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Related Concept Videos

Imaging Studies for Cardiovascular System I:Echocardiography01:17

Imaging Studies for Cardiovascular System I:Echocardiography

632
Cardiac imaging studies encompass a wide range of noninvasive and minimally invasive techniques designed to visualize the heart's structure and function in detail. One such technique is echocardiography, which uses high-frequency ultrasound waves to produce detailed images of the heart, known as echocardiograms.
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
632
Imaging Studies for Cardiovascular System II:Types of Echocardiography01:20

Imaging Studies for Cardiovascular System II:Types of Echocardiography

515
Echocardiography plays a role in assessing cardiac health and detecting heart conditions, with various types providing critical insights for diagnosis and treatment.
Types of Echocardiography
Transthoracic Echocardiography (TTE)
TTE is the most common type of echocardiogram which involves placing a transducer on the patient's chest, emitting sound waves to create heart images. TTE is invaluable for evaluating the heart's size, structure, and motion, making it particularly useful for...
515

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Related Experiment Video

Updated: Dec 10, 2025

Hemodynamic Precision in the Neonatal Intensive Care Unit using Targeted Neonatal Echocardiography
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Comprehensive Quality Improvement Program for Intraoperative Transesophageal Echocardiography: Development,

Igor Izrailtyan1, Jeremy Poppers1, Renata Kowal1

  • 1Department of Anesthesiology, Renaissance School of Medicine, Stony Brook University, Stony Brook, NY.

Journal of Cardiothoracic and Vascular Anesthesia
|September 5, 2020
PubMed
Summary

A quality improvement program for transesophageal echocardiography (TEE) significantly enhanced performance in cardiac anesthesiologists. The program improved imaging and documentation, demonstrating its effectiveness in enhancing TEE quality.

Keywords:
perioperativequality assurancetransesophageal echocardiography

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Area of Science:

  • Cardiology
  • Anesthesiology
  • Medical Quality Improvement

Background:

  • Intraoperative transesophageal echocardiography (TEE) is crucial for cardiac surgery.
  • Standardized quality improvement (QI) programs are needed to ensure optimal TEE performance.
  • Cardiac anesthesiologists perform TEE, necessitating focused quality assessment.

Purpose of the Study:

  • To develop and implement a comprehensive TEE quality improvement (QI) program.
  • To assess the impact of the QI program on TEE performance by cardiac anesthesiologists.
  • To identify specific areas of TEE quality that improve with the QI program.

Main Methods:

  • A prospective, institutionally approved QI program was implemented at an academic tertiary care center.
  • A 15-measure instrument assessed TEE examinations pre- and post-cardiopulmonary bypass (CPB) before and after QI program implementation.
  • Multivariate linear mixed regression models analyzed the QI program's effect on TEE quality measures.

Main Results:

  • 118 TEE studies were analyzed (48 pre-QI, 70 post-QI).
  • Significant improvements were observed in 5 quality measures post-QI, including left ventricle and tricuspid valve imaging, pulmonary artery visualization, and documentation completeness/timeliness.
  • Excellent inter-rater reliability (Intraclass Correlation Coefficient > 0.78) was maintained.

Conclusions:

  • A formal QI program for intraoperative TEE is feasible and effective in an academic cardiac surgical setting.
  • The implemented QI program led to demonstrable improvements in key TEE quality metrics.
  • This initiative highlights the potential for QI to enhance TEE procedures and patient care.