Advertise on podcast: TEE Time: The Perioperative TEE Video Podcast (Anesthesia, Cardiology, Echocardiography, Sonography, Critical Care ICU)

Dr. Andreas Plackis hosts a collaborative episode of TEE Time with Dr. Jed Wolpaw on ACCRAC about “TEE for the Non-Cardiac Anesthesiologist,” released June 27, 2026 as ACCRAC episode 337 (TEE Time Episode 22). Plackis describes developing TEE Time from a fellowship project at Vanderbilt to create concise, high-yield perioperative TEE resources. Discussion also revolves around TEE’s value in high-risk non-cardiac surgery and emergencies (severe hypotension, hypoxemia, cardiac arrest), growing use by ED physicians (resuscitative TEE) and intensivists, and why TEE can outperform TTE perioperatively (faster, better views, hands-free monitoring, no CPR interruption, procedural guidance for mechanical support). They discuss  rescue TEE goals, indications/contraindications, a PCARR framework, key initial views, completing a full exam, practical setup tips, and learning approach for beginners.   ACCRAC Podcast Link: https://accrac.com/episode-337-tee-for-the-non-cardiac-anesthesiologist-with-andreas-plackis/   00:00 Podcast Crossover Intro 01:19 Meet the Guest 02:07 Origin of TEE Time 04:41 Why TEE for Noncardiac 06:48 TEE Versus TTE 08:56 Rescue TEE Basics 10:28 Perioperative Considerations 11:51 Indications and Contraindications 13:30 PCARR Shock Framework 17:05 Rescue Protocol and Views 23:36 ECMO Screening Findings 24:14 Pro Tips for Tomorrow 25:58 Beginner Guide to Learn 29:08 Wrap Up and Recommendations 31:12 Final Thanks and 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 #RescueTEE #TransesophagealEchocardiography #CVICU #ICU #ASE360   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 21, we discuss properly evaluating aortic regurgitation (AR) using TEE and how findings affect perioperative care for aortic valve repair/replacement. Building on part one, the video reviews the TEE view sequence (ME AV SAX/LAX, ME ascending aorta LAX, deep TG 5-chamber or TG LAX, ME descending aorta LAX) and the six valve-evaluation categories: clinical information, 2D echo, Doppler, quantitative parameters, 3D echo, and other echo data, remembered with the “C2-DQ-3DO” mnemonic. It covers hemodynamic effects (BP/HR), leaflet anatomy/quality/function, coaptation length, annulus/LVOT/aortic measurements and surgical thresholds, bicuspid valve classification and implications, Doppler criteria (vena contracta, jet width, pressure half-time, flow reversal), limitations of PISA/stroke-volume methods, 3D vena contracta area for EROA, and assessment of MV/LV/aorta and associated bicuspid findings, emphasizing mechanism, location, and severity using ASE 2017 guidance.   00:00 AR TEE Overview 01:13 Six Pillars Framework 02:05 Valve Robot Mnemonic 03:06 Clinical Context First 03:59 2D Valve Anatomy 06:32 Annulus And Aorta Measures 09:31 Bicuspid Valve Classification 11:19 Color Doppler Clues 13:32 Spectral Doppler Metrics 15:15 Flow Reversal In Aorta 17:00 Quant Methods Limits 17:47 3D Vena Contracta Area 19:02 Other Cardiac Data 21:26 Key Takeaways Wrap Up 22:29 Next Episode And Thanks   #TEE #Echocardiography #Anesthesia #Cardiology #CriticalCare #EmergencyMedicine #Sonographer #CardiacSurgery #FOAMed #POCUS #Ultrasound #Anesthesiology #Perioperative #CardiacAnesthesia #AnesthesiaPodcast #Anesthesiology #Echo #Surgery #AdvancedTEE #PerioperativeTEE #TTE #Sonography #PulmCrit #TEETime #RescueTEE #TransesophagealEchocardiography #CVICU #ICU #ASE360   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 20 of TEE Time, we launch the aortic valve series with Part 1 of 2 on evaluating chronic aortic regurgitation (AR) using transesophageal echocardiography (TEE), covering definitions, causes, pathophysiology, assessment goals, intervention indications, and a practical TEE view/sequence. AR (aortic insufficiency) causes inadequate forward output, LV volume/pressure overload, and potential dysfunction; acute AR (e.g., dissection, endocarditis, trauma) can rapidly raise LVEDP and cause pulmonary edema and reduced output, while chronic AR leads to eccentric hypertrophy and increased stroke volume. Mechanisms are organized by El Khoury Types I–III (normal, excessive, restricted cusp motion) with examples including STJ dilation/aneurysm, cusp perforation, prolapse/flail, rheumatic disease, and calcification. We review the 2020 AHA/ACC and selected 2025 European AVR/TAVI considerations and detail the five key TEE views for AR, including measurement tips, Doppler parameters, and holodiastolic flow reversal assessment.   00:00 Aortic Regurgitation Intro 00:50 Episode Roadmap 01:34 AR Basics and Impact 02:04 Primary vs Secondary Causes 03:42 Acute vs Chronic AR 05:13 Hemodynamic Management Tips 06:19 TEE Goals and Severity 07:16 Elkhoury Mechanism Classes 09:08 When to Replace the Valve 12:13 TEE Views and Exam Sequence 16:58 Key Takeaways and Next Episode   #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.

