A salvação do transesofágico virá do preservativo.


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O CCIH vê como possível e seguro a realização do transesofágico com o preservativo e sem a desinfecção entre os exames, caso não exista a ruptura do mesmo.
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Qual a vantagem real?
A quebra do transdutor ocorre frequentemente na desinfecção.
O produto resseca as borrachas de vedação e estraga a sonda.
O tempo para desinfecção congela a produtividade do serviço.
O custo de pessoal é maior com a desinfecção.
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Agora sim, estamos sendo realistas com um exame fundamental e, muitas vezes, indispensável.
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3D, quanto mais inexperiente, melhor!

Experts and Beginners Benefit from Three-Dimensional Echocardiography: A Multicenter Study on the Assessment of Mitral Valve Prolapse
Journal of the American Society of Echocardiography
Issue: Volume 26(8), August 2013, p 828–834

Hien, Maximilian Dominik MDa,b,d; Grogasteiger, Manuel Cand Meda,dß; Rauch, Helmut MDd; Weymann, Alexander MDc; Bekeredjian, Raffi Prof, MDe; Rosendal, Christian MDf,*
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Background:: Three-dimensional (3D) transesophageal echocardiography (TEE) has been claimed to provide more information than two-dimensional (2D) TEE in the localization of mitral valve prolapse (MVP). However, most studies have been performed by experts in echocardiography, without accounting for differences in training or expertise. This multicenter study was designed to assess the differences between experts and inexperienced echocardiographers in localizing MVP and ruptured chordae tendineae using 2D and real-time 3D TEE.
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Results:: Both study groups scored significantly higher when interpreting 3D transesophageal echocardiographic images (P <= .001). The experts were superior in 2D MVP localization (14.8%; P <= .001), a difference that diminished with 3D TEE (1.4%; P = .41). The benefit of access to 3D information for MVP localization was greater for inexperienced echocardiographers compared with experts (P < .001).
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Conclusions:: The reported diagnostic advantage of 3D TEE over 2D TEE in MVP assessment for expert echocardiographers can be transferred to inexperienced echocardiographers. Inexperienced echocardiographers benefit from the technology to a greater extent than their expert colleagues.
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O blog alerta que o tridimensional será uma ferramente de igualdade entre os ecocardiografistas de todas as idades.

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Three-Dimensional Echocardiography in Mitral Valve Prolapse: Could Technology Replace Experience?
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Beraud, Anne-Sophie MD,Division of Cardiovascular Medicine, Stanford University Medical Center, 300 Pasteur Drive, Stanford, California
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In conclusion, should every echocardiographer buy high-end ultrasound platforms and 3D transesophageal transducers to improve his or her analysis of the mitral valve? If universal access to 3D were possible, it might improve the accuracy of mitral valve assessment at all levels of operators’ expertise and facilitate the echocardiographic learning process
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O blog EchoTalk insisti nessa afirmação há anos! Vejam aqui, e aqui e também aqui