TEE sedação


The vast majority of transesophageal echocardiographic procedures are performed while the patient is sedated, typically using the moderate sedation standard. Patients undergoing procedures with sedation should abstain from food and beverages (other than clear liquids) for a minimum of 6 hours before the planned procedure and restrain from all intake for 3 hours before the procedure

Monitoring during conscious sedation requires, at a minimum, the assessment of heart rate, noninvasive blood pressure monitoring, respiratory rate, and oxygen saturation. Significant changes in blood pressure or heart rate should be avoided, particularly in cases performed for hemodynamic abnormalities that may be altered by these changes (i.e., valvular stenosis or regurgitation). Capnography is strongly recommended for conscious sedation and patients at risk for respiratory complications. It is mandated for deep sedation and anesthesia.


Já o uso de Lidocaína é curioso.



Sempre aguarde alguns minutos (3-5) com o paciente sentado APÓS aplicar o spray de Xylocaina.

Evite o decúbito lateral logo após o spray. Espere a Xylo agir!!!


The most commonly used sedative agents are benzodiazepines, because of their anxiolytic properties, with midazolam being the best choice for most transesophageal echocardiographic procedures. Midazolam has a quick onset (1–2 min) and short duration of action (typically 15–30 min), and it provides better amnesia than other benzodiazepines.


E o mais importante, a MANOBRA DA MOLA:

A sonda ecocardiográfica transesofágica é inserida no
parte posterior da faringe, o que pode exigir uma leve pré-flexão da
sonda. O paciente é solicitado a engolir e a sonda é avançada em
uma posição neutra no esôfago enquanto o paciente engole. Garantir
que a sonda está em uma posição neutra durante essa manobra e a linha média na faringe para evitar colocar a sonda na fossa piriforme.


Deixe uma resposta