TEE for exclusion of left atrial appendage thrombosis.

All you need to know about TEE before electrical cardioversion of atrial fibrillation.

[salmanmunir]

Very nice video however I want to indicate a few points.

POSITION& PREMEDICATION

In underdeveloped countries it is often done without giving any midazolam or propofol however I believe it should be done with pre medication that will tame the patient into a cooperative mode and make it easier for him to bear it.

I/V LINE
For a patient in left lateral position the IV line got to be in the right forearm and for a right lateral position the IV line got to be in the left forearm. So it may be done in either left or right lateral positions depending upon the logistics of the facility.

Regarding position of the patient left lateral position is to be preferred as the scope has to be moved from the right hand in. As soon as the probe is into a oesophagus we change the hands and hold the hub of the scope in our right hand right hand, that makes things easier for rest of the procedure. However whether you use left or right lateral position the active or introducing hand has to be right hand for a right handed operator.
If the procedure is going to be of longer duration then it may be prudent to keep the head end of the patient at a slightly lower level in order to enable flow of salivary secretions in absence of suction. If suction is available then it may be done at 30 or 45 degrees head up.

[aymansaeyeldin]

your videos are of such high quality and amazing teaching thank you very much for all your hard work and fantastic demonstrations

[Drchamomile]

Thank you so much Prague ICU!!! You have no idea how you are uplifting my career. I just started training in cardiology and this is amazing!!!

[traxxlamarion]

Had this done and dont remember any of it thanks to the versed

[andreaanpa]

Good Job, thanks for the usefull video

[irishrose]

I would need to be sedated no way. I had TEE done before my ablation a few weeks back. During my ablation I went into cardiac arrest and they did CPR intubation etc. I woke up intubated. I couldn't move cuz they gave me a paralytic. I couldn't talk with the tube. I was absolutely terrified. (After that experience no way could I ever do this awake). I had a pacemaker installed next day.

[Waltermomany]

I underwent this process today, and I'm here out of curiosity to find out how they did it

[Aga-rh]

Czy nie jest to stresujace badanie i czy dyskomfort nie powoduje ze serce bije szybciej ?

[khawlasamih]

Please, what is the name of the process when the nurse takes a needle of air and a needle of serum and starts moving them opposite each other?

[jpeterson]

What if patient has sore throat and coughing up pleghm for 4 days later?

[selkyaraujo]

Por que lloraba si estaba anesteciada por completa a que se debe

[AdriannaBorowska-ly]

Już wolę normalne badanie na takie nigdy bym się nie zdecydowała

[Raes]

had this done completely conscious 2 times. i did not enjoy it.