technology has introduced the standard of practice for most cardiac operating rooms to facilitate surgical decision making. Transoesophageal echocardiography as a diagnostic tool is now an integral part of intraoperative monitoring practice of cardiac anaesthesiology. Practice guidelines for perioperative transesophageal echocardiography are systematically developed recommendations that assist in the management of surgical patients, were developed by Indian Association of Cardiac Anaesthesiologists (IACTA). This update relates to the former IACTA practice guidelines published in 2013 and the ASE/EACTA guidelines of 2015. The current authors believe that the basic echocardiographer should be familiar with the technical skills for acquiring 28 cross sectional imaging planes. These 28 cross sections would provide also the format for digital acquisition and storage of a comprehensive TEE examination and adds 5 more additional views, introduced for different clinical scenarios in recent times. A comparison of 2D TEE views versus 3D TEE views is attempted for the first time in literature, in this manuscript. Since, cardiac anaesthesia variability exists in the precise anatomic orientation between the heart and the oesophagus in individual patients, an attempt has been made to provide specific criteria based on identifiable anatomic landmarks to improve the reproducibility and consistency of image acquisition for each of the standard cross sections.






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