3. When NOT to use TEE - Contraindications

Understanding TEE Contraindications and Safe Practices In Episode 3 of ’TEE Time,’ Dr. Plackis discusses when NOT to use Transesophageal Echocardiography (TEE). The episode elaborates on perioperative scenarios where TEE might be risky, different guidelines regarding its contraindications, and a proprietary acronym ’PROBE’ (Patent, Robust, Other, Bleeding, Explore) to assess TEE safety. It also covers steps to minimize risks during TEE probe insertion and manipulation, explores specific pathologies like esophageal varices, strictures, and prior surgeries, and emphasizes GI consultation for high-risk patients. 00:00 Introduction to TEE Safety 00:32 Shoutout and Music Credits 00:46 Clinical Questions and TEE Risks 01:05 Understanding TEE Contraindications 02:26 The PROBE System for TEE Safety 03:45 Reducing TEE Probe Risks 06:29 Specific Pathologies and TEE 10:02 Key Takeaways and Conclusion 10:44 Next Episode Preview and Closing