“…TEE and its use in high-risk noncardiac surgery such as vascular surgery, liver transplants, orthopedic surgery amongst other areas has been described extensively. [3] The important contribution of TEE during extracorporeal membrane oxygenation and left ventricular assist device implantation cannot be undermined and managing complications related to cannulae and weaning has become much easier with this "visualization." The yardstick signifying its growth is the meteoric rise in the sale of the TEE machines by many manufactures in the last few years.…”