In Episode 14 of TEE Time, Dr. Andreas Plackis provides an in-depth guide to mastering perioperative Transesophageal Echocardiography (TEE) and passing both the Basic and Advanced PTEeXAMs. This episode introduces a four-stage learning blueprint—beginner, intermediate, expertise, and mastery—designed to streamline the TEE learning process for various medical professionals. Key tools and resources are recommended at each stage, including websites, simulators, guidelines, textbooks, and more. Dr. Plackis emphasizes the importance of hands-on practice, mentorship, and case volume to build expertise, and offers strategies to progress from understanding basic cardiac anatomy in TEE views to influencing clinical care with advanced diagnostic skills. The episode also provides guidance on utilizing additional resources like podcasts, social media, and conferences, applicable for any stage of learning. Finally, detailed preparation tips for passing the Basic and Advanced PTEeXAMs are discussed.   00:00 Introduction to TEE Time and Episode Overview 01:07 The Importance of Efficient TEE Learning 01:56 The TEE Time Blueprint: Four Stages of Learning 04:27 Stage 1: The Beginner Stage 07:11 Stage 2: The Intermediate Stage 08:54 Stage 3: The Expertise Stage 10:23 Stage 4: The Mastery Stage 12:36 Tools for Any Stage of TEE Learning 15:36 Preparing for the Basic and Advanced PTEeXAMs 18:14 Conclusion and Next Episode Preview   #TEE #Echocardiography #Anesthesia #Cardiology #CriticalCare #EmergencyMedicine #Sonographer #CardiacSurgery #FOAMed #POCUS #Ultrasound #Anesthesiology #Perioperative #CardiacAnesthesia #AnesthesiaPodcast #Anesthesiology #Echo #Surgery #AdvancedTEE #PerioperativeTEE #TTE #Sonography #TEETime #TransesophagealEchocardiography #BasicPTE #AdvancedPTE #PTEeXAM #ICU   DISCLAIMER: This podcast provides recommendations intended for educational purposes only and should not be used as the sole basis for making medical decisions. The information reflects expert opinions rather than scientifically-verified data, and no express or implied warranties are made regarding its accuracy, completeness, or fitness for any particular purpose. Listeners are encouraged to verify all information independently and consult additional reliable sources. Neither the authors, publishers, nor any parties involved assume responsibility for any errors, omissions, or outcomes resulting from the use of this material. All non-original material featured in this podcast is either used with explicit permission from the copyright owner or is believed to fall under the Fair Use provisions of U.S. copyright law for purposes such as education, commentary, and criticism. If you believe any material has been used improperly, please contact the author directly so the matter can be promptly reviewed and addressed.   ASE GUIDELINES TO READ: •2025 LV Diastolic Function and HFpEF Diagnosis •2025 Echocardiographic Assessment of the Right Heart •2024 Imaging Patients With LVADs and Temporary MCS •2024 Evaluation of Prosthetic Valve Function •2023 Structural Heart Disease Interventions •2023 Evaluation of Rheumatic Heart Disease •2022 TEE Screening for Structural Heart Intervention •2020 Cardiac POCUS and Critical Care Echocardiography •2020 Surgical Decision-Making in the Operating Room •2019 Regurgitation after Valve Repair or Replacement •2017 Noninvasive Evaluation of Native Valvular Regurgitation •2017 Aortic Valve Stenosis •2016 Evaluation of a Cardiac Source of Embolism •2015 Management of Patients with LVADs •2015 Atrial Septal Defect and Patent Foramen Ovale •2015 Diseases of the Thoracic Aorta in Adults •2015 Cardiac Chamber Quantification •2013 Pericardial Disease •2013 Performing a Comprehensive TEE Exam •2013 Basic Perioperative TEE Exam •2012 Image Acquisition and Display Using 3D Echo •2011 Transcatheter Intervention for Valvular Heart Disease •2010 Focused Cardiac Ultrasound in Emergent Setting •2009 Echocardiographic Assessment of Valve Stenosis

