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Left Intercostal Oblique Ultrasound View

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1. Left Intercostal Oblique Ultrasound View

Left Intercostal Oblique Ultrasound View Left Intercostal Oblique Ultrasound View Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Left (...) Intercostal Oblique Ultrasound View Left Intercostal Oblique Ultrasound View Aka: Left Intercostal Oblique Ultrasound View , Left Coronal Ultrasound View II. Precautions Left is often missed on Do not forget to orient probe superiorly to visualize diaphragm Clinically important s (or ) will be clearly seen III. Approach: Left Intercostal Oblique Ultrasound View (LUQ) Transducer positioning Placement Hand resting on bed, holding transducer slightly above plane of bed Transducer posiition

2018 FP Notebook

2. Left Intercostal Oblique Ultrasound View

Left Intercostal Oblique Ultrasound View Left Intercostal Oblique Ultrasound View Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Left (...) Intercostal Oblique Ultrasound View Left Intercostal Oblique Ultrasound View Aka: Left Intercostal Oblique Ultrasound View , Left Coronal Ultrasound View II. Precautions Left is often missed on Do not forget to orient probe superiorly to visualize diaphragm Clinically important s (or ) will be clearly seen III. Approach: Left Intercostal Oblique Ultrasound View (LUQ) Transducer positioning Placement Hand resting on bed, holding transducer slightly above plane of bed Transducer posiition

2015 FP Notebook

3. Ultrasound in Anaesthesia and Intensive Care - A Guide to Training

of diaphragmatic function Ultrasound guided pleural and lung biopsy Ultrasound guided percutaneous tracheostomy and cricthyroidotomy Identification of the cricoid cartilage and extrathoracic tracheal rings Knowledge of the appearance of normal thyroid versus goitre and Doppler assessment of vascularity Anatomy Level 1 anatomy Detailed knowledge of relevant sectional anatomy Right and left hemidiaphragm Chest wall layers Ribs and intercostal spaces Surface anatomy of pleural reflections Heart Liver, spleen (...) communication with patient and family regarding ultrasound findings. Explanation of findings and the complexities of ultrasound techniques in terms that the patient can understand. Development of team leadership and management skills in developing and maintaining an ultrasound service. Needling techniques Understanding of terminology of planes of view, e.g. transverse, longitudinal. Understanding of terminology of needle insertion: in-plane and out-of-plane. Relationship of needle gauge, angle of insertion

2012 Association of Anaesthetists of GB and Ireland

4. Gallbladder Ultrasound

present Cholecystitis (PPV) 90% Interpretation: Above findings absent unlikely IV. Imaging: Point of Care Ultrasound Positioning Patient starts supine May need to switch to left lateral decubitus or upright in difficult cases Images may improve (decrease rib shadowing) with a held deep inspiration Patients should not have eaten recently Gallbladder will contract after eating making visualization very difficult Transducer Curvilinear transducer (large footprint abdominal probe, 2.5 to 5.0 MHz) Typical (...) probe with best penetration and best visualizes common bile duct Phased-array probe (cardiac probe) Indicated if only view is lateral intercostal (due to overlying gas, patient position) See (part of ) Precautions Scan gallbladder in both axes (short and long axis) Scan through a series of planes (serial cuts) in each axis s Visualize suspected movement in various patient positions (decubitus, supine, prone) Carefully evaluate gallbladder neck (easily missed s, especially while supine) Landmarks

2018 FP Notebook

5. Ultrasound Guided Subcostal Transversus Abdominis Plane Versus Paravertebral Block in the Laparoscopic Cholecystectomy

Ultrasound Guided Subcostal Transversus Abdominis Plane Versus Paravertebral Block in the Laparoscopic Cholecystectomy Ultrasound Guided Subcostal Transversus Abdominis Plane Versus Paravertebral Block in the Laparoscopic Cholecystectomy - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum (...) related topics: resources: Arms and Interventions Go to Arm Intervention/treatment Active Comparator: USG guided Subcostal TAP block after preparing the skin, ultrasound probe was placed obliquely on the upper abdominal wall along the subcostal margin near the midline. the rectus abdominis muscles, transversus abdominis muscles and the fascial plane (TAP) between rectus abdominis and transversus abdominis muscles were identified. after identification, the block needle was introduced anteriorly

