Quality Improvement Question - EP & Esophogeal Temp Probes

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jj337

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Any input from EP would be great. I am an anesthesiologist who got wrangled into a complicated case.

I am on my institutions QI board and am reviewing a case where a esophageal temp probe was apparently very easily placed into the right mainstem bronchus of an intubated patient with a history of an esophogectomy by a CRNA leading to hemorrhage and significant morbidity. Probe placement was apparently guided fluoroscopically by EP under AP view. It was not recognized until half way through case. Patient survived but reviewing the indications. There is very little information on these probes and it sounds as if EP community to split on the usage. If you can, please let me know:

1. Are esophageal temp probes standard of care for ablation cases?
2. Has anyone heard of similar cases?

Thanks in advance for any assistance.
 
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