In Episode 13 of TEE Time, Dr. Andreas Plackis explores the critical role of transesophageal echocardiography (TEE) in guiding mitral valve repair surgery. This episode offers a deep dive into key decision points such as repair versus replacement, comprehensive pre- and post-bypass TEE assessments, and the echocardiographic markers that influence surgical strategy. Dr. Plackis breaks down the benefits of repair, factors that predict success or failure, and the technical steps for a thorough TEE evaluation. Listeners will also gain insight into surgical goals, common repair techniques, strategies to prevent systolic anterior motion (SAM), and how to assess repair effectiveness after bypass. Whether you’re in training or refining your expertise, this episode delivers essential, high-yield knowledge to optimize outcomes in mitral valve surgery.   00:00 Introduction to Mitral Valve Repair 01:23 Advantages of Mitral Valve Repair 01:55 Factors Influencing Repair vs. Replacement 04:37 Pre Bypass TEE Assessment 13:28 Intraoperative Mitral Valve Repair Strategies 25:25 Post Bypass TEE Assessment 30:37 Conclusion and Key Takeaways 31:15 Next Episode Preview and Closing Remarks   #TEE #Echocardiography #Anesthesia #Cardiology #CriticalCare #EmergencyMedicine #Sonographer #CardiacSurgery #FOAMed #POCUS #Ultrasound #Anesthesiology #Perioperative #CardiacAnesthesia #AnesthesiaPodcast #Anesthesiology #Echo #Surgery #AdvancedTEE #PerioperativeTEE #TTE #Sonography #PulmCrit #TEETime #TransesophagealEchocardiography   DISCLAIMER: This podcast provides recommendations intended for educational purposes only and should not be used as the sole basis for making medical decisions. The information reflects expert opinions rather than scientifically-verified data, and no express or implied warranties are made regarding its accuracy, completeness, or fitness for any particular purpose. Listeners are encouraged to verify all information independently and consult additional reliable sources. Neither the authors, publishers, nor any parties involved assume responsibility for any errors, omissions, or outcomes resulting from the use of this material. All non-original material featured in this podcast is either used with explicit permission from the copyright owner or is believed to fall under the Fair Use provisions of U.S. copyright law for purposes such as education, commentary, and criticism. If you believe any material has been used improperly, please contact the author directly so the matter can be promptly reviewed and addressed.

In TEE Time Episode 12, the focus is on teaching healthcare providers how to use Transesophageal Echocardiography (TEE) to provide optimal care for patients undergoing mitral valve replacement surgery. This episode incorporates key points from previous episodes on native valve evaluation, mitral regurgitation, and mitral stenosis, and organizes them into a high-yield review of concepts. The discussion covers pre-bypass evaluations, intraprocedural guidance, and post-bypass assessments using methodologies like the six-step native valve evaluation system and the SLICK valve evaluation system. The episode includes specifics on 2D and 3D echocardiography, Doppler echocardiography, surgical approaches, cannulation, and cardioplegia strategies.   00:00 Introduction to TEE Time Episode 12 01:31 Pre Bypass Period: Six-Step Native Valve Evaluation 11:14 Intraprocedural Considerations for Mitral Valve Replacement 14:08 Post Bypass Period: SLICK Valve Evaluation System 20:26 Summary and Key Points 21:04 Conclusion and Next Episode Preview   #TEE #Echocardiography #Anesthesia #Cardiology #CriticalCare #EmergencyMedicine #Sonographer #CardiacSurgery #FOAMed #POCUS #Ultrasound #Anesthesiology #Perioperative #CardiacAnesthesia #AnesthesiaPodcast #Anesthesiology #Echo #Surgery #AdvancedTEE #PerioperativeTEE #TTE #Sonography #PulmCrit #TEETime #TransesophagealEchocardiography   DISCLAIMER: This podcast provides recommendations intended for educational purposes only and should not be used as the sole basis for making medical decisions. The information reflects expert opinions rather than scientifically-verified data, and no express or implied warranties are made regarding its accuracy, completeness, or fitness for any particular purpose. Listeners are encouraged to verify all information independently and consult additional reliable sources. Neither the authors, publishers, nor any parties involved assume responsibility for any errors, omissions, or outcomes resulting from the use of this material. All non-original material featured in this podcast is either used with explicit permission from the copyright owner or is believed to fall under the Fair Use provisions of U.S. copyright law for purposes such as education, commentary, and criticism. If you believe any material has been used improperly, please contact the author directly so the matter can be promptly reviewed and addressed.

