#ECHO CARDIOGRAPH HOW TO#In this section, we will show you how to use cardiac ultrasound to help you in your daily practice. It can help you assess the hemodynamic status of your patients, estimate fluid status, and look for life-threatening causes of shock such as tamponade or pulmonary embolism. Using bedside echocardiography (echo) is one of the most useful Point of Care Ultrasound (POCUS) applications. Often the difference between the two views is just a 5-10 degree tilt! If you want to go back to the Apical 4 chamber view just tilt the probe tail back towards the patient’s head. From the Apical 4 Chamber view, slightly tilt the tail of your probe towards the patient’s feet to get the Apical 5 chamber view.Sometimes you will want to intentionally obtain this view in order to calculate the cardiac output of the left heart.Of course, there are not really 5 chambers in the heart but in echocardiography, the “5th chamber” is when you can see the appearance of the aortic valve and the left ventricular outflow tract.A common view produced when attempting to do the apical 4 chamber view is the “Apical 5 Chamber View.”.Since the Apical 4 Chamber view can be a challenging view to obtain, you will most likely encounter variants of the apical view including the Apical 5 chamber view and the coronary sinus view. This will bring the heart away from the sternum and give you better sonographic access.Ĭardiac Ultrasound -Apical 4 Chamber (A4C) View If you are unable to visualize the heart in the supine position, consider repositioning the patient into the Left lateral decubitus.The patient should be supine with the head of the bed flat.Cardiac Arrest (assess for cardiac standstill)Ĭardiac Ultrasound Preparation Patient Preparation.Point of Care Bedside Cardiac Ultrasound can used in the following indications: Video Summary of Cardiac Ultrasound (Echocardiography).Left Ventricular Function/ Ejection Fraction.Central Venous Pressure (CVP) Estimation.Parasternal Short Axis – Aortic Valve Level (Mercedes Benz View).Parasternal Short Axis – Mitral Valve Level (Fish Mouth View).Parasternal Short Axis – Mid-Papillary Level.Step 2: Parasternal Short Axis (PSSA) View.Step 1: Parasternal Long Axis (PSLA) View.Cardiac Ultrasound Views/Echocardiography Protocol.Evaluate for Pericardial Effusion/Tamponade.Estimate Central Venous Pressure (CVP) for fluid status/ fluid tolerance using the IVC.Evaluate Left Ventricular Ejection Fraction.Evaluate for Major Cardiac Ultrasound Pathology:. #ECHO CARDIOGRAPH WINDOWS#Obtain the 5 Major Cardiac Windows and Views of the Heart (including the Inferior Vena Cava(IVC) View).In this Cardiac Ultrasound (Echocardiography) for Beginners Guide, we will be showing you how you can get started on using basic Transthoracic Echocardiography (TTE) right away!Īfter reading this Echo Tutorial, you will be able to use bedside Cardiac Ultrasound (Echocardiography) to: TEE requires sedation and is considered more invasive than TTE. Transesophageal Echocardiography (TEE) is a more specialized cardiac ultrasound with a special probe that is inserted into the patient’s esophagus. TTE is what we will be covering in this post. TTE is the most common cardiac ultrasound application and is non-invasive. Transthoracic Echocardiography (TTE) is when a cardiac ultrasound is performed on the patient’s chest. In addition, you may see cardiac ultrasound referred to as “ Transthoracic” or Transesophageal” echocardiography. The Cardiac Ultrasound Procedure is also known as: Echocardiography, Echocardiogram, or even just “Echo.” They all refer to the same thing. In addition, bedside echocardiography also allows you to evaluate hemodynamic changes and pathological heart diseases. Oversight, Review, and Final Edits by Vi Dinh (POCUS 101 Editor).Ī bedside Cardiac Ultrasound or Echocardiogram is a quick Point of Care Ultrasound (POCUS) that allows you to visualize and evaluate how the heart is functioning. Primary Authors: Victor Lee, Vi Dinh Co-authors: Jessica Ahn, Jade Deschamps, Satchel Genobaga, Annalise Lang, Devin Tooma, Seth White, Reed Krause.
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7/2/2023 09:22:09 am
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