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High-Quality Transesophageal Echocardiography

  • 1st Edition - January 25, 2022
  • Latest edition
  • Author: David T. Linker
  • Language: English

High-Quality Transesophageal Echocardiography presents a step-by-step approach aimed to help readers understand how to perform a high-quality transesophageal echocardi… Read more

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Description

High-Quality Transesophageal Echocardiography

presents a step-by-step approach aimed to help readers understand how to perform a high-quality transesophageal echocardiogram. The book explains the steps, tips, tricks, and troubleshooting tactics for performing a transesophageal echocardiogram effectively and with highest diagnostic utility, while ensuring patient safety and comfort.

High-Quality Transesophageal Echocardiography is suitable for a wide audience from early learners of the technique who want to accelerate their progress and boost their confidence to those already qualified in the procedure who want to pick up tips to increase the quality and effectiveness of their practice.

Key features

  • Divides the procedures into easy-to-read sections, allowing readers to quickly refer to a specific section on the go
  • Features colored illustrations to help with understanding, as well as animations and videos in the e-book version
  • Provides detailed explanations for all parts of the procedure, including tips for imaging specific structures.

Readership

Cardiology fellows, cardiologists, cardiac sonographers, anesthesiologists, other clinicians, cardiology researchers

Table of contents

    1. Introduction and how to use this book

    How to use this book

    PART I Practical

    2. Design and physical features of the probe

    Overall structure of the probe

    The transducer

    The movable tip

    The body

    The control handle

    3. Patient safety and comfort

    Airway and sedation considerations

    Patient specific considerations

    General considerations

    Procedural plan

    Consent

    4. Introduction of the probe

    Anesthetizing the oropharynx

    Positioning of the patient

    Use of a bite block

    Other considerations

    Inspecting and preparing the probe

    Breakdown of steps in inserting the probe

    Passing the larynx

    5. Positioning and moving the probe

    Surveying a structure

    Moving from one structure to another

    6. Optimizing image quality

    Echo windows

    Centering a structure

    Unobstructed views

    Problems and solutions

    Alternative presentations

    Optimizing for 3-D

    7. Strategies for specific structures

    Left ventricle

    Aortic valve

    Aorta

    Mitral valve

    Left atrium

    Left atrial appendage

    Pulmonary veins

    Atrial septum

    Right atrium

    Tricuspid valve

    Right ventricle

    8. An effective examination sequence

    9. End of the examination, and post-procedure

    Removal of the probe

    Safety of the patient

    Documentation and communication

    Processing of the probe

    PART II Theoretical

    10. Ultrasound

    Transmission, reflection and generation of ultrasound

    Spectral Doppler

    Color Doppler

    Three-dimensional imaging

    Mechanical and thermal index

    11. Instrumentation

    Control panel

    Depth and focus

    Structural imaging parameters

    Frequency and tissue harmonic imaging

    Power and temperature

    Dynamic range, compression and gray map

    Color flow map

    Glossary

    12. Anatomy

    Variability of tipping of the left ventricle in the sagittal plane

    Presence of echo windows

    Variability of orientation of the mitral valve

    Variable orientation of the right ventricular outflow tract and main

    pulmonary artery

    Relation of descending aorta to left heart and arch to the descending aorta

    Size relationship of the oropharynx to the probe

    Anatomy of the esophagus and larynx

    PART III Resources

    13. Resources

    Anatomy

    Bioeffects

    General

    Guidance

    Mechanical complications/safety e general

    Mechanical complications/safety - perioperative

    Medications and medication effects

    Sedation

    Product details

    • Edition: 1
    • Latest edition
    • Published: January 25, 2022
    • Language: English

    About the author

    DL

    David T. Linker

    David Linker is an associate professor of medicine and bioengineering at the University of Washington and the director of the inpatient cardiology consultation service at University of Washington Medical Center in Seattle, Washington, USA. In addition to his 40 years of experience in general cardiology and 30 years of performing transesophageal echocardiography, he is an expert in congenital heart disease and echocardiography. His current research focuses on teaching of procedural skills and new methods for costeffective diagnosis of asymptomatic atrial fibrillation to prevent stroke. He was the engineering project leader for one of the world’s first intravascular ultrasound systems. In addition, Dr. Linker participated in the creation of the Seattle Heart Failure Model, a practical tool to help physicians and patients understand the potential benefits of therapies. He is board-certified in internal medicine, cardiology, and pediatrics and is a fellow of the American College of Cardiology, the American Society of Echocardiography, and the European Society of Cardiology.
    Affiliations and expertise
    Associate Professor of Medicine in Cardiology University of Washington, Seattle, Washington, USA

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