In Episode 11 of 'TEE Time,' Dr. Andreas Plackis discusses the evaluation of mitral stenosis using transesophageal echocardiography (TEE) for patients undergoing mitral valve surgery. Key points covered include methods to evaluate mitral stenosis severity, differentiating rheumatic from calcific mitral stenosis, and the implications for surgical intervention. The episode also details the clinical impact of TEE in determining valve area, mean gradient, and pressure halftime. Finally, the episode provides a step-by-step guide on using echocardiography, including 2D, 3D, Doppler, and other cardiac data, to assess mitral stenosis and its impact on clinical decision-making.   00:00 Introduction to Mitral Stenosis and TEE 01:02 Defining Mitral Stenosis Severity 01:39 Causes and Types of Mitral Stenosis 03:19 Intervention Indications for Rheumatic Mitral Stenosis 04:58 Intervention Indications for Calcific Mitral Stenosis 06:04 Evaluating Mitral Stenosis with TEE: Step-by-Step 13:00 Quantitative Measurements for Valve Severity 15:59 3D Echocardiography in Mitral Stenosis Assessment 17:36 Other Cardiac Data in Mitral Stenosis Evaluation 20:04 Conclusion and Key Points   Watch the full podcast episodes here: Apple: buff.ly/40FJ3PB, Spotify: buff.ly/3EiXu4Q, YouTube: buff.ly/4hjb4Ul”   #TEE #Echocardiography #Anesthesia #Cardiology #CriticalCare #EmergencyMedicine #Sonographer #CardiacSurgery #FOAMed #POCUS #Ultrasound #Anesthesiology #Perioperative #CardiacAnesthesia #AnesthesiaPodcast #Anesthesiology #Echo #Surgery #AdvancedTEE #PerioperativeTEE #TTE #Sonography #CABG #TEETime #TransesophagealEchocardiography #CICU #CVICU #ICU #ResuscitativeTEE   DISCLAIMER: This podcast provides recommendations intended for educational purposes only and should not be used as the sole basis for making medical decisions. The information reflects expert opinions rather than scientifically-verified data, and no express or implied warranties are made regarding its accuracy, completeness, or fitness for any particular purpose. Listeners are encouraged to verify all information independently and consult additional reliable sources. Neither the authors, publishers, nor any parties involved assume responsibility for any errors, omissions, or outcomes resulting from the use of this material. All non-original material featured in this podcast is either used with explicit permission from the copyright owner or is believed to fall under the Fair Use provisions of U.S. copyright law for purposes such as education, commentary, and criticism. If you believe any material has been used improperly, please contact the author directly so the matter can be promptly reviewed and addressed.

