How to facilitate the placement of a transesophageal probe in a ventilated patient?

Transesophageal probe insertion in the ventilated patients often is difficult. Different complex techniques were suggested for easier placement of the transesophageal probe. In this work, we describe a simple technique of TEE probe insertion in ventilated patients. In the period 2015–2018, 66 transe...

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Bibliographic Details
Published in:Journal of critical care 2019-04, Vol.50, p.66-68
Main Authors: Leitman, Marina, Fuchs, Shmuel, Ilgiyaev, Eduard
Format: Article
Language:English
Subjects:
Adult
Aged
Algorithms
Echocardiography, Transesophageal - methods
Esophagus
Female
Humans
Intensive care
Male
Mechanical ventilation
Medical procedures
Middle Aged
Mouth
Patients
Respiration, Artificial
Transesophageal probe insertion
Ventilators
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Description
Summary:Transesophageal probe insertion in the ventilated patients often is difficult. Different complex techniques were suggested for easier placement of the transesophageal probe. In this work, we describe a simple technique of TEE probe insertion in ventilated patients. In the period 2015–2018, 66 transesophageal echocardiographic examinations in anesthetized ventilated patients were carried out in accordance with the standard algorithm developed by us. During the transesophageal examination, all the patients were in the left decubital position and with their head tilted forward. In all the patients, TEE was done smoothly, from the 1st attempt, without complications. In the anesthetized intubated and ventilated patients, the TEE probe can be easily inserted when the patient is in the left decubital position. We suggest this algorithm in all such patients, when appropriate.
ISSN:0883-9441
1557-8615
DOI:10.1016/j.jcrc.2018.11.020