2015 Clinical Trials

6. Gallbladder Ultrasound

present Cholecystitis (PPV) 90% Interpretation: Above findings absent unlikely IV. Imaging: Point of Care Ultrasound Positioning Patient starts supine May need to switch to left lateral decubitus or upright in difficult cases Images may improve (decrease rib shadowing) with a held deep inspiration Patients should not have eaten recently Gallbladder will contract after eating making visualization very difficult Transducer Curvilinear transducer (large footprint abdominal probe, 2.5 to 5.0 MHz) Typical (...) probe with best penetration and best visualizes common bile duct Phased-array probe (cardiac probe) Indicated if only view is lateral intercostal (due to overlying gas, patient position) See (part of ) Precautions Scan gallbladder in both axes (short and long axis) Scan through a series of planes (serial cuts) in each axis s Visualize suspected movement in various patient positions (decubitus, supine, prone) Carefully evaluate gallbladder neck (easily missed s, especially while supine) Landmarks

2015 FP Notebook

7. Imaging Guidelines

concern for pediatric and pregnant patient populations. Close cooperation with the radiologist for proper technique adjustment is encouraged. Expert consensus currently does not specify a definitive lifetime risk for malignancy, though it is likely to be exceedingly small. 7,8 Providers need to understand this issue and balance the diminutive risk of exposure against the risk from potential missed or delayed diagnosis. Bedside ultrasound is a portable non- ionizing imaging modality with limited

2018 American College of Surgeons

8. Thoracic Aorta Interventional Planning and Follow-up

to avoid errors based on aortic obliquity; such measurements are easily obtained with modern postprocessing software [40]. More advanced postprocessing techniques such as 3-D virtual angioscopy, which affords a virtual endoluminal view, have shown utility in the surgical planning period [41]. Because thoracic aorta pathology often extends to involve the abdominal aorta, imaging of the chest, abdomen, and pelvis is standard in evaluation of vascular pathology. CTA can also identify higher-risk features (...) aorta given superior anatomic accuracy, capacity to discern relevant complications, and ability to infer dynamic vascular information [36]. Catheter angiography has largely been replaced by CTA and MRA for diagnostic evaluation but remains a useful tool in cases where acute intervention is required. Ultrasound (US), echocardiography, radiography, and select nuclear medicine studies currently play an adjunctive role in the evaluation and follow-up of thoracic aortic disease and are principally

2017 American College of Radiology

9. Guidelines for Laparoscopic Ventral Hernia Repair

to approximate with laparoscopic techniques, and should therefore be considered for an open component separation technique. References for Special Considerations: [9-11, 16, 18, 20, 27, 31-40] C. Diagnosis Guideline 4: While most ventral hernias are easily diagnosed based on clinical exam, a preoperative abdominal CT scan or ultrasound may be considered for select patients with suspected ventral hernias to confirm the diagnosis or to aid the surgeon with preoperative planning. (Moderate quality, strong (...) recommendation) Diagnosis of a ventral hernia is typically made during the history and physical examination. Imaging studies including ultrasound, provocative ultrasound, computed tomography (CT) with and/or without Valsalva, and magnetic resonance imaging (MRI) can also be used for diagnosis. Imaging studies may be helpful to assess the anatomic details of a ventral hernia, augmenting the physical examination, especially when a hernia cannot be reduced, and therefore the defect cannot be palpated

2016 Society of American Gastrointestinal and Endoscopic Surgeons

10. Aortic Diseases

, and present as aortic intraluminal horizontal lines moving in parallel with the reverberating structures, as can be ascertained by M-mode tracings. 69,70 The descending aorta is easily visualized in short-axis (08) and long-axis (908) views from the coeliac trunk to the left subclavian artery. Further withdrawal of theprobeshowstheaorticarch. Real-time 3D TOE appears to offer some advantages over two-dimensional TOE, but its clinical incremental value is not yet well-assessed. 71 4.3.2.3 Abdominal (...) . . . . . . . . . . . . . . . . . . . . . . . . .2880 4.1 Clinicalexamination . . . . . . . . . . . . . . . . . . . . . . . .2880 4.2 Laboratorytesting . . . . . . . . . . . . . . . . . . . . . . . . .2880 4.3 Imaging. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2880 4.3.1 ChestX-ray . . . . . . . . . . . . . . . . . . . . . . . . . . .2880 4.3.2 Ultrasound . . . . . . . . . . . . . . . . . . . . . . . . . . .2881 4.3.2.1 Transthoracicechocardiography . . . . . . . . . . .2881 4.3.2.2 Transoesophagealechocardiography