TEE Time Episode 10: Evaluating Mitral Regurgitation (MR) for Valve Surgery   In Episode 10 of TEE Time, Dr. Andreas Plackis delves into the evaluation of mitral regurgitation (MR) in the context of mitral valve surgery using transesophageal echocardiography (TEE). The episode covers the critical steps and parameters for assessing the mitral valve, distinguishing between primary and secondary MR, and the implications of symptomatology in determining the need for surgical intervention. Dr. Plackis highlights the importance of clinical information, echocardiographic techniques, and guidelines from the 2020 ACC/AHA management algorithms to inform treatment pathways. Key topics include the six-step structure for assessing valvular regurgitation, Carpentier classification, and the impact of left atrial and ventricular conditions on MR severity. The episode concludes with a preview of the next topic, which will focus on evaluating mitral stenosis.   00:00 Introduction to Evaluating Mitral Regurgitation 00:42 Clinical Questions and Focus 01:47 Differentiating Primary vs. Secondary MR 03:06 Evaluating Severe Chronic Primary MR 04:15 Approach to Severe Chronic Secondary MR 05:21 Six-Step Structure for Valve Evaluation 06:58 2D Echocardiography for MR Assessment 14:43 Doppler Echocardiography Techniques 17:29 Quantitative Measures and 3D Echocardiography 19:54 Final Steps and Other Cardiac Data 21:05 Conclusion and Key Points 21:59 Outro   #TEE #Echocardiography #Anesthesia #Cardiology #CriticalCare #EmergencyMedicine #Sonographer #CardiacSurgery #FOAMed #POCUS #Ultrasound #Anesthesiology #Perioperative #CardiacAnesthesia #AnesthesiaPodcast #Anesthesiology #Echo #Surgery #AdvancedTEE #PerioperativeTEE #TTE #Sonography #PulmCrit #TEETime #TransesophagealEchocardiography #CICU #CVICU #ICU #ResuscitativeTEE

Native Valve Evaluation in Echocardiography: A Comprehensive Guide   In Episode 9 of TEE Time, Dr. Andreas Plackis provides an in-depth guide on evaluating native heart valves for potential surgical intervention. Emphasizing the importance of a holistic approach, he discusses the various factors influencing the decision-making process beyond echocardiographic severity. The episode details a six-step assessment framework, including clinical history, 2D and 3D echocardiographic imaging, Doppler measurements, and other relevant cardiac data. Dr. Plackis highlights the significance of contextualizing each finding within the broader clinical picture to make well-informed decisions about valvular interventions. Viewers are also encouraged to share their unique experiences and practices in the comments section to foster collective learning.   00:00 Introduction to Native Valve Evaluation 00:36 Key Factors in Valvular Intervention 02:10 Clinical Assessment of Patients 05:26 2D Echocardiographic Evaluation 07:55 Doppler Echocardiography Insights 10:26 Quantitative Measurements 11:53 3D Echocardiography Advantages 12:38 Other Echocardiographic Data 13:52 Summary and Key Takeaways 14:50 Conclusion and Next Episode Preview   EVERY HEART TELLS A STORY AND EACH PICTURE IS WORTH A THOUSAND WORDS   #TEE #Echocardiography #Anesthesia #Cardiology #CriticalCare #EmergencyMedicine #Sonographer #CardiacSurgery #FOAMed #POCUS #Ultrasound #Anesthesiology #Perioperative #CardiacAnesthesia #AnesthesiaPodcast #Anesthesiology #Echo #Surgery #AdvancedTEE #PerioperativeTEE #TTE #Sonography #CABG #TEETime #TransesophagealEchocardiography #CICU #CVICU #ICU #ResuscitativeTEE #ACLS

TEE Time Episode 8: Evaluating Newly Implanted Heart Valves with the SLICK System   In this episode of TEE Time, Dr. Andreas Plackis introduces the SLICK evaluation system for assessing newly implanted heart valves during cardiac surgery. The focus is on stented bioprosthetic and mechanical valves, covering key assessment points such as the sewing ring, leaflet function, insufficiency, collateral injury, and kinetics. Dr. Plackis provides detailed guidelines and visual examples to ensure a thorough yet efficient evaluation process immediately after removing the aortic cross clamp and coming off cardiopulmonary bypass. Emphasis is placed on systematic approaches and using tools like checklists to maintain focus and accuracy under high-pressure conditions.   