Duke Perioperative TEE Service
Duke University Medical Center
3D Imaging and Post–Processing
2017 Available Date(s):
February 20 – 22
March 27 – 29
April 17 – 19
May 8 – 10
June 26 – 28
September 25 – 27
October 16 – 18
November 27 – 29
Participants in the Duke Intraoperative TEE Preceptorship spend one three-day session in the cardiac operating suites, observing techniques of intraoperative TEE and interpretation of images. Preceptee will participate in active discussions with cardiothoracic anesthesia faculty during live TEE imaging in the OR pre and post cardiopulmonary bypass. They will also learn how to troubleshoot difficult cases and enhance their decision-making skills in the operating room. Also, cases from pathology libraries will be used to augment the preceptorship experience.
Preceptorship experience will be customized based on starting level of experience and areas of interest of the preceptee. (Preceptorship is observation only* and only one or two preceptees per three-day session)
- Rounds in the OR with Faculty (Pre- and Post-bypass)
- Interactive discussions in the operating room on decision-making
- Case Discussions:
- Adult congenital heart disease
- Aortic disease (dissections, aneurysms)
- Aortic valve pathology
- Mitral valve patholgy
- Tricuspid valve pathology
- Ventricular function
- Diastolic function
- Prosthetic valves
- Ventricular assist devices
- Extracorporeal membrane oxygenation
- Transplant surgery
- Transcatheter aortic valve replacement
- Other Topics and Techniques:
- 2D and 3D knobology on multiple imaging platforms
- 3D datasets manipulation and postprocessing
- TEE Simulation
*Hands-on experience is limited to knobology. No patient contact is permitted. NC Medical Board license and Duke Hospital credentialing is mandatory for clinical patient contact.
This TEE Preceptorship Course is designed for physicians involved in perioperative care of patients with cardiovascular disease who desire to enhance their diagnostic skills with transesophageal echocardiography. Participating physicians should have a basic understanding of techniques of echocardiography in practice or through other instructional courses. Physicians who plan to take the National Board of Echocardiography examination in perioperative TEE will benefit from the preceptorship experience.
At the conclusion of this activity, participants should be able to:
- Perform a comprehensive TEE exam. Assess global cardiac function and identify valvular pathology.
- Demonstrate the appropriate use of various imaging modalities including three- dimensional echocardiography.
- Apply echocardiographic information to enhance surgical decision- making and perioperative clinical management of the cardiac surgical patient.