ultrasound

Subaortic Membrane

Here's a transesophageal echo (TEE) of a subaortic membrane (encircled in yellow) causing left ventricular outflow tract (LVOT) obstruction. Also note the fluttering of the aortic valve (AoV) leaflets during systole, turbulent flow in...

Ocular Ultrasound For Increased Intracranial Pressure

As part of a quick point-of-care ultrasound (POCUS) examination, ocular ultrasound can help determine increased intracranial pressure (ICP), retinal detachment, lens dislocation, vitreous hemorrhage, etc. in conjunction with the patient’s history and physical exam. For...

M-Mode Ultrasound Assessment Of Diaphragm Movement

Patients with suspected diaphragm paralysis (e.g., elevated hemidiaphragm on chest x-ray, a surgery that is high risk for compromising the phrenic nerve, etc.) can be evaluated using motion mode ("M-mode") ultrasonography at the bedside....

National Board of Echocardiography (NBE) Advanced PTEeXAM Case Log Template

Here's an Excel template for those logging transesophageal echocardiograms (TEE) on the supervised training pathway for the National Board of Echocardiography's (NBE) advanced perioperative TEE diplomate status. This template is based on the sample...

Tendyne Transcatheter Mitral Valve Replacement (TMVR)

Abbott's Tendyne transcatheter mitral valve replacement (TMVR) offers an alternative to MitraClip for patients with symptomatic, moderate-severe mitral regurgitation who are not suitable candidates for a traditional, open surgical mitral valve replacement. The ongoing,...

POCUS – IVC Versus Aorta

The subcostal view of the inferior vena cava (IVC) assesses respirophasic variation and overall size as a way of gauging venous volume status. I obtain this view by palpating the xiphoid process, moving just...

Launch Of The Butterfly iQ+

As a cardiothoracic anesthesiologist and intensivist, I utilize ultrasound in a myriad of ways. Whether I'm placing a peripheral nerve block or performing arterial cannulation in the operating room or guiding a thoracentesis procedure...

Wall Motion Abnormalities (WMA)

Left ventricular (LV) wall motion abnormalities (WMA) are associated with myocardial ischemia and can be generalized or regional. In this transgastric mid-papillary short axis view of the LV, one sees a clear difference in...

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