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UCLA Cardiothoracic Anesthesiologists Provide Diagnostic Transesophageal Echocardiography (TEE) Services Medical Center-Wide

August 31st, 2010

UCLA Cardiothoracic Anesthesiologists Provide Diagnostic Transesophageal Echocardiography (TEE) Services Medical Center-Wide
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Cardiothoracic anesthesiology faculty member, Michael Sopher, M.D., providing intraoperative diagnostic transesophageal echocardiography during cardiac surgery.

The Cardiothoracic Division of the UCLA Department of Anesthesiology provides diagnostic echocardiography services for all patients at the Ronald Reagan UCLA Medical Center. The cardiothoracic anesthesiologists serve as the primary echocardiography consultants to all patients in the operating rooms, surgical suites, interventional cardiovascular laboratories, and the cardiothoracic intensive care units.  For cardiac surgical procedures, perioperative transesophageal echocardiography (TEE) is performed in every patient to confirm the medical diagnosis and guide surgical repair. In robotic and minimally invasive cardiac surgery, where direct visualization is limited, our cardiothoracic anesthesiologists use intraoperative TEE in aiding the placement of various intracardiac catheters and in guiding surgical approach.  Continuous intraoperative TEE also allows real-time assessment of cardiac function, which is key to guiding anesthetic and surgical management in this complex patient population.

Cardiothoracic Anesthesiology fellows, Tyken Hsieh, M.D., and Prince Neelankavil, M.D., review transesophageal echocardiography images on the Kinetix workstation in the Cardiothoracic Anesthesiology office.
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Cardiothoracic Anesthesiology fellows, Tyken Hsieh, M.D., and Prince Neelankavil, M.D., review transesophageal echocardiography images on the Kinetix workstation in the Cardiothoracic Anesthesiology office.

The Perioperative TEE Consultation Service is available throughout the hospital to assist in management of medical emergencies outside the cardiac surgery setting (liver transplant, trauma, post-anesthesia care unit, etc).  For patients in the Cardiothoracic ICU, we provide TEE to answer diagnostic and management questions in post-cardiac surgical patients.  The perioperative TEE service is available by pager, which is carried by a cardiothoracic anesthesiology fellow physician, who serves as the primary coordinator of TEE services throughout the hospital.

In the cardiovascular laboratories, our Interventional Cardiovascular and Electrophysiology TEE Service cares for patients undergoing treatment of rhythm disorders to determine cardiac function, presence of thrombus, and effectiveness of cardiac resynchronizaton therapy.  This service also guides trans-septal puncture, identifies and localizes pulmonary veins, and provides live, dynamic imaging for various other interventional procedures, such as balloon valvuloplasty, septal ablation, and device placement.  Finally, our cardiac anesthesiologists provide an Outpatient TEE Consult Service, which performs diagnostic TEE for primary diagnosis of various cardiac lesions in order to direct medical decision making in medical and surgical management of these patients.

Cardiothoracic Anesthesiology fellow, Davinder Ramsingh, M.D., utilizes transesophageal echocardiography findings to optimize a patient’s intraoperative care and provide important input for surgical decision making
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Cardiothoracic Anesthesiology fellow, Davinder Ramsingh, M.D., utilizes transesophageal echocardiography findings to optimize a patient’s intraoperative care and provide important input for surgical decision making

The cardiothoracic anesthesiology group conducts bioengineering, translational and clinical research in echocardiography and has successfully published many articles in this field. Dr. Aman Mahajan serves as the Director of the Echocardiography service and Dr. Jonathan Ho is the coordinator of echocardiography research.



Jason Chua, MD, Assistant Clinical Professor of Anesthesiology
Aman Mahajan, MD, PhD, Professor of Clinical Anesthesiology

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