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A 30-years-old female with diagnosis of carcinoid tumor of right bronchus was planned to undergo right pneumonectomy under combined epidural and general anesthesia. A pediatric transesophageal echocardiography (TEE) probe was inserted for intraoperative monitoring of the right ventricular function. It also showed spinal canal structures (dura matter, epidural and subarachnoid space and spinal cord) and helped in visualization of local anesthetic spread in the epidural space.

Utility of Transesophageal Echocardiography in Confirmation of Spread of Local Anesthetic in the Epidural Space