Transesophageal echocardiography (TEE) is an invasive procedure that is undertaken by a suitably qualified physician, with assistance from a nurse and a sonographer. This SIMTICS module teaches you how to prepare for and assist with transesophageal echocardiography (TEE). It also covers how to perform stress echocardiography, where the heart is imaged under simulated exercise conditions. The interactive simulator provides three scenarios that test your ability to assist with TEE and to perform stress echocardiography. Online simulations offer a safe practice environment and also give you the opportunity to try out procedures that you might not otherwise experience. This module is ideal if you are studying for the American Registry for Diagnostic Medical Sonography (ARDMS) registry exams.
You’ll learn
about transesophageal echocardiography (TEE), including the indications and protocols for TEE
the standard views obtained during a TEE examination
how to work with the physician during a TEE examination to obtain optimal images and carry out all necessary measurements
the scanning protocol for stress echocardiography
how to evaluate normal and abnormal stress echocardiography images
to better visualize and understand the anatomy and physiology of the heart, with our 3D model and illustrations
and more (see “Content Details” for more specific information).
Introduction
Step 1 - Preparation
Step 1.1 - Equipment preparation
Step 1.2 - Patient preparation
Step 1.2.1 - Position the patient
Step 1.2.2 - Apply ECG electrodes
Step 1.3 - Operator preparation
Step 2 - Select the transducer and apply the gel
Step 3 - Obtain the four primary views
Step 3.1 - Obtain the 0 degree view
Step 3.2 - Obtain the 45 degree view
Step 3.3 - Obtain the 90 degree view
Step 3.4 - Obtain the 135 degree view
Step 4 - Obtain the longitudinal TEE views
Step 4.1 - Obtain the 90 degree counterclockwise (slight leftward tip placement) rotation view
Step 4.2 - Obtain the 90 degree clockwise (slight rightward tip placement) rotation view
Step 4.3 - Obtain the 100 degree view (neutral tip position)
Step 5 - Obtain the transgastric multiplane views
Step 5.1 - Obtain the 0 degree view
Step 5.2 - Obtain the 90 degree view
Step 5.3 - Obtain the 120 degree view
Step 6 - Obtain the pulmonary artery bifurcation views
Step 6.1 - Obtain the 0 degree view
Step 7 - Obtain the left atrial appendage views
Step 7.1 - Obtain the 90 degree view
Step 8 - Obtain the thoracic aorta views
Step 8.1 - Obtain the 0 degree view
Step 8.2 - Obtain the 90 degree view
Step 9 - Remove probe
Step 10 - Complete the procedure
Step 11 - Stress echocardiography
Step 11.1 - Types of stress echocardiography
Step 11.2 - Scanning protocol for stress echocardiography
Step 11.2.1 - Clinical indications
Step 11.2.2 - Protocol
Step 11.3 - Normal stress echocardiography
Step 11.4 - Abnormal stress echocardiography
Step 11.5 - Regional wall motion analysis
Step 11.6 - Comparison of stress echocardiography with nuclear imaging
All required reference materials are provided with this program. Technical requirements:
Internet Connection
• Broadband or High-Speed (DSL, Cable, Wireless)
Hardware Requirements
• Processor - 2GHz Processor or Higher
• Memory - 1 GB RAM Minimum Recommended
Software Requirements
• Operating Systems - Windows 7, 8 or 10; Mac OS x 10 or higher
• Microsoft Office 2007, 2010 or 2013 or a Word Processing application to save and open Microsoft Office formats (.doc, .docx, .xls, .xlsx, .ppt, .pptx)
• Internet Browsers - Google Chrome is highly recommended
• Cookies MUST be enabled
• Pop-ups MUST be allowed (Pop-up Blocker disabled)
• Adobe PDF Reader
This class is an independent-study course. Students will have all the resources needed to successfully complete the course within the online material. A student helpdesk is available for technical support during the course enrollment.
Transesophageal Echocardiography and Stress Echocardiography Simulation FAQs
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