Transesophageal Echocardiography (TEE): Adding to the Skill Set

When I was completing my fellowship I dabbled a bit at performing transesophageal echocardiograms in the CCU/CVICU. I did not receive any formal training at it, though. I’ve been in practice out of fellowship for 5 years now and have made it a point to add the skill to my arsenal. On this page, I will be adding TEE resources so we can all learn together. Thankfully, I have amazing cardiac anesthesiologist colleagues who are willing and able to train me.

A start to ones required reading regarding TEE’s comes from Prager et al. who published a commentary in CHEST describing why Intensivists should have this skill set. I definitely recommend you check that short commentary out as it will fire you up.

On a paper by Rubino et al., I really enjoyed the simple layout of of the recommended views and the clinical applications. The part I hadn’t seen so well laid out was the incidence of common and important complications from TEE on Table 3.

Citations for TEE

Prager R, Ainsworth C, Arntfield R. Critical Care Transesophageal Echocardiography for the Resuscitation of Shock: An Important Diagnostic Skill for the Modern Intensivist. Chest. 2023 Feb;163(2):268-269. doi: 10.1016/j.chest.2022.09.001. PMID: 36759112.
Link to Article

Rubino A, Peck M, Miller A, et al. Focused transoesophageal TOE (fTOE): A new accreditation pathway. Journal of the Intensive Care Society. 2023;0(0). doi:10.1177/17511437231173350
Link to Article

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