🫀TEE (Transesophageal Echocardiography) in Liver Transplant Anesthesia ✨to Clinical Mastery 🚑

Описание: 📌🫀 Transesophageal Echocardiography (TEE) has become an indispensable ally for anesthesiologists during liver transplantation, a surgery marked by extreme hemodynamic instability and cardiovascular risk.
This comprehensive lecture series is designed to take you from foundational principles to advanced clinical applications, highlighting how TEE transforms uncertainty into real-time diagnostic clarity. 🔍✨
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🔹 Part 1 – Foundations of TEE in Liver Transplantation
📖 Role, safety, and clinical rationale
• What is TEE and why it matters in liver transplantation
• Hemodynamic surveillance across surgical phases
– Preanhepatic Phase 🌩️ “Reconnaissance before the storm”
– Anhepatic Phase ⚠️ “The heart under trial”
– Neohepatic Phase 🔥 “Reperfusion and chaos”
• Complication rates, esophageal varices, and bleeding risk
• Absolute vs relative contraindications (clearly structured tables)
• Practical strategies to maximize safety
🎯 Conclusion: TEE as the anesthesiologist’s eyes
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🔹 Part 2 – Advanced TEE Monitoring & Hemodynamic Analysis
🧠 From physiology to decision-making
• Core TEE views and focused protocols for liver transplantation
• Preload, contractility, and ventricular interaction analysis
• Differential diagnosis of acute instability using TEE
– Intracardiac thrombosis
– LVOT obstruction
– Cardiac tamponade
– Air embolism
– PFO-related paradoxical embolism
📊 Pathophysiology, diagnostic findings, and key views summarized in tables
🔥 Reperfusion Syndrome (PRS) — a deep dive
• Pathophysiology explained step by step
• TEE-based differentiation of hypotension after reperfusion
– Sudden preload changes
– Ventricular dysfunction
– Thromboembolism
– Systemic vascular resistance collapse
🫀 Dynamic LVOT Obstruction
• Mechanisms and risk factors
• Diagnostic TEE findings
• TEE-guided therapeutic strategies in real time
📈 Outcome Impact of TEE
• Early diagnosis and management shifts
• Prognostic marker identification
• Synergistic effects with multimodal monitoring
🧬 Speckle Tracking Echocardiography (STE)
• Principles of strain imaging
• Why GLS outperforms ejection fraction
• Clinical relevance in liver transplant patients
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🔹 Part 3 – Major Cardiovascular Events Detected by TEE
📚 Case-based clinical insights
• Unique cardiovascular physiology of ESLD patients
• Hemodynamic stressors by surgical phase
• Diagnostic superiority and safety profile of TEE
🩸 Case 1: Intracardiac Thrombosis
• Clinical presentation and TEE diagnosis
• Outcome analysis and lessons learned
⚡ Case 2: Dynamic LVOT Obstruction
• Sudden hemodynamic collapse
• Diagnostic turning point with TEE
• Rapid therapeutic redirection
• TEE as a real-time treatment monitor
🚨 Other Critical Events
• Right ventricular failure
• Stress-induced cardiomyopathy
– Classic Takotsubo apical ballooning
• Cardiac tamponade due to pericardial effusion
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🎓 Whether you are an anesthesiologist, intensivist, cardiologist, or perioperative physician, this series provides practical, evidence-based, and clinically actionable insights to master TEE in one of the most challenging surgical settings.
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