00:00 Introduction to Episode 8: The Newly Implanted Heart Valve 00:46 Clinical Question and Focus of the Episode 01:24 Importance of Systems and Checklists 02:11 Understanding the SLICK Evaluation 04:17 S: Sewing Ring Assessment 05:10 L: Leaflet Evaluation 05:57 I: Insufficiency Check 10:14 C: Collateral Injury Examination 12:07 K: Kinetics of the Valve 14:42 Practical Tips and Conclusion 16:22 Preview of Next Episode and Closing Remarks   Keywords: SLICK valve evaluation, prosthetic valve TEE, paravalvular leak, bileaflet mechanical valve, stented bioprosthetic valve, valvular insufficiency, leaflet excursion, TEE mitral evaluation, TEE aortic valve exam, cardiopulmonary bypass weaning, valve kinetics, post-valve replacement TEE protocol, valve-related collateral injury, dimensionless index, intraoperative echo workflow. #TEE #Echocardiography #Anesthesia #Cardiology #CriticalCare #EmergencyMedicine #Sonographer #CardiacSurgery #FOAMed #POCUS #Ultrasound #Anesthesiology #Perioperative #CardiacAnesthesia #AnesthesiaPodcast #Anesthesiology #Echo #Surgery #AdvancedTEE #PerioperativeTEE #TTE #Sonography #CABG #TEETime #TransesophagealEchocardiography #CICU #CVICU #ICU #ResuscitativeTEE #ACLS #SLICKValveEvaluation, #ProstheticValveTEE, #ParavalvularLeak, #BileafletMechanicalValve, #StentedBioprostheticValve, #ValvularInsufficiency, #LeafletExcursion, #TEEMitralEvaluation, #TEEAorticValve, #WeaningFromBypass, #ValveKinetics, #PostValveReplacementTEE, #CollateralInjury, #DimensionlessIndex DISCLAIMER: This podcast provides recommendations intended for educational purposes only and should not be used as the sole basis for making medical decisions. The information reflects expert opinions rather than scientifically-verified data, and no express or implied warranties are made regarding its accuracy, completeness, or fitness for any particular purpose. Listeners are encouraged to verify all information independently and consult additional reliable sources. Neither the authors, publishers, nor any parties involved assume responsibility for any errors, omissions, or outcomes resulting from the use of this material. All non-original material featured in this podcast is either used with explicit permission from the copyright owner or is believed to fall under the Fair Use provisions of U.S. copyright law for purposes such as education, commentary, and criticism. If you believe any material has been used improperly, please contact the author directly so the matter can be promptly reviewed and addressed.

Episode 7: TEE for CABG Surgery -  Part 2: Valvular Disorders, Post-MI Complications, and other findings in CABG Surgery   In this episode of TEE Time, host Dr. Andreas Plackis discusses the importance of transesophageal echocardiography (TEE) during coronary artery bypass graft (CABG) surgery, focusing on valvular assessment and post-myocardial infarction (MI) mechanical complications. Dr. Plackis examines moderate valvular disorders such as aortic stenosis, aortic regurgitation, and secondary mitral regurgitation, referencing the latest guidelines from the ACC/AHA and European societies. He also dives into the significance of post-MI complications like ventricular septal defects, LV free wall rupture, and papillary muscle rupture. The episode concludes with a summary of key points for performing TEE effectively during CABG and a preview of the upcoming valve series.   00:00 Introduction to TEE for CABG Surgery 01:10 Valvular Assessment During CABG 02:13 Moderate Aortic Stenosis and Regurgitation 03:09 Mitral Regurgitation: Secondary and Ischemic 05:35 Guidelines and Decision-Making for MR 10:05 Additional Valvular and Aortic Considerations 11:45 Post-MI Mechanical Complications 14:49 Conclusion and Upcoming Series   Keywords: TEE, CABG, valvular assessment, aortic stenosis, myocardial infarction, mechanical complications, cardiac surgery, LV function, heart disease, wall motion, ischemic changes, dual intervention, patient comorbidities, AVR, ACC/AHA guidelines, European guidelines   #TEE #Echocardiography #Anesthesia #Cardiology #CriticalCare #EmergencyMedicine #Sonographer #CardiacSurgery #FOAMed #POCUS #Ultrasound #Anesthesiology #Perioperative #CardiacAnesthesia #AnesthesiaPodcast #Anesthesiology #Echo #Surgery #AdvancedTEE #PerioperativeTEE #TTE #Sonography #CABG #TEETime #TransesophagealEchocardiography #CICU #CVICU #ICU #ResuscitativeTEE #ACLS #myocardialinfarction

