Perioperative Hemodynamic Echocardiography

Perioperative hemodynamic echocardiography (PHE) refers to the use of either the perioperative performance of transesophageal echocardiography (TEE) or transthoracic echocardiography (TTE) in addition to relevant Ultrasound scanning in patients undergoing non-cardiac surgery in order to provide an ongoing assessment of hemodynamic status. PHE assessment includes evaluation of ventricular loading conditions, bi-ventricular function, responses to therapeutic interventions, identification of RWMA, diagnosis of valvular lesions and dynamic ventricular outflow tract obstruction, unanticipated pulmonary embolism, pericardial effusion and assessment of cardiac output.

The Fellow will be exposed to a wide variety of cases including high-risk procedures and high-risk patients undergoing non-cardiac surgery. The PHE Fellow is responsible for examining the indications for the echo, preparation of the echocardiography machine and performing the echocardiography under supervision of a certified echocardiographer. The image quality and the interpretation of the findings will be discussed with the Fellow during performance of the exam. It is expected that the Fellow will produce an echo report at the end of the case. The report will be then reviewed by the supervisor and finalized.

The duration of the fellowship is 12 months.

Eligibility: Anesthesiologists with completed Anesthesia Fellowship training and certification.

To apply, please refer to the “Fellowship Application Instructions” link on the main Fellowships page.

Contact Us

Dr. Ashraf Fayad
PHE Fellowship Director
Tel: 613-761-4169 (Option # 1)
Fax: 613-761-5209
Email: Ashraf Fayad

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