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Right Intercostal Oblique Ultrasound View

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1. Right Intercostal Oblique Ultrasound View

Right Intercostal Oblique Ultrasound View Right 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 (...) Right Intercostal Oblique Ultrasound View Right Intercostal Oblique Ultrasound View Aka: Right Intercostal Oblique Ultrasound View , Right Coronal Ultrasound View II. Indications III. Approach: Right Intercostal Oblique View (Right lower chest to RUQ) Transducer positioning Placement: Right lateral lower chest and upper Axis: Long Access with indicator at 12:00 May rotate indicator to oblique 10-11:00 to reduce rib shadowing Direction: Energy perpendicular to lateral chest towards Landmarks

2018 FP Notebook

2. Left Intercostal Oblique Ultrasound View

Conditions Left (same findings as on right) Additional measures (if time to evaluate incidental findings) can also be measured for in this view (normal <12-14 cm) Images IV. Approach: Left Coronal Ultrasound View Obtain view by tilting transducer inferiorly from right intercostal view (or dropping down 1-2 rib spaces) Transducer positioning Placement: 1-2 interspaces below the Left Intercostal Oblique Axis: Long axis with indicator at 12:00 Direction: Energy perpendicular to lateral Pan transducer (...) , 3rd Rock , Minneapolis, MN Alameda County Service Mateer (2012) Introduction to Trauma Video, GulfCoast , VL-95-T HCMC Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Left Intercostal Oblique Ultrasound View." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Related Topics in Radiology About FPnotebook.com is a rapid access, point-of-care medical

2018 FP Notebook

3. Right Intercostal Oblique Ultrasound View

Right Intercostal Oblique Ultrasound View Right 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 (...) Right Intercostal Oblique Ultrasound View Right Intercostal Oblique Ultrasound View Aka: Right Intercostal Oblique Ultrasound View , Right Coronal Ultrasound View II. Indications III. Approach: Right Intercostal Oblique View (Right lower chest to RUQ) Transducer positioning Placement: Right lateral lower chest and upper Axis: Long Access with indicator at 12:00 May rotate indicator to oblique 10-11:00 to reduce rib shadowing Direction: Energy perpendicular to lateral chest towards Landmarks

2015 FP Notebook

4. Left Intercostal Oblique Ultrasound View

Conