• A & A case reports · Oct 2014

    Facilitating transesophageal echocardiography probe placement by esophageal bougie in an anesthetized patient.

    • Martin M Stechert and Martin J London.
    • From the Department of Anesthesia, University of California, San Francisco, San Francisco, California.
    • A A Case Rep. 2014 Oct 15;3(8):100-3.

    AbstractThe reported adverse effects of perioperative transesophageal echocardiography (TEE) are mostly associated with the insertion and manipulation of the TEE probe. Recent data suggest that blind probe insertion may be associated with greater morbidity than reported previously. Although this morbidity appears to be subclinical with unknown effects on patient outcome, evaluation of strategies for insertion is warranted. Herein, we present a novel insertion technique using a soft-tipped esophageal bougie as a guide for blind TEE probe insertion in a patient undergoing cardiac surgery. The potential advantages and related safety issues are discussed.

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