Optimal TEE Techniques for CABG Surgery - Part 1: Focus on Left Ventricular Function Assessment In this episode of TEE Time, Dr. Andreas Plackis explores the use of Transesophageal Echocardiography (TEE) during Coronary Artery Bypass Grafting (CABG) surgery. The focus is on assessing left ventricular (LV) function, including global and regional function, using methods like the eyeball test, Simpson’s biplane method, and 3D quantification. Additionally, Dr. Plackis discusses when CABG is preferable to PCI, the importance of TEE in high-risk CABG patients, and how to detect wall motion abnormalities indicative of coronary artery issues. Stay tuned for part two, which will cover valvular assessment and post-myocardial infarction complications. 00:00 Introduction to TEE for CABG Surgery 01:18 Understanding CABG vs PCI 02:43 Importance of TEE in CABG Surgery 03:45 Assessing Global LV Function 05:11 Simpson’s Biplane Method 06:42 3D Quantification of LV Function 08:38 Regional LV Function and Wall Motion Abnormalities 12:34 Practical Tips for TEE in CABG Surgery 14:29 Conclusion and Next Steps Keywords: Wall thickening, Simpson’s Biplane, paradoxical motion, global LV function, LV function, chamber quantification, mitral annulus, low-risk CABG, left circumflex lesion, 3D echocardiographic measurements, post-MI complications, end systolic volume, CABG, TEE, moderate valvular disease, 2D echocardiography, akinesis, syntax score, transgastric view, high-risk CABG, graft failure, coronary artery disease, end diastolic volume, mid esophageal view, LAD lesion, inferoseptal wall, mechanical complications, ventricular function, intraoperative TEE, regional assessment, TEE guidelines, surgical interventions, Philips system, ASE recommendations, RCA lesion, anterior wall, thrombosis, dyskinesis, left ventricle, cardiac surgery, myocardial infarction, modified Simpson’s rule, PCI, diabetic patients, 3D quantification, bypass surgery, hypokinesis, inferolateral wall, eyeball test, wall motion abnormalities. #TEE #Echocardiography #Anesthesia #Cardiology #CriticalCare #EmergencyMedicine #Sonographer #CardiacSurgery #FOAMed #POCUS #Ultrasound #Anesthesiology #Perioperative #CardiacAnesthesia #AnesthesiaPodcast #Anesthesiology #Echo #SurgeryPodcast #AdvancedTEE #PerioperativeTEE #TTE #Sonography #PulmCrit #TEETime #TransesophagealEchocardiography #CICU #CVICU #ICU #ResuscitativeTEE  #LVFunction #ChamberQuantification #CABG #CoronaryArteryDisease #LeftVentricle #WallMotionAbnormalities

In Episode 5 of ‘TEE Time’, a systematic approach to performing a Transesophageal Echocardiography (TEE) exam efficiently in a cardiac surgery setting is explored. The discussion focuses on the importance of quickly generating crucial clinical information, a key necessity in fast-paced surgical environments. A repeatable step-by-step system, summarized by the acronym L-R-S-A-S (look, rotate, slide, ascend, scan), is introduced to ensure a comprehensive examination of heart structures. The method prioritizes evaluating left-sided heart structures first, followed by the right side, the stomach, the aorta, and special findings such as the interatrial septum, pulmonary veins, and left atrial appendage. The episode also provides practical tips on maintaining speed without compromising accuracy and addresses the limitations of certain assessment techniques, such as diastolic function evaluation. Emphasizing the value of a structured approach, the discussion concludes with a preview of the next episode, which will cover TEE exams for coronary artery bypass surgery.   