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Canadian Journal of Anesthesia 48:99 (2001)
© Canadian Anesthesiologists' Society, 2001
New Media

Video review

Video Seminars on Transesophageal Echocardiography

Corey Sawchuk, MD FRCPC

Hamilton, Ontario

EDITED BY TERENCE D. RAFFERTY MD

Echocardiography, A Subsidiary of Dynamedia, Inc., Silver Spring, Md. (1999) 126 pages and eight 45-min to 1-hour video tapes, $542.00 USD ISBN: 1-893508-00-5 (NTSC video format) 1-893508-01-3 (PAL video format)

Terence Rafferty of Yale University has put together a very extensive and complete video series covering basic and advanced Transesophageal Echocardiography (TEE) examination sequences, views and clinical applications. A soft-cover book accompanies the video series to complement the eight VHS videos and allows for off-line review.

The author provides content and instruction that is comprehensive and accurate. Three tapes cover the basic anatomy and "how to" standard for transesophageal echocardiography examinations. These three tapes provide the beginner with the framework for performing a complete echocardiography examination. For the experienced echocardiographer, these three tapes provide an extensive review that is of refresher course quality.

Two videos are devoted to an extensive anatomical and clinical review of the mitral valve. High quality multiple clinical examples of mitral valve pathology are provided. Other videos covering critical care applications and utilization of TEE in hip replacement were of moderate utility. The critical care medicine applications provide nice examples of important critical care pathology; however more clinical information, background, differential diagnosis, and management strategies for the presented pathology would have made this tape more informative and might have further emphasized the vital role of echocardiography in critical care medicine. The last video in the series provides multiple good examples of challenging video clips with an accompanying multiple choice examination.

Although the content and organization of material within the video is excellent, some of the stills were less than optimal. The audio presentation of the material, although lacking in dramatics, is clear. The quality of the text material is adequate. The pages of the provided text were out of order.

In summary, this video series is an excellent review of an approach to the complete transesophageal echocardiography examination. Institutions with intraoperative TEE services would benefit from the availability of this fine reference. I look forward to a DVD version with expanded references and content.





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