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Featured Video
For those of you who missed the hTEE Trauma Symposium earlier this year, here are highlights:
- Don Reiff MD of the University of Alabama Hospital at Birmingham describes Zenati Billiar's interrelationship between hypotension and LOS as well as his reduced use of pressure-based monitors since implementing hTEE
- Shayn Martin MD of Wake Forest University Baptist Medical Center reviews their multidimensional approach to training users on hTEE
- Benjamin Christie MD of Medical Center of Central Georgia (MCCG) discusses achieving competency with hTEE
- Dennis Ashley MD of MCCG conducts a live hTEE case study
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Zachary Taylor MD applies hTEE for post-op hemodynamic management at Columbia University Medical Center.
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Matthew V. DeCaro MD, Director of the Coronary Care Unit at TJU explains the advantages of hTEE imaging.
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The 8-hour course at TJU included both didactic and hands-on learning.
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Nicholas Cavarocchi MD of TJU reviews hTEE imaging on the Zura system.
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Harrison Pitcher MD explains the constant daily challenge of hemodynamic management.
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Quick Links
1.516.393.0970 or 1.877.244.0657
info@imacorinc.com |
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 hTEE Reveals RV Failure Weeks After Severe Trauma and Guides Its Treatment |
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Niels D. Martin MD, Co-Director, Surgical Intensive Care Unit
Hospital of the University of Pennsylvania, Philadelphia, PA, USA
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Case presented in an invited faculty lecture at the TJU hTEE course, May 16, 2013.
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 | | Niels Martin MD discussing hTEE post-op hemodynamic management. |
The patient. A 72-year-old
male pedestrian was struck by a motor vehicle and suffered multiple severe orthopedic injuries: fractures of both lower extremities, an acetabulum, ribs, and spinal column fractures. As a result, he suffered severe deconditioning resulting in ventilator-dependent respiratory failure and required a tracheostomy. The patient was ultimately discharged to a long term acute care hospital (LTACH) after several weeks.
Re-admission to hospital. The patient was subsequently readmitted for increasing anasarca, progressive hypotension, and hypoxia. He was presumed to have septic shock, likely of pulmonary origin. He met criteria for ARDS. He quickly required multiple pressors (neosynephrine, norepinephrine and vasopressin) and developed high mean airway pressures.
Why hTEE?
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Video Vignettes: ImaCor's High Risk Cardiac Symposium
Watch as these distinguished physicians describe in 2-minute clips their early days with hTEE, why they evaluated hTEE for their hospital, and their outlook for its future growth. TOPIC: 'Routine uses' of hTEE
TOPIC: Early ICU experience with hTEE
TOPIC: Eliminate the guesswork from RV management. To read more information on the hTEE Symposium at ISHLT, please visit our Events page. |
Report from the TJU hTEE CME Course
Harold M. Hastings, PhD, Co-Founder and Chief Technology Officer
Jeff Normand RDCS, Director of Marketing
Leading surgeons and intensivists from cardiac surgery, mechanical circulatory support, trauma and neurology shared a common focus on functional hemodynamics as visualized by hTEE. All specialties shared a common mission - optimizing hemodynamics - and all specialties used the three-view hTEE exam to obtain mission-critical insights into the patient's functional hemodynamics to diagnose problems and manage therapies.
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Our focus this month is on education, and the myriad activities enumerated evince our focus: our hTEE symposium, our 24/7 Support, our recent CME course, and all the information we share throughout our social networks are designed to educate, inform, and inspire. We strive to make the educational process easily digestible and approachable. It is organized to guide our users to successfully use hTEE to optimize patient care while reducing hospital costs. The three views, the hTEE Approach, Hemodynamic Core Principles,and the hTEE Program Implementation are easily tailored to each clinician's initial echo capability. The University of Cincinnati Hospital, L.M.U. University of Munich, and Allegheny General Hospital are just a few of the many new sites that are installing the Zura Imaging Systems and ClariTEE probe. We would like to extend a warm welcome to Robert Higgins MD and his cardiothoracic team from OSUMC, Lt. Col. Jeremy Cannon and the San Antonio Military Medical Center, and Prof. Serban Bubenek from Iinstitutul de Urgenta pentru Boli Cardiovasculare in Romania. It is an honor to collaborate with these exceptional physicians and their teams focused on improving patient care through the functional post-op hemodynamic management that hTEE provides. We thank the CME center at Thomas Jefferson University Hospital for offering and organizing the May 16th CME course; we would also like to thank the multidisciplinary faculty for their contributions. The recent CME course gathered several physicians together to discuss the specific applications of hTEE in the setting of traumatic and non-traumatic pericardial pathology, fluid management in the septic and TBI patients, and in specialty cardiac devices (LVAD and ECMO). They will soon be offering downloadable information on this course. I would like to congratulate personally the physicians who are completing their fellowship programs. Our team appreciates the impact you have made in assessing your critically-ill patients with hTEE. We have a shared goal of improving the care of critically ill patients and want to stay in touch to provide you with any hTEE resources you may need at your next institution. Your work with us has been pivotal in the development of a full fellowship training program we are rolling out in July. As we prepare to train the next generation of critical care attendings, please let us know where you are headed and share your feedback by contacting me at ceo@imacorinc.com. With kind regards, Peter Pellerito President & CEO |
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