2014 European Society of Cardiology

11. Congenital Heart Disease in the Older Adult

evaluation and discussion. The single coronary ostium, although less common, also is a concern for SCD risk. Identification and assessment of anomalous coronary arteries can be achieved with multiple imaging modalities. Echocardiography frequently has excellent resolution in children and young adults but may be less sensitive in older adults. The right coronary artery is generally harder to image than the left, although visualization in the parasternal long-axis view next to the aorta may be helpful (...) and on behalf of the American Heart Association Council on Clinical Cardiology Originally published 20 Apr 2015 Circulation. 2015;131:1884–1931 You are viewing the most recent version of this article. Previous versions: Introduction The population of adults with congenital heart disease (ACHD) has increased dramatically over the past few decades, with many people who are now middle-aged and some in the geriatric age range. This improved longevity is leading to increased use of the medical system for both

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2015 American Heart Association

12. An Update of Comprehensive Evidence-Based Guidelines for Interventional Techniques in Chronic Spinal Pain - Part 2 - Guidance and Recommendations

assessment of methodological quality, poor writing, and ambiguous presentation, all of which essentially project a view that these are not applicable to individual patients or are too restrictive with a reductions in clinician autonomy and that overzealous or inappropriate recommendations are not based on evidence. To avoid these factors, ASIPP has followed the guidance for the development of trustwor- thy guidelines with the 8 standards of IOM (1). ? Establishing transparency ? Management of conflict

2013 American Society of Interventional Pain Physicians

13. FAST Exam

down to 100 cc free fluid (200 cc on average) Free fluid in varies from 50-80% Free Fluid in Blunt Stable Patient : 22% Unstable Patient : 28% when CT showed free fluid: 35% V. Preparation: Ultrasound Transducer selection Low frequency probe (deeper penetration): 3-5 MHz Curved Linear Probe Transducer indicator positioning is based on the patient's body as a clock face Head: 12:00 Left hand: 3:00 Feet: 6:00 Right hand: 9:00 Transducer orientation Use long access (12:00) positioning for most views (...) Exam , Focused Assessment with Sonography for Trauma , Limited Trauma Ultrasound , Focused Assessment with Ultrasonography for Trauma , Ultrasound of Abdomen for FAST Exam II. Background FAST Exam typically takes 2-4 minutes depending on level of experience May take as little as 10 seconds for each of the 7 views FAST Exam is an integral part of the In some centers, FAST Exam is performed in place of auscultation of lungs and heart as part of the evaluation is the highest yield portion of the FAST

2018 FP Notebook

14. Thoracic Aortic Disease: Guidelines For the Diagnosis and Management of Patients With

arteries, coursing in front of the trachea and to the left of the esophagus and the trachea); and the descending aorta (which begins at the isthmus between the origin of the left subclavian artery and the ligamentum arteriosum and courses anterior to the vertebral column, and then through the diaphragm into the abdomen). The normal human adult aortic wall is composed of 3 layers, listed from the blood ?ow surface outward (Figure 1): Intima: endothelial layer on a basement membrane with minimal ground

2010 American College of Cardiology

15. Therapeutic Injections for Pain Management (Treatment)

tissue vs bone), fluoroscopic visualization [lateral, oblique and AP planes] and using radiopaque contrast. Fluoroscopic localization requires an AP and lateral of the needle or one fluoroscopy view and contact with an identifiable bony landmark. Contacting bone during the procedure offers a unique opportunity to know needle tip position. Also, when the needle tip is resting on bone, it is unlikely to be in a dangerous venue, such as a blood vessel, neural tissues, or the intrathecal space. Injection (...) . The fluoroscopic imaging chain. The C-arm facilitates optimal positioning of the fluoroscope for the practitioner to get the most favorable view, (eg, posterior-anterior, oblique, and lateral views of the patient). The control panel allows the technician to manually adjust the quality of the image or leave it to the automatic brightness control (ABC). The quality of the image contrast depends on the balance between the tube voltage and current. A higher kVp setting increases the penetrability of the x-ray beam

2014 eMedicine.com

16. Therapeutic Injections for Pain Management (Overview)

tissue vs bone), fluoroscopic visualization [lateral, oblique and AP planes] and using radiopaque contrast. Fluoroscopic localization requires an AP and lateral of the needle or one fluoroscopy view and contact with an identifiable bony landmark. Contacting bone during the procedure offers a unique opportunity to know needle tip position. Also, when the needle tip is resting on bone, it is unlikely to be in a dangerous venue, such as a blood vessel, neural tissues, or the intrathecal space. Injection (...) . The fluoroscopic imaging chain. The C-arm facilitates optimal positioning of the fluoroscope for the practitioner to get the most favorable view, (eg, posterior-anterior, oblique, and lateral views of the patient). The control panel allows the technician to manually adjust the quality of the image or leave it to the automatic brightness control (ABC). The quality of the image contrast depends on the balance between the tube voltage and current. A higher kVp setting increases the penetrability of the x-ray beam

