Accidental Transtracheal Imaging with a Transesophageal Echocardiography Probe

Sutton, Damon C.

doi:10.1097/00000539-199710000-00009

Cited by 3 publications

(3 citation statements)

References 8 publications

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“…Inadvertent tracheal intubation may have a similar appearance, with diffusely anechoic and limited or intermittently poor image quality, although tracheal intubation is often associated with coughing, desaturation, and resistance to probe advancement. 4 , 5 Transesophageal echocardiogram transducer shutdown due to elevated transducer temperatures (>42°C to 44°C) during prolonged use or in severely febrile patients is initiated to prevent thermal burns and patient injury; however, this was not the case in our patient as the patient was afebrile and the TEE probe temperature was <37°C. 2 , 6 …”

Section: Discussionmentioning

confidence: 96%

A Sticky Situation: The Unfortunate Consequence of Chewing Gum

Lee¹,

Dow²,

Henkin³

et al. 2023

CASE

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Section: Discussionmentioning

confidence: 96%

A Sticky Situation: The Unfortunate Consequence of Chewing Gum

Lee¹,

Dow²,

Henkin³

et al. 2023

CASE

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Section: Discussionmentioning

confidence: 99%

“…Prior reports have detailed transient hypoxia and endotracheal tube displacement, though hemorrhage has not been described [1], [2]. Risk factors for tracheal intubation appear to be altered mentation, depressed upper airway reflexes, and dysfunction of the upper gastrointestinal (GI) tract [1]. Esophageal perforation and ischemic damage have been observed, usually in patients with pre-existing upper GI disorders and in cases where excessive and prolonged force was applied [3].…”

Section: Discussionmentioning

confidence: 99%

A case of massive hemoptysis following transesophageal echocardiogram

Callahan

Jones

Albon

et al. 2017

Respiratory Medicine Case Reports

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IntroductionTracheal intubation leading to injury of the airway is a rare complication of transesophageal echocardiography (TEE). Tracheal trauma is not a described complication of TEE, and safety literature for this procedure remains silent on the matter. We describe the case of a patient on systemic anticoagulation and antiplatelet therapy who underwent TEE and suffered massive hemoptysis requiring bronchial artery embolization (BAE).Case presentationAn elderly patient was admitted to the hospital with recently diagnosed atrial fibrillation and shortness of breath. The patient underwent a TEE with successful synchronized cardioversion on hospital day #2. Later that day the patient experienced respiratory distress and hemoptysis and was intubated. Oropharyngeal and gastrointestinal sources of bleeding were excluded. A bronchoscopy revealed active bleeding from an ulceration in the bronchus intermedius (BI) of the right lung. A 7 French Arndt endobronchial blocker (Cook Medical, Bloomington, Indiana) was placed and anticoagulation reversed. Bleeding stopped for two days, but then returned on hospital day #5, requiring BAE to the right bronchial artery. The procedure was successful, the patient was successfully extubated, and was discharged over the next 10 days.DiscussionMassive hemoptysis and respiratory compromise as a result of tracheal trauma is not described in the TEE literature. This patient proved to be a difficult esophageal intubation secondary to a newly discovered Zenker's diverticulum. The risk for bleeding in this patient was higher secondary to anticoagulation with warfarin and antiplatelet therapy with ticagrelor. As in all cases of massive hemoptysis, key aspects of care in this case involved localization of bleeding, reversal of anticoagulation, and definitive management such as BAE.ConclusionsTracheal trauma is not a described complication of TEE, but clinicians should be mindful of this possible complication in patients receiving anticoagulation. Typical management for massive hemoptysis was successful in this patient.

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Transesophageal echocardiography related complications

Zhang,

Xie,

Ren

et al. 2024

Front. Cardiovasc. Med.

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Transesophageal Echocardiography (TEE) is an important imaging method for the evaluation of cardiac structure and function, and it holds significant value in the clinical management of cardiovascular diseases. Unlike transthoracic echocardiography (TTE), which is non-invasive, TEE involves semi-invasive intracavity operations, leading to increasing attention to its safety and potential complications. Especially with the increasing demand for TEE applications in clinical practice and the rapid growth in the number of facilities utilizing it, the standardized application and safe operation of TEE technology have become particularly crucial. This article will review the literature and draw upon personal experience to analyze the complications and safety of TEE examinations from a technical perspective.

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Accidental Transtracheal Imaging with a Transesophageal Echocardiography Probe

Cited by 3 publications

References 8 publications

A Sticky Situation: The Unfortunate Consequence of Chewing Gum

A Sticky Situation: The Unfortunate Consequence of Chewing Gum

A case of massive hemoptysis following transesophageal echocardiogram

Transesophageal echocardiography related complications

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