Cardiac ultrasound: Difference between revisions
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==Technique== | ==Technique== | ||
#Parasternal Long | |||
*Pointer to the L hip, L 3rd/4th intercostal space adjacent to sternum | |||
*Use to visualize global function and r/o pericardial effusion | |||
**Can evaluate mitral valve, aortic valve, aortic root, LV squeeze | |||
#Parasternal Short | |||
*Pointer to L shoulder, L 3rd/4th intercostal space adjacent to sternum | |||
*Tip: obtain parasternal long view, then rotate probe 90 degrees | |||
*Use to evaluate LV squeeze, R ventricle | |||
**R heart strain = dilated R ventricle | |||
#Apical 4 chamber | |||
*Pointer to Right, usually below nipple | |||
*Use to visualize global function (Left and right ventricle, squeeze) | |||
#Subxyphoid | |||
*Pointer to Right, subxyphoid with probe pointed toward head | |||
*Use liver to as acoustic window to visualize heart | |||
==Measurements== | ==Measurements== | ||
Revision as of 17:27, 21 September 2013
Background
- Only ED US when probe marker will be pointing to the left (parasternal views)
Technique
- Parasternal Long
- Pointer to the L hip, L 3rd/4th intercostal space adjacent to sternum
- Use to visualize global function and r/o pericardial effusion
- Can evaluate mitral valve, aortic valve, aortic root, LV squeeze
- Parasternal Short
- Pointer to L shoulder, L 3rd/4th intercostal space adjacent to sternum
- Tip: obtain parasternal long view, then rotate probe 90 degrees
- Use to evaluate LV squeeze, R ventricle
- R heart strain = dilated R ventricle
- Apical 4 chamber
- Pointer to Right, usually below nipple
- Use to visualize global function (Left and right ventricle, squeeze)
- Subxyphoid
- Pointer to Right, subxyphoid with probe pointed toward head
- Use liver to as acoustic window to visualize heart
Measurements
Aorta
- Normal aortic root is <3.8 cm (parasternal view w/ dot pointing to Lt arm)
See Also
Source
Sonosite