In Episode 19 of TEE Time, Dr. Andreas Plackis explains how to evaluate the left atrial appendage (LAA) for thrombus using transesophageal echocardiography (TEE) and why it matters for stroke prevention, anticoagulation decisions, and intraoperative planning. He reviews key risk factors (atrial fibrillation, low-flow states, mitral stenosis), outlines when dedicated LAA imaging is essential, and presents a systematic TEE approach including multiplane views, Doppler velocity assessment, contrast use, and differentiation of spontaneous echo contrast, sludge, and true thrombus. When thrombus is discovered intraoperatively, management depends on surgical access and clinical context, with strategies focused on clot removal when feasible or anticoagulation and minimizing embolic risk when access is limited.   00:00 How to Rule Out LAA Thrombus on TEE (Episode 19 Intro) 00:48 Why LAA Clots Matter: Stroke Risk & Anticoagulation Implications 01:12 Risk Factors & When to Look: AFib, Low Flow States, Procedures 02:44 TEE Accuracy, Limitations, and the Differential for an LA/LAA Mass 03:50 Step-by-Step TEE Exam: Views, Color, Doppler Velocities, and 3D 05:16 Normal vs Thrombus Examples: What It Looks Like on TEE 06:30 Tips & Tricks: Contrast, Color Scale, Multi-Angle Sweeps, Image Optimization 08:31 SEC vs Sludge vs Thrombus: How to Tell Them Apart 09:56 Intraoperative Management: Surgical Options and Risk Tradeoffs 11:41 Wrap-Up, Next Episode Preview, and Subscribe   #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.

Episode 18 of TEE Time explores the medicolegal aspects of Transesophageal Echocardiography (TEE) for physicians, attorneys, and patients. The discussion covers benefits, risks, contraindications, and the legal standards of care, including informed consent and malpractice considerations. Case statistics from anesthesiology and cardiology highlight common litigation drivers such as misdiagnosis and technical errors. The episode concludes with best practices to minimize risk, offering essential insights for both clinicians and legal professionals.   00:00 Introduction to TEE and Medical Malpractice 01:43 Understanding Transesophageal Echocardiography (TEE) 03:35 Informed Consent for TEE Procedures 06:12 Medical Malpractice overview and TEE 10:30 Reducing Risks 12:49: When TEE leads to litigation 14:37 Conclusion and Key Takeaways   #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.

