GOALS AND
OBJECTIVES FOR
TRANSESOPHAGEAL
ECHOCARDIOGRAPHY ELECTIVE
Rama S. Kulkarni, MD
Competency: Patient care skills and Medical Knowledge
·
Understand physical principles of
ultrasound technology and their intraoperative
application
o
Understand the basic principles of 2D
echo, spectral and color Doppler echocardiography
o
Learn to conduct basic TEE
examination, recognize basic cardiac anatomy, and evaluate basic right and left
ventricular function and cardiac valves
·
Understand left ventricular (
o
Myocardial
o
o
Qualitative and quantitative
assessment
·
Improve understanding of
cardiovascular physiology by utilizing vital parameters provided by TEE and its
application in optimizing cardiac function and vital organ perfusion.
o
o
o
Understanding of basic diastolic
function
o
Use of TEE in determining etiology
and extent of diastolic dysfunction
·
Be able to discuss how conventional hemodynamic monitoring techniques such as the pulmonary
artery (PA) catheter compare to TEE. Pros and cons of each:
o
Be able to discuss challenges faced
in applying Lt ventricular pressure parameters provided by PA catheter
monitoring in estimating left ventricular filling in patients with
hypertensive and valvular heart disease with
hypertrophied or dilated left ventricle
o
Application of knowledge gained from
TEE training in better understanding and decision making process of critically ill
patients in the surgical intensive care unit setting post-operatively.
·
Ultrasound and vascular cannulation
o
Understand the rationale for the use
of ultrasound technology to guide central venous catheter placement. Become
familiar with views for vascular cannulation.