Why CRNAs Should Learn Transesophageal Echocardiography for Non-Cardiac Surgery-Why CRNAs Should Learn Transesophageal Echocardiography for Non-Cardiac Surgery (1 Class A CE with .5 Pharm) (360p).mp4Why CRNAs Should Learn Transesophageal Echocardiography for Non-Cardiac Surgery

Why CRNAs Should Learn Transesophageal Echocardiography for Non-Cardiac Surgery (1 Class A CE with .5 Pharm) (360p).mp4Why CRNAs Should Learn Transesophageal Echocardiography for Non-Cardiac Surgery

Video Transcription

Video Summary

The video transcript presents a session led by Hilda Nugent from the Professional Development Committee and an educational talk by Dr. Barry Swerdlow, an Associate Professor at Oregon Health and Science University. Hilda's introductory remarks cover housekeeping points about session evaluations, stating they need to be completed by September 9th to receive credits. She mentions submitting abstracts for an upcoming event in Nashville from August 14th is possible.<br /><br />Dr. Swerdlow then discusses the significance of Transesophageal Echocardiography (TEE) in non-cardiac surgeries. He emphasizes the utility of TEE for Certified Registered Nurse Anesthetists (CRNAs) in diagnosing and managing intraoperative complications promptly. He provides examples of how TEE can help identify causes of hemodynamic instability, such as ruling out right ventricular failure, assessing preload, and low systemic vascular resistance (SVR). Dr. Swerdlow also highlights the role of TEE in diagnosing oliguria and myocardial ischemia by showing real cases where TEE provided critical diagnostic information. He explains how TEE can assist during cardiac arrest by guiding CPR technique and assessing its effectiveness, with minimal risk of injury related to placing the probe.<br /><br />Dr. Swerdlow advocates for TEEs routine use in non-cardiac surgeries due to its diagnostic value, proposing that CRNAs gain competences through workshops and practical applications. He mentions the lack of wide availability and official certification, suggesting the need for institutional certification processes for CRNAs. In the Q&A, he elaborates on the four essential TEE views, the challenges of different patient positioning, and the comparison of TEE with other noninvasive monitors.

Keywords

Transesophageal Echocardiography

non-cardiac surgeries

Certified Registered Nurse Anesthetists

hemodynamic instability

myocardial ischemia

cardiac arrest

diagnostic value

institutional certification

Oregon Health and Science University

educational talk