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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. Guidelines For Professional Ultrasound Practice

of considerable diagnostic value. There is no evidence that diagnostic ultrasound has produced any harm to patients in the time it has been in regular use in medical practice. However, the acoustic output of modern equipment is generally much greater than that of the early equipment and, in view of the continuing progress in equipment design and applications, outputs may be expected to continue to be subject to change. Also, investigations into the possibility of subtle or transient effects are still (...) Guidelines For Professional Ultrasound Practice Guidelines For Professional Ultrasound Society and College of Radiographers and British Medical Ultrasound Society Revision 3, December 2018 SCoR/BMUS Guidelines for Professional Ultrasound Practice. Revision 3, December 2018 Minor amendments, March 2019. 1 SOCIETY AND COLLEGE OF RADIOGRAPHERS AND BRITISH MEDICAL ULTRASOUND SOCIETY GUIDELINES FOR PROFESSIONAL ULTRASOUND PRACTICE DECEMBER 2015 Revision 3, December 2018. Minor amendments, March 2019

2019 British Medical Ultrasound Society

4. Guidelines For Professional Ultrasound Practice

as being of considerable diagnostic value. There is no evidence that diagnostic ultrasound has produced any harm to patients in the four decades that it has been in use. However, the acoustic output of modern equipment is generally much greater than that of the early equipment and, in view of the continuing progress in equipment design and applications, outputs may be expected to continue to be subject to change. Also, investigations into the possibility of subtle or transient effects are still (...) Guidelines For Professional Ultrasound Practice Guidelines For Professional Ultrasound Practice Society and College of Radiographers and British Medical Ultrasound Society December 2015 Revision 2, December 2017 SCoR/BMUS Guidelines for Professional Ultrasound Practice. Revision 2. December 2017. 1 SOCIETY AND COLLEGE OF RADIOGRAPHERS AND BRITISH MEDICAL ULTRASOUND SOCIETY GUIDELINES FOR PROFESSIONAL ULTRASOUND PRACTICE DECEMBER 2015 Revision 2, December 2017. LIST OF CONTENTS Acknowledgements

2018 British Medical Ultrasound Society

5. 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 (...) be delivered ‘in-house’ (using ‘Level 1 plus 12 months’ and Level 2 practitioners: anaesthetists, radiologists, ultrasonographers, cardiac physiologists, cardiologists or medical physicists), and by distance learning or web-based packages. The identity of who delivers this training is not as important as the assessment of the individuals to ensure that they have understood and can apply this knowledge to clinical practice. 10 2. Clinical governance and ultrasound Keeping records Logbook data of patients

2012 Association of Anaesthetists of GB and Ireland

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

2018 FP Notebook

7. 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

8. Ultrasonography, Cardiac (Diagnosis)

long-axis (PLA) view The probe should be placed in the parasternal fourth or fifth intercostal space with the transducer indicator directed pointed to the patient’s right shoulder, as shown below. Probe position for parasternal long-axis view. This allows for typical identification of the right ventricle, left atrium, left ventricle, aortic valve, aortic root, aortic outflow tract, and surrounding pericardium, as shown in the clip below. Ultrasound clip of parasternal long-axis view. The aortic (...) outflow tract is well visualized in this view. The patient has an enlarged right ventricle and a decreased left ventricular ejection fraction. The right atrium is typically not visualized on the PLA view. To see more of the base of the heart (ie, aortic root) try dragging the probe cephalad one intercostal space. To see more of the apex, try dragging the probe laterally toward the midclavicular line. Parasternal short-axis view From the PLA position, rotate the probe clockwise 90° such that the probe

2014 eMedicine Emergency Medicine

9. Ultrasonography, Cardiac (Treatment)

long-axis (PLA) view The probe should be placed in the parasternal fourth or fifth intercostal space with the transducer indicator directed pointed to the patient’s right shoulder, as shown below. Probe position for parasternal long-axis view. This allows for typical identification of the right ventricle, left atrium, left ventricle, aortic valve, aortic root, aortic outflow tract, and surrounding pericardium, as shown in the clip below. Ultrasound clip of parasternal long-axis view. The aortic (...) outflow tract is well visualized in this view. The patient has an enlarged right ventricle and a decreased left ventricular ejection fraction. The right atrium is typically not visualized on the PLA view. To see more of the base of the heart (ie, aortic root) try dragging the probe cephalad one intercostal space. To see more of the apex, try dragging the probe laterally toward the midclavicular line. Parasternal short-axis view From the PLA position, rotate the probe clockwise 90° such that the probe

2014 eMedicine Emergency Medicine

10. Ultrasonography, Cardiac (Overview)

long-axis (PLA) view The probe should be placed in the parasternal fourth or fifth intercostal space with the transducer indicator directed pointed to the patient’s right shoulder, as shown below. Probe position for parasternal long-axis view. This allows for typical identification of the right ventricle, left atrium, left ventricle, aortic valve, aortic root, aortic outflow tract, and surrounding pericardium, as shown in the clip below. Ultrasound clip of parasternal long-axis view. The aortic (...) outflow tract is well visualized in this view. The patient has an enlarged right ventricle and a decreased left ventricular ejection fraction. The right atrium is typically not visualized on the PLA view. To see more of the base of the heart (ie, aortic root) try dragging the probe cephalad one intercostal space. To see more of the apex, try dragging the probe laterally toward the midclavicular line. Parasternal short-axis view From the PLA position, rotate the probe clockwise 90° such that the probe

2014 eMedicine Emergency Medicine

11. 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

12. 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

13. 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

14. 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

15. Congenital Heart Disease in the Older Adult Full Text available with Trip Pro

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

2015 American Heart Association

16. 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

17. 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

18. FAST Exam

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 (...) 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

2018 FP Notebook

19. 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

20. 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

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