00:00 Introduction to Efficient TEE Exams 00:43 Setting the Stage: Clinical Questions and Previous Episodes 01:08 Goals and Systematic Approach for TEE 02:16 Introducing the L-R-S-A-S Acronym 02:57 Detailed Examination of Left-Sided Heart Structures 05:02 Evaluating the Right Heart 06:41 Transgastric Views and Aortic Examination 07:51 Special Findings and Final Steps 11:54 Review and Final Thoughts 12:53 Conclusion and Next Episode Preview   DISCLAIMER: This podcast provides recommendations intended for educational purposes only and should not be used as the sole basis for making medical decisions. The information reflects expert opinions rather than scientifically-verified data, and no express or implied warranties are made regarding its accuracy, completeness, or fitness for any particular purpose. Listeners are encouraged to verify all information independently and consult additional reliable sources. Neither the authors, publishers, nor any parties involved assume responsibility for any errors, omissions, or outcomes resulting from the use of this material. All non-original material featured in this podcast is either used with explicit permission from the copyright owner or is believed to fall under the Fair Use provisions of U.S. copyright law for purposes such as education, commentary, and criticism. If you believe any material has been used improperly, please contact the author directly so the matter can be promptly reviewed and addressed.   #TEE #Echocardiography #Anesthesia #Cardiology #CriticalCare #EmergencyMedicine #Sonographer #CardiacSurgery #FOAMed #POCUS #Ultrasound #Anesthesiology #Perioperative #CardiacAnesthesia #AnesthesiaPodcast #Anesthesiology #Echo #SurgeryPodcast #AdvancedTEE #PerioperativeTEE #TTE #Sonography #PulmCrit #TEETime #TransesophagealEchocardiography #CICU #CVICU #ICU #Valve #CABG #LVAD #ECMO #CPB #Transplant #StructuralHeart #CardiopulmonaryBypass

Mastering TEE Probe Insertion - Techniques and Troubleshooting In Episode 4 of TEE Time, we delve into the intricacies of safe and effective TEE probe insertion under general anesthesia. We cover the importance of pre-insertion checks, proper patient positioning, and the step-by-step procedure for insertion. Furthermore, we discuss troubleshooting techniques for difficult insertions and the role of video laryngoscopes in reducing complications. The episode emphasizes gentle handling and knowing when to seek help from a gastroenterologist. 00:00 Introduction to TEE Probe Insertion 01:42 Pre-Insertion Preparations 03:54 Insertion Techniques and Tips 05:52 Post-Insertion Considerations 06:43 Troubleshooting Difficult Insertions 09:41 Advanced Troubleshooting and Techniques 12:16 Conclusion and Next Steps #TEE #TEETime #TransesophagealEchocardiography #Podcast #TEETimePodcast #Anesthesiology #CardiacAnesthesia #Echocardiography #CardiacSurgery #Ultrasound #POCUS #Anesthesia #Cardiology #Sonographer #CriticalCare #EmergencyMedicine #AnesthesiaPodcast #AnesthesiologyPodcast #CardiologyPodcast #EchoPodcast #SurgeryPodcast #ClinicalEchocardiography #AdvancedTEE #MedicalPodcast #PerioperativeTEE #TTE #SonographerPodcast #Sonography #CriticalCarePodcast #AndreasPlackis #Valve #CABG #VAD #ECMO #Transplant #Tamponade #StructuralHeart #CardiopulmonaryBypass #TEEEducation #PerioperativeAnesthesia #AnesthesiaMatters #HeartHealth #CardiacCare #AnesthesiaEducation #AnesthesiaInsights #ValveSurgery #MitralValve #AorticValve #TricuspidValve #PulmonaryValve #ValveEvaluation #MitralRegurgitation #AorticRegurgitation #TricuspidRegurgitation #PulmonaryRegurgitation #ValveStenosis #MitralStenosis #AorticStenosis #TricuspidStenosis #PulmonaryStenosis #Endocarditis #ProstheticHeartValve #LVAD #IABP #Impella #CardiacMasses #AorticDissection #Aneurysm #HeartTransplant #LungTransplant #CardiacTamponade #TEEImaging #LVFunction #RVFunction #GradientEvaluation #MechanicalSupport #TEEContraindications #LVHypertrophy #AorticInsufficiency #TAVR #MitralClip #ParavalvularLeak #PISA #VentricularSeptalDefect #AtrialSeptalDefect #CardiacPathology #IntraoperativeMonitoring #EchoTraining #AnesthesiaTips #AnesthesiaCare #EchoPearls #HeartFailure #CongenitalHeartDisease #RescueTEE #ImagingGuidance #EchoTechniques #Echocardiographer #EchoForAnesthesiologists #EchoInAnesthesia #EchoInPractice #HeartTeam #EchoInnovation #HeartPodcast #TEEProbes #ColorDoppler #SpectralDoppler #2DEcho #3DEcho #EchocardiographyTips #EchoGradients #TEEViews #MitralValveRepair #AorticValveReplacement #TricuspidValveRepair #PulmonicValveSurgery #VenaContracta #FlowReversal #CardiacOutput #StrokeVolume #HeartImaging #ClinicalCases #EchoCases #TEEGuidelines #AorticRoot #SinusOfValsalva #InterventionalEcho #CardiacAnatomy #EchoSafety #EchoApplications #SurgicalGuidance #TEEProtocols #HeartAssessment #EchoParameters #ValveFunction #EchocardiographyEducation #AdvancedCardiacImaging #TEEReview #EchoMasters #HeartVisualization #EchoEvaluation #DopplerAnalysis #EchoChallenges #CardiovascularSurgery #EchoSolutions #AorticEvaluation #EndocarditisEcho #HeartSurgerySupport #EchoTrainingTips #SurgicalEchocardiography #EchoMeasurements #HeartValveImaging #PericardialDiseases #HeartMonitoring #EchoTechniquesExplained #TEEExperts #EchoTechniquesDeepDive #TEECaseStudies #InnovativeEcho #EchoForSurgeons #EchoEssentials #TEEInsights #EchoTools #EchoFundamentals #CardiacCaseDiscussions #TEEInnovation #EchoUpdates #HeartSurgeryInsights #IntraOpTEE #EchoMasterclass #EchoCaseFiles #TEEProtocolsExplained #EchoImagingSkills #ValvularHeartDisease #EchoPioneers #EchoSimplified #EchocardiographySimplified #EchoQuickTips #HeartDiagnosticTips #InnovativeHeartCare #TEEHeartFocus #EchoBreakdown #HeartSciencePodcast #CardiacAnesthesiaPodcast #EchocardiographyFuture #EchoPractice #TEEPractice

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

When should you reach for TEE in the perioperative setting? What does the evidence say? In Episode 2 of TEE Time, we explore the clinical scenarios where transesophageal echocardiography (TEE) provides critical benefits. From cardiac and non-cardiac surgery to interventional cardiology, electrophysiology, and critical care, we break down the guidelines, key studies, and real-world applications of perioperative TEE. Tune in to gain clinically relevant, high-yield insights that you can apply in your practice. #TEE #TEETime #TransesophagealEchocardiography #Echocardiography #Podcast #Perioperative #Anesthesia #CardiacSurgery #Cardiology #Sonography #CriticalCare

Join Dr. Andreas Plackis, a Vanderbilt-trained cardiac anesthesiologist and TEE enthusiast, as he introduces TEE Time—the first-ever video podcast dedicated to Perioperative Transesophageal Echocardiography (TEE). In this episode, he shares the inspiration behind the podcast and his mission to transform TEE education with high-yield, concise, and clinically relevant content. Learn why TEE is essential for intraoperative decision-making, patient outcomes, and the evolving role it plays in perioperative care. Subscribe now to join in mastering perioperative TEE! DISCLAIMER: This podcast provides recommendations intended for educational purposes only and should not be used as the sole basis for making medical decisions. The information reflects expert opinions rather than scientifically-verified data, and no express or implied warranties are made regarding its accuracy, completeness, or fitness for any particular purpose. Listeners are encouraged to verify all information independently and consult additional reliable sources. Neither the authors, publishers, nor any parties involved assume responsibility for any errors, omissions, or outcomes resulting from the use of this material. All non-original material featured in this podcast is either used with explicit permission from the copyright owner or is believed to fall under the Fair Use provisions of U.S. copyright law for purposes such as education, commentary, and criticism. If you believe any material has been used improperly, please contact the author directly so the matter can be promptly reviewed and addressed. #TEE #TEETime #TransesophagealEchocardiography #Anesthesiology #CardiacAnesthesia #Echocardiography #CardiacSurgery #AnesthesiaPodcast #AnesthesiologyPodcast #CardiologyPodcast #SurgeryPodcast #ClinicalEchocardiography #AdvancedTEE #MedicalPodcast #PerioperativeTEE #TTE #SonographerPodcast #Sonography #CriticalCarePodcast #AndreasPlackis #Valve #CABG #VAD #Transplant #StructuralHeart #CardiopulmonaryBypass #Ultrasound