Sonography / Echocardiography / Transesophageal Echocardiography and Stress Echocardiography

Transesophageal Echocardiography and Stress Echocardiography

$25 / per module


Transesophageal echocardiography (TEE) is an invasive procedure that is undertaken by a suitably qualified physician, with assistance from a nurse and a sonographer. This SIMTICS module teaches you how to prepare for and assist with transesophageal echocardiography (TEE). It also covers how to perform stress echocardiography, where the heart is imaged under simulated exercise conditions. The interactive simulator provides three scenarios that test your ability to assist with TEE and to perform stress echocardiography. Online simulations offer a safe practice environment and also give you the opportunity to try out procedures that you might not otherwise experience. This module is ideal if you are studying for the American Registry for Diagnostic Medical Sonography (ARDMS) registry exams.

You’ll learn

  • about transesophageal echocardiography (TEE), including the indications and protocols for TEE
  • the standard views obtained during a TEE examination
  • how to work with the physician during a TEE examination to obtain optimal images and carry out all necessary measurements
  • the scanning protocol for stress echocardiography
  • how to evaluate normal and abnormal stress echocardiography images
  • to better visualize and understand the anatomy and physiology of the heart, with our 3D model and illustrations
  • and more (see “Content Details” for more specific information).

Materials Included:

  • text_iconText
  • video_iconVideo
  • anatomy_iconAnatomy
  • quiz_iconQuiz
Step 1 - Preparation
Step 1.1 - Equipment preparation
Step 1.2 - Patient preparation
Step 1.2.1 - Position the patient
Step 1.2.2 - Apply ECG electrodes
Step 1.3 - Operator preparation
Step 2 - Select the transducer and apply the gel
Step 3 - Obtain the four primary views
Step 3.1 - Obtain the 0 degree view
Step 3.2 - Obtain the 45 degree view
Step 3.3 - Obtain the 90 degree view
Step 3.4 - Obtain the 135 degree view
Step 4 - Obtain the longitudinal TEE views
Step 4.1 - Obtain the 90 degree counterclockwise (slight leftward tip placement) rotation view
Step 4.2 - Obtain the 90 degree clockwise (slight rightward tip placement) rotation view
Step 4.3 - Obtain the 100 degree view (neutral tip position)
Step 5 - Obtain the transgastric multiplane views
Step 5.1 - Obtain the 0 degree view
Step 5.2 - Obtain the 90 degree view
Step 5.3 - Obtain the 120 degree view
Step 6 - Obtain the pulmonary artery bifurcation views
Step 6.1 - Obtain the 0 degree view
Step 7 - Obtain the left atrial appendage views
Step 7.1 - Obtain the 90 degree view
Step 8 - Obtain the thoracic aorta views
Step 8.1 - Obtain the 0 degree view
Step 8.2 - Obtain the 90 degree view
Step 9 - Remove probe
Step 10 - Complete the procedure
Step 11 - Stress echocardiography
Step 11.1 - Types of stress echocardiography
Step 11.2 - Scanning protocol for stress echocardiography
Step 11.2.1 - Clinical indications
Step 11.2.2 - Protocol
Step 11.3 - Normal stress echocardiography
Step 11.4 - Abnormal stress echocardiography
Step 11.5 - Regional wall motion analysis
Step 11.6 - Comparison of stress echocardiography with nuclear imaging
  • Describe and discuss transesophageal echocardiography (TEE).
  • Discuss the indications and protocols for TEE, and identify standard TEE views.
  • Describe and discuss stress echocardiography.
  • Evaluate normal and abnormal stress echocardiography images.
  • Define and use related medical terminology.
  • Explain the Patient Privacy Rule (HIPAA) and Patient Safety Act.

The SIMTICS modules are all easy to use and web-based. This means they are available at any time as long as the learner has an internet connection. No special hardware or other equipment is required, other than a computer mouse for use in the simulations. Each of the SIMTICS modules covers one specific procedure or topic in detail. Each module contains:

  • an online simulation (available in Learn and Test modes)
  • descriptive text, which explains exactly how to perform that particular procedure including
  • 2D images and a 3D model of applied anatomy for that particular topic
  • a step by step video demonstration by an expert
  • a quiz
  • a personal logbook that keeps track of all the modules the learner has studied and how long

For more details on features and how your students can benefit from our unique system, click here.

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