emergency ultrasound course · 2019. 10. 31. · emergency ultrasound course huntington beach, ca...
TRANSCRIPT
![Page 1: Emergency Ultrasound Course · 2019. 10. 31. · Emergency Ultrasound Course Huntington Beach, CA November 8-10, 2019. Basic Cardiac Ultrasound Vi Dinh, MD RDMS RDCS Associate Professor](https://reader034.vdocuments.us/reader034/viewer/2022051804/5fee618ecff77a4bc674022c/html5/thumbnails/1.jpg)
Emergency Ultrasound Course
Huntington Beach, CA November 8-10, 2019
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BasicCardiac Ultrasound
Vi Dinh, MD RDMS RDCSAssociate ProfessorEmergency Medicine
Internal Medicine, Critical CareLoma Linda University Medical Center
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Obtain 4 Cardiac Views
GOAL
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Parasternal Long Axis
Parasternal Short Axis
Apical 4 Chamber
Subxiphoid
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ProbeSelection
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PRESET
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Supine
Patient Position
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Left Lateral Decubitus
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Which Way does the INDICATOR GO??
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Indicator Location?
Standard Cardiology
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Standard
Parasternal Long View:Indicator towards LEFT HIP
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Cardiology
Parasternal Long View:Indicator towards RIGHT SHOULDER
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LEFT ventricleLEFT side of screen
parasternal LONG axis
3 L’s to successPSLA
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LV
LV is on RIGHT
Side of Screen
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LV
Rotate probe1800
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Systematic Protocol
Parasternal Long Axis
Parasternal Short Axis
Apical 4-Chamber
Subxiphoid
1234
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CARDIOLOGY Views
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Parasternal LONG Axis
1
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Parasternal LONG Axis
1. Indicator to R shoulder
4. Keep probe perpendicular and move up and down sternum
2. NEXT to sternum
3.Nipple line/4th Intercostal space
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HUG the Sternum
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LEFT Ventricle = “CONE”
Apex
Apex
Base
Base
Ant
Inferior
Ant
Inferior
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APEX
BASE
Anterior
Posterior
PSLA
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APEX
BASE
Anterior
Posterior
PSLA
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RV
LVLVOT
LA
DA
Parasternal Long Axis
PSLA
APEX
BASE
Anterior
Posterior
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RV
LV
LVOT
LA
DA
PSLA
APEX
BASE
Anterior
Posterior
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Parasternal SHORT Axis
2
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rotate CLOCKWISE 90 degrees
Indicator LEFT Shoulder
Probe Orientation?
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Parasternal SHORT Axis
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Mid-Papillary View
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Mid-Papillary View
RIGHT
LEFT
Anterior
Posterior
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LV
Papillary Muscles
RVIVS
Mid-Papillary View
RIGHT
LEFT
Anterior
Posterior
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Mid-Papillary View
RIGHT
LEFT
Anterior
Posterior
LV
Papillary Muscles
RV
LV
Papillary Muscles
RV
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Mitral Valve“Fish Mouth”
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Mitral Valve“Fish Mouth”
RIGHT
LEFT
Anterior
Posterior
MV
RV
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Aortic Valve“Mercedes Benz”
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AVRA
RV
LA
RVOT
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Aortic Valve“Mercedes Benz”
RIGHT
LEFT
Anterior
Posterior
LA
RA AVRVOT
RV
LA
RA RVOT
RV
AV
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Apical 4-Chamber
3
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Apical 4 Chamber
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APEX
BASE
Finding the APEX
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Apical ViewRIGHT
LEFT
APEX
BASE
A4
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Apical View
LVRV
RALA
Mitral ValveTricuspid Valve
RIGHT
LEFT
APEX
BASE
A4
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SUBXIPHOID“SUBHEPATIC”
4
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Subxiphoid View
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B ASE
APEX
RIGHT
LEFT
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RV
LV
RA
LA
LIVER
B ASE
APEX
RIGHT
LEFT
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RV
LVRA
LA
LIVER
B ASE
APEX
RIGHT
LEFT
SX
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Sub XIPHOID
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Sub “HEPATIC”
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Start RIGHT and sweep in
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Putting it All Together!
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1st ViewParasternal LONG axis
Indicator towards RIGHT Shoulder
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2nd ViewParasternal SHORT axis
Rotate 900 Clockwise Indicator towards LEFT Shoulder
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3rd ViewApical 4-Chamber
SLIDE probe to the apex and TILT
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4th ViewSubxiphoid View
Place hand OVER probeBring to below xiphoid
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1 PSLA2 PSSA3 A4C4 Subxiphoid
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Summary
3 L’s
SYSTEMATIC Protocol
Let the views GUIDE you
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Inferior Vena Cava
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CVP
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IVCat RA junction
Caval Index CVP (mm Hg)
<1.5cm >50% 0-5
1.5-2.5cm >50% 5-10
1.5-2.5cm <50% 10-15
>2.5cm little change 15-20
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Start Short AxisRotate Clockwise 900
IdentifyIVC
AORTA
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Use Cursor!
