Table 2.
Four views of the focused TEE protocol
View | Location | Transducer controls | Structures of interest | TTE equivalent | Questions answered |
---|---|---|---|---|---|
Mid-esophageal four-chamber view | Mid-esophagus | 0°, neutral flexion | All chambers, valves, and pericardium | Apical four-chamber | Left and right ventricular function, mitral/tricuspid valve lesions, pericardial effusion |
Mid-esophageal long axis with and without color | Mid-esophagus | 110–120°, neutral flexion | Left ventricle, mitral valve, aortic valve, pericardium, left atrium | Parasternal long axis with and without color | Left ventricular function, catastrophic mitral/aortic valve lesion, pericardial effusion |
Transgastric short axis | Mid-stomach | 0°, anteflexed | Left ventricle | Parasternal short axis | Left ventricular function, pericardial effusion |
Bicaval view with M-mode | Mid-esophagus | 90–100°, neutral flexion | Superior vena cava, inferior vena cava, right atrium | Subcostal IVC | Hypovolemia/volume responsiveness, procedural guidance |