POCUS - Cardiac Ultrasound - Subxiphoid Short Axis
2024 ж. 11 Мам.
14 385 Рет қаралды
In addition to basic cardiac (echo) views the subxiphoid short axis view is a great additional view to know. It lets you focus on the left ventricle and is an easy way to assess the ejection fraction (EF).
It is especially useful in patients when the parasternal views are not obtainable, such as patients with COPD/emphysema. It is comparable to the parasternal short axis.
It is easily obtainable and can be easily obtained after the subxiphoid view and before the Inferior Vena Cava (IVC).
Very good tutorial!
Thank's a lot
Welcome!!
Are there any differences between PSAX ? wall positions etc. Is it same view?
Same view (walls of the LV) but with change of vantage point (angle/approach to view) . Pay attention to the RV location and papillary muscle location. This will help you orient to the different walls of the LV.
*you are great!!!* please, SOS from Germany: nobody here is able to show me step-by-step a TTE. Which angle for what measurements *and* what are the results saying for what dysfunction, when cw/ when pw, what then? Step-by-step TTE please my hero
Try starting with this: kzhead.info/sun/dpppmquSqpuGpas/bejne.html What is your profession?
@@POCUSGeek thanks a lot for your feedback. Internal medicine+cardiologist in spe. Yes, I saw this part from you.The best one , even with my commenz 1year ago. *great!* :). But what to do after finding PLAX,SPAX,apical+subxiphoidal views? When cw/pw,when which measurments, when I can say it's systolic/diastolic dysfunction etc?
So typically for point of care ultrasound the idea is just to use 2d or B mode ultrasound and answer a few binary questions. Being a cardiologist this will differ for you compared to my work in the ED. For example a cardiology echocardiography typically takes between 30-45 minutes to complete with the measurements your referring to. In the emergency setting this needs to be done within a few minutes so typically I don't do more than the views shown in the videos that I've made so far. Here is a joint statement from some professional bodies in the United States about non-cardiologist performed cardiac ultrasound. www.onlinejase.com/article/S0894-7317(10)00871-0/pdf With that said at times it helps, emergency doctors like myself, to geek out with ultrasound and look at things more in depth and these often reflect what a cardiologist would do on a regular basis. Eventually I hope to put some of that content here but have not be able to do so, yet. Here is an on-line tool I've found (unfortunately costs money) that maybe useful to you in the meantime. ecgwaves.com/course/clinical-echocardiography/ (I have no financial interests with this product) Also if you have access to the apple store in your location here is another good resource: books.apple.com/us/book/practical-guide-to-critical-ultrasound-volume-1/id1439354416 (Put out by ACEP that gave the joint statement listed above but gives some in-depth cardiac ultrasound) Best of luck. I hope that helps.
@@POCUSGeek I apprechiate it+ your effort! Thaaank you sooo much. I'll do that, what you supose. Best greetings from Germany. *Thanks again*
Do you find any particular patient position makes these views easier to obtain?
Supine if possible for subxiphoid views if not then reclined. IVC variability can't be assessed in any other position.