Medical Specialty:
Cardiovascular / Pulmonary
Sample Name: Transesophageal Echocardiography Probe
Description: Insertion of transesophageal echocardiography probe and unsuccessful insertion of arterial venous lines.
(Medical Transcription Sample Report)
INDICATIONS FOR PROCEDURE: Impending open heart surgery for closure of ventricular septal defect in a 4-month-old girl.
Procedures were done under general anesthesia. The patient was already in the operating room under general anesthesia. Antibiotic prophylaxis with cefazolin and gentamicin was already given prior to beginning the procedures.
PROCEDURE #1: Insertion of transesophageal echocardiography probe.
DESCRIPTION OF PROCEDURE #1: The probe was well lubricated and with digital manipulation, was passed into the esophagus without resistance. The probe was placed so that the larger diameter was in the anterior-posterior position during insertion. The probe was used by the pediatric cardiologist for preoperative and postoperative diagnostic echocardiography. At the end, it was removed without trauma and there was no blood tingeing. It is to be noted that approximately 30 minutes after removing the cannula, I inserted a 14-French suction tube to empty the stomach and there were a few mL of blood secretions that were suctioned. There was no overt bleeding.
PROCEDURE #2: Attempted and unsuccessful insertion of arterial venous lines.
Keywords: cardiovascular / pulmonary, impending open heart surgery, ventricular septal defect, antibiotic prophylaxis, cefazolin, transesophageal echocardiography probe, arterial venous lines, groin, transesophageal echocardiography, echocardiography probe, insertion, transesophageal, arterial, venous, groins, echocardiography, probe,