In Episode 17 of TEE Time, we explore the transformative role of Rescue Transesophageal Echocardiography (TEE) in cardiac arrest. As the final part of our three-part series, this episode covers clinical applications, outcomes, logistics, and limitations of Rescue TEE. We highlight the advantages of TEE over TTE, arrhythmia delineation, CPR optimization, and detection of ROSC. Practical tips, workflow integration, hospital implementation, training and credentialing needs, and non-cardiac OR uses are discussed. Future directions include AI-assisted interpretation, pre-hospital use, and certification pathways.   Receive your free TEE Time Rescue TEE protocol document: 1) Leave a Review (Apple/Spotify) or Like (Youtube). 2) Comment with an included Email, 3) We will send you the Protocol!   00:00 Introduction to Rescue TEE in Cardiac Arrest Management 01:26 Recap of Previous Episodes and Protocol Overview 02:49 Cardiac Arrest Management with Rescue TEE 03:45 Advantages and Limitations of TEE 09:07 Clinical Tips for Using Rescue TEE 11:07 Influence of Rescue TEE on Clinical Care 13:01 Training and Credentialing for Rescue TEE 14:40 Implementation Tips for Rescue TEE in Hospitals 17:59 Limitations and Future Directions of Rescue TEE 19:53 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.

In Episode 16 of TEE Time, we focus on part two of the three part Rescue TEE series. This episode focuses on the clinical application of Rescue TEE for diagnosing and managing various shock states, including RV failure, cardiac tamponade, acute PE, and hypovolemia. Key concepts such as calculating cardiac output via echocardiography and differentiating various diagnoses are covered in detail. Specific diagnostic approaches and echocardiographic views for each condition are discussed, offering practical insights and protocols for emergency clinical settings. The episode serves as an in-depth guide to utilizing Rescue TEE effectively to improve patient care in critical situations.   Receive your free TEE Time Rescue TEE protocol document: 1) Leave a Review (Apple/Spotify) or Like (Youtube). 2) Comment with an included Email, 3) We will send you the Protocol!   00:00 Introduction to Rescue TEE: Part Two 00:48 Overview of Rescue TEE Protocol 03:01 Calculating Cardiac Output with Echocardiography 04:26 Diagnosing Hypovolemia 07:46 Identifying IVC Compression 09:08 Understanding Cardiac Tamponade 11:40 Evaluating RV Failure 14:23 Detecting Pulmonary Embolism 15:54 Recognizing Tension Pneumothorax 18:37 Assessing Valve Pathology 20:53 Exploring LV Dysfunction 24:17 Investigating Afterload Issues 30:02 Differentiating Shock States 32:21 Conclusion and Next Steps   #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.

In Episode 15 of TEE Time, the focus is on Rescue TEE—a problem-focused, emergent, and high-yield TEE exam used to diagnose and guide interventions in patients experiencing hypotension, hypoxemia, or cardiac arrest. This first part of a three-part series introduces the concept, key terms, and imaging protocols of Rescue TEE, alongside its perioperative considerations, indications, and contraindications. The episode highlights the detailed steps of performing a Rescue TEE exam and its crucial role in improving patient care in high-risk hospital settings. Receive your free TEE Time Rescue TEE protocol document: 1) Leave a Review (Apple/Spotify) or Like (Youtube). 2) Comment with an included Email, 3) We will send you the Protocol! 00:00 Introduction to Rescue TEE 00:46 Overview of Rescue TEE 02:10 Definition and Importance of Rescue TEE 03:49 Clinical Applications and Settings 06:21 Contraindications and Considerations 07:39 Rescue TEE vs TTE 09:01 Performing a Rescue TEE Exam 09:34 Understanding Shock Physiology 11:05 Detailed Rescue TEE Protocol 12:13 Step-by-Step Rescue TEE Evaluation 20:22 Finalizing the Rescue TEE Exam 22:46 Conclusion and Next Steps #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.

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 •2009 Echocardiography-Guided Interventions •2007 Comprehensive Intraoperative Echocardiography Exam •2007 Comprehensive Epicardial Echocardiography Examination •2006 Quality Improvement in Perioperative Echocardiography

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.