I have substantial experience with cardioverting patients while the
TEE probe remains in place. This is relatively common during cardiac
surgery. Some patient require no shock, other multiple. We have
(conservatively) delivered in excess of 10,000 shocks--with a TEE
probe in place--without any known problem related to the probes.
Additionally, the energies used are usually 5-6x what is used for
AFib. I searched the manual (Sonus 5500) and didn't anything
proscribing cardioversion with a TEE probe in place. (A TEE probe
with that warning would not get many sales for use in an OR setting.)
Hello, I have been a sonographer for 10 years now and I am working with a cardiologist in a community hospital who keeps insisting that it is safe to...
Sure, it is a good thing to do if you want to be sued. Wayne ... From: echocardiography@yahoogroups.com [mailto:echocardiography@yahoogroups.com]On Behalf Of...
Maybe he likes talking to lawyers.........dude pull the probe out.......when in doubt....ask yourself...would you allow this to happen to you? bryml...
I guess I need an education. Granted, his doing a TEE is to see if there's a clot present that would preempt the cardioversion, and I'm unsure of his...
I have see that done in 2 hospitals (one in Massachusetts and one in NY), I am not aware of any literatures about it, the safety concern I heard is more about...
Hi, We did this in Jersey too but we unplugged the probe from machine but left it down thier throoat which is probably what your docs are doing. That is safe....
katie bittner
rdcs1959@...
Jul 25, 2007 9:52 pm
Have you checked the probes for leakage following any of these procedures? Besides damaging the crystals, I can't imagine that the sheer power of the ...
... I would understand the rationale for leaving the probe in if the heart is to be examined with TEE after the cardioversion. Removing the probe for the...
Speaking from the anesthesiologist standpoint - I would never allow a probe to be down during administration of sedation for cardioversion - because of the...
I would like to ask about SonoScape portable machine it is new in the market with competitive price But what about its durability and performance in cardiac...
I would suggest that you read the manual for your system regarding use of the TEE probe. I am quite sure that it will tell you not to do this (for safety...
There is no clinical reason to leave the TEE probe in place during a cardioversion. The only conceivable reason for doing so would be a research protocol of...
Okay, because I was curious about his question, I asked one of my cardiologists who has done lots of research. He told me that yes, he has done cardioversions...
I have seen the TEE probe left down one time during a cardioversion. It was a patient that was nearly 400lbs without transthoracic images, even with Definity....
When I was in fellowship, we performed cardioversion with TEE probe down, as we were part of a study looking at this atrial stunning. However, there is no real...
I have substantial experience with cardioverting patients while the TEE probe remains in place. This is relatively common during cardiac surgery. Some...
... poster's concerns. The original post was fairly generic with regard to what was wrong about leaving the probe in place. There were multiple posts that ...
... That would undoubtedly be the case if there was merit to this practice (i.e. if leaving the TEE probe in situ). But there isn't and outside of the context...
The absence of evidence is not evidence of its absence. Simply because there has not yet been an adverse event does not make the procedure either safe or wise....
I would like to thank everyone who replied to my original question. There were alot of different angles that everyone took. I think I learned alot and came...
... because there ... safe or ... I agree. But that doesn't mean that speculation and experience should be on an equal footing. Absence of an occurrence DOES...
... Atrial stunning is a well known phenomenon which affects the vast majority of patients of AF post cardioversion. Which is one of the reasons that formal...
Even though in the cases where there is an airway problem after cardioversion with the TEE probe down, how long does it take to take the probe out? ... From:...
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