2014 eMedicine.com

17. Therapeutic Injections for Pain Management (Follow-up)

tissue vs bone), fluoroscopic visualization [lateral, oblique and AP planes] and using radiopaque contrast. Fluoroscopic localization requires an AP and lateral of the needle or one fluoroscopy view and contact with an identifiable bony landmark. Contacting bone during the procedure offers a unique opportunity to know needle tip position. Also, when the needle tip is resting on bone, it is unlikely to be in a dangerous venue, such as a blood vessel, neural tissues, or the intrathecal space. Injection (...) . The fluoroscopic imaging chain. The C-arm facilitates optimal positioning of the fluoroscope for the practitioner to get the most favorable view, (eg, posterior-anterior, oblique, and lateral views of the patient). The control panel allows the technician to manually adjust the quality of the image or leave it to the automatic brightness control (ABC). The quality of the image contrast depends on the balance between the tube voltage and current. A higher kVp setting increases the penetrability of the x-ray beam

2014 eMedicine.com

18. Pulmonary Atresia With Ventricular Septal Defect (Overview)

. The Melody valve appears in good position. There is no Melody valve insufficiency. Courtesy of Dr Thomas Forbes. Left anterior oblique ventriculogram in a patient (same patient as in the next image) with pulmonary atresia with ventricular septal defect (PA-VSD). The angiogram shows the left and right ventricles with a large malalignment VSD between them. The only outflow from the heart is the aorta. No evidence of pulmonary blood flow is observed arising from the ventricles directly to the lungs. Asc Ao (...) = ascending aorta; Desc Ao = descending aorta; LV = left ventricle; and RV = right ventricle. Anteroposterior view of an aortogram in a patient (same patient as in the previous image) with pulmonary atresia with ventricular septal defect (PA-VSD). The pulmonary circulation is supplied by collateral vessels (Collaterals) that arise from the descending aorta (Desc Ao). Short-axis parasternal view (1) and diagram (3) in a patient with pulmonary atresia and ventricular septal defect (PA-VSD). Short-axis

2014 eMedicine Pediatrics

19. Pulmonary Atresia With Ventricular Septal Defect (Diagnosis)

. The Melody valve appears in good position. There is no Melody valve insufficiency. Courtesy of Dr Thomas Forbes. Left anterior oblique ventriculogram in a patient (same patient as in the next image) with pulmonary atresia with ventricular septal defect (PA-VSD). The angiogram shows the left and right ventricles with a large malalignment VSD between them. The only outflow from the heart is the aorta. No evidence of pulmonary blood flow is observed arising from the ventricles directly to the lungs. Asc Ao (...) = ascending aorta; Desc Ao = descending aorta; LV = left ventricle; and RV = right ventricle. Anteroposterior view of an aortogram in a patient (same patient as in the previous image) with pulmonary atresia with ventricular septal defect (PA-VSD). The pulmonary circulation is supplied by collateral vessels (Collaterals) that arise from the descending aorta (Desc Ao). Short-axis parasternal view (1) and diagram (3) in a patient with pulmonary atresia and ventricular septal defect (PA-VSD). Short-axis

2014 eMedicine Pediatrics

20. Congenital Lobar Emphysema

. Lateral chest radiograph with mild midline herniation of the left upper lobe. Swyer-James syndrome. with growth decreasing in one lung after infection. The left upper lobe is affected in 41% of patients with congenital lobar emphysema. A large, hyperlucent lung with attenuated but defined vascularity is observed. Compression of the remaining lung on that side, flattened hemidiaphragm, and widened intercostal spaces also are seen. An involved lung is seen herniated across the anterior midline (...) tomography scan indicates moderate hyperaeration of the right middle lobe. Perfusion scan in right posterior oblique (RPO) projection shows virtually no perfusion of the right middle lobe. Resected lobe is overexpanded and shows no other intrinsic abnormality. Two-year-old patient with respiratory distress shows left upper lobe hyperaeration. Lateral chest radiograph with mild midline herniation of the left upper lobe. Computed tomography scanning demonstrates the characteristic appearance

2014 eMedicine Radiology

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