Question

In which of these situations is it okay to continue placement of the probe?

A) Moderate resistance to probe insertion despite maneuvers.
B) On checking the knobs, the tip of the probe does not move.
C) The probe insertion pins do not match up with the TEE machine insertion ports.
D) The provider has to pull the jaw forward to allow the probe to pass into the esophagus.
E) A patient has limited mouth opening and history of neck radiation.

Answer 1

It is only acceptable to continue with probe placement when the jaw needs to be gently pulled forward to allow the probe to pass into the esophagus.

Step-by-step explanation:

The question is concerned with the correct placement of a probe during a medical procedure. Considering the options presented, the only situation where it is acceptable to continue with the placement of the probe is D) The provider has to pull the jaw forward to allow the probe to pass into the esophagus. This situation is typical in procedures such as transesophageal echocardiography (TEE) where gentle jaw manipulation may be necessary to facilitate passage of the probe. However, moderate resistance to probe insertion (A), immobility of the probe tip upon knob checking (B), mismatched insertion pins and ports (C), and limited mouth opening with a history of neck radiation (E) are all indicators that probe placement should be stopped, and further evaluation or alternative methods should be considered to avoid injury or complications.