TY - CHAP M1 - Book, Section TI - Epicardial Echocardiography and Epiaortic Ultrasonography A1 - Shernan, Stanton K. A1 - Glas, Kathryn E. A2 - Mathew, Joseph P. A2 - Nicoara, Alina A2 - Ayoub, Chakib M. A2 - Swaminathan, Madhav PY - 2018 T2 - Clinical Manual and Review of Transesophageal Echocardiography, 3e AB - Despite its overwhelming popularity and favorable influence on perioperative clinical decision making and outcome, the transesophageal echocardiographic (TEE) approach to a comprehensive echocardiographic examination may be limited by impaired imaging of the distal ascending aorta and aortic arch, difficulty in advancing the probe within the esophagus in some patients, and contraindications for probe placement in those with gastroesophageal pathology. Furthermore, TEE may be on occasion associated with perioperative morbidity from oropharyngeal and gastroesophageal injury.1,2 In recognition of these potential limitations, the Society of Cardiovascular Anesthesiologists (SCA), American Society of Anesthesiologists (ASA), and American Society of Echocardiography (ASE) currently recommend that advanced intraoperative ultrasonographers become familiar with epicardial echocardiography and epiaortic ultrasound in addition to TEE.3,4 The ASE and SCA have subsequently published guidelines specifically focused on acquisition techniques and indications for both epicardial echocardiography and epiaortic ultrasonography.5,6 Thus, although TEE remains the most frequently used intraoperative tool for imaging cardiac and intrathoracic vascular structures, it is imperative for an experienced intraoperative ultrasonographer to also be familiar with other imaging modalities, including epicardial echocardiographic and epiaortic ultrasound techniques, in order to conduct a comprehensive perioperative echocardiographic examination. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/11/09 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1171726518 ER -