Anaes · Cardiac anaesthesia
TOE for anaesthetists
Also known as Perioperative TOE · ASE SCA views · Intraoperative echocardiography
Exam-exhaustive perioperative TOE for anaesthetists: ANZCA PS46 governance, contraindications and complications, ASE/SCA standard views, basic versus comprehensive examination, pre- and post-CPB checklists, crisis imaging for weaning failure, air, SAM, dissection and tamponade, and integration with CPB numbers for ANZCA Final and equivalents.
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After separation from CPB following mitral repair, BP is 70/40 despite noradrenaline. The surgeon asks: "Is this bleeding, or is it the repair?" The TOE probe is in. The examiner asks: "What do you look for, and in what order?"[2]
This topic rewards systematic imaging language and punishes random wanders around the heart.[2]
You have read the opening of this topic. The complete unit — every section and its primary-source references — is part of the Anaesthesia fellowship atlas.
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- [1]Mazer CD, Whitlock RP, Fergusson DA, et al. Restrictive or Liberal Red-Cell Transfusion for Cardiac Surgery N Engl J Med, 2017.PMID 29130845
- [2]Hahn RT, Abraham T, Adams MS, et al. Guidelines for performing a comprehensive transesophageal echocardiographic examination: recommendations from the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists J Am Soc Echocardiogr, 2013.PMID 23998692
- [3]Levy JH, et al. What's fishy about protamine? Clinical use, adverse reactions, and potential alternatives J Thromb Haemost, 2023.PMID 37062523