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Diaphragm Movement!
M-mode
2cm pastHepatic Vein
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M-modewith Sniffing
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Incorrect M-mode Cursor
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Caval Index
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IVCe IVCi
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Caval Index
IVCe IVCi
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IVCe - IVCiIVCe
IVCe IVCi
Max - MinMax
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>50%
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IVCDiameter
Collapsibility CVP (mm Hg)
<2.1cm >50%Normal
0-5
<2.1cm <50%Indeterminate
5-10
>2.1cm >50%Indeterminate
5-10
>2.1cm <50%High10-20
J Am Soc Echocardiogr 2010;23:685-713
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IVCDiameter
Collapsibility CVP (mm Hg)
<2.1cm >50%Normal
0-5
<2.1cm <50%Indeterminate
5-10
>2.1cm >50%Indeterminate
5-10
>2.1cm <50%High10-20
J Am Soc Echocardiogr 2010;23:685-713
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CARDIACPATHOLOGY
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MUST know Diagnoses
Cardiac Standstill
Pericardial Effusion/Tamponade
Right Ventricular Strain
Ejection Fraction
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CARDIAC STANDSTILL
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Cardiac Standstill
SX
B ASE
APEX
RIGHT
LEFT
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Minimal Activity
SX
B ASE
APEX
RIGHT
LEFT
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Minimal Activity
SX
B ASE
APEX
RIGHT
LEFT
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Pericardial Effusionand
Tamponade
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use ALL VIEWS
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PSLA
APEX
BASE
Anterior
Posterior
Normal Heart
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DescendingAorta
PSLA
APEX
BASE
Anterior
Posterior
Normal Heart
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Pericardial EffusionAND
Pleural Effusion
DescendingAorta
PSLA
APEX
BASE
Anterior
Posterior
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PSLA
APEX
BASE
Anterior
Posterior
PericardialEffusion
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Pericardial EffusionAND
ASCITES
SX
B ASE
APEX
RIGHT
LEFT
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TAMPONADE
RIGHT VENTRICULAR DIASTOLIC COLLAPSE
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Tamponade
SX
B ASE
APEX
RIGHT
LEFT
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Tamponade
PSLA
APEX
BASE
Anterior
Posterior
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TAMPONADE
RIGHT ATRIAL SYSTOLIC COLLAPSE
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MASSIVE Pulmonary Embolism
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Right Ventricular Strain
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Normal RV 2/3 size of LV
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PSLA
APEX
BASE
Anterior
Posterior
Right VentricularStrain
RV
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APEX
BASE
Anterior
Posterior
PSLA
Compared toNormal Heart
RV
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Mcconnell’s Sign
A4
RIGHT
LEFT
APEX
BASE
apex hyperkinetic
RV
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D Sign
RIGHT
LEFT
Anterior
Posterior
ParasternalSHORT
RV
LVD
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Estimating Ventricular Function
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PSLA
Normal Heart
LV
MV
APEX
BASE
Anterior
Posterior
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A4
RIGHT
LEFT
APEX
BASE
DEPRESSED Activity
LV
MV
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PSLA
APEX
BASE
Anterior
Posterior
SEVERELYDEPRESSED
Activity
LV
MV
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E point Septal Separation
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QuantitativeMITRAL VALVE Assessment
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M-MODE
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RV
IVS
Ant MV
Post MV
LV
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Slide 17
E-POINT SEPTAL SEPARATION
Ventricular Filling
Diastole Systole
Anterior Leaflet
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E wave A wave
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MEASURE HERE
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Normal EF Reduced EF
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<8mm >55%(Normal)
8 -18mm30 - 50%
(Moderately Reduced)
>18mm <30%(Severely Reduced)
EPSS Ejection Fraction
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Formula
EF = 75 - EPSS (2.5)
*EPSS in mm
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Formula
EF = 75 - EPSS (2.5)
*EPSS in mm
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Formula
EF = 75 - 6 (2.5)
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Formula
EF = 75 - 15.6 = 59%
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Limitations of EPSS
Mitral Stenosis
Mitral Valve Surgery
Aortic Regurgitation
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MUST know DiagnosesCardiac Standstill
Pericardial Effusion/Tamponade
Right Ventricular Strain
MUST know Hemodynamics Ventricular Function Assessment
IVC Assessment