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Table 2 Four views of the focused TEE protocol

From: Focused transesophageal echocardiography for emergency physicians—description and results from simulation training of a structured four-view examination

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