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1、PerioperativeTEERotation@MHMC.CourseDirector:CharlesSmith,MD.Faculty:DonVoltz,MDMatthewJoy,MDAugustoTorres,MDCharlesSmith,MDElizabethSteele,MDObjectives.1.Understandthephysicsofultrasoundanditsincorporationintocurrentechocardiographytechnology.2.Learnthebasicpri
2、nciplesof2Decho,colorflow,andspectraldoppler.3.Learntorecognizethebasiccardiacanatomythroughthevariousechocardiographicviews.4.Havethebasicknowledgenecessarytoevaluaterightandleftventricularfunctionaswellasregionalwallmotion.5.Befamiliarwiththebasicvalvularpatho
3、physiologyandtheintraoperativeassessmentofheartvalvesandtheaorta.6.Learntheuseofintraoperativeechoinmeasuringhemodynamics,i.e.,pressuregradients,valveareas.7.Developtheskillstointerprettheuseofechoasadiagnostictoolinmanagementofhemodynamicallyunstableandcritical
4、lyillpatients.8.Beawareofthecommoninterpretationerrors,artifacts,equipmentpitfalls,andlimitationsofechocardiographySpecifics.1.ReviewthehandoutsandintroductoryCDs.2.Read2chaptersofSidebothamTEEtexteachday.Startonday1.3.ReviewtheCDROMofstandardTEEviewswithmoviecl
5、ipsthatcorrespondwitheachchapter.Studyandmemorize8views:mid-esophageal4chamber,midesophageal2chamber,midesophageallongaxis,midesophagealaorticvalveshortaxis,mid-esophagealaorticvalvelongaxis,RVinflow-outflow,Bicaval,transgastricbasalshortaxis,transgastricmidpapi
6、llarylongaxis4.Studyandmemorize4transthoracicviews:parasternallongaxis,parasternalshortaxis,apical4chamberandapical2chamber5.CheckeachdayifthereareanyintraoperativeTEEs.AnyheartcaseisapotentialTEEcase.Reviewthepreopecho(TTEorTEE).Assistwithroompreparationandlunc
7、hesintheheartroompertheCTAttending.6.Ifnoheartcase,contactcardiologyechofelloweachdayinordertoobserveTEEsperformedforcardiologyindication.Theywillusuallybedoneonthe3rdfloor.7.Inyoursparetime,introduceyourselftothecardiologyechostaffinthenoninvasivereadingroom,3r
8、dfloor.Tryandobserveatleast5transthoracicechostudiesbeingreadintheechoreadingroomeveryday.ReadingMaterial.Handouts:1.MemotoAnesthesiaProvidersrePeriopTEEusingtheIE33.
