TY - CHAP M1 - Book, Section TI - Chapter 25. The Nuts and Bolts of a Perioperative TEE Service A1 - Bar-Yosef, Shahar A1 - Schroeder, Rebecca A1 - Mark, Jonathan B. A2 - Mathew, Joseph P. A2 - Swaminathan, Madhav A2 - Ayoub, Chakib M. PY - 2010 T2 - Clinical Manual and Review of Transesophageal Echocardiography, 2e AB - Over the past decade, the practice of perioperative transesophageal echocardiography (TEE) has evolved to the point that many anesthesiology departments own and operate their own ultrasound equipment and offer comprehensive perioperative TEE services, rather than “borrowing” equipment from cardiology colleagues or requesting their professional assistance in the operating room. The successful initiation and delivery of perioperative TEE services requires attention to a number of organizational details. First, practitioners with adequate training should be credentialed by the hospital for performance of perioperative TEE. Additionally, each program requires building a system for report generation and data storage, allocation of capital resources as well as skilled technical personnel to maintain and operate equipment, and implementation of a Continuous Quality Improvement (CQI) process. Finally, an efficient reimbursement infrastructure will ensure the program's fiscal viability. Although specific organizational details will depend on the individual institution and setting, the current chapter provides practical general guidelines that may be implemented to achieve success. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/03/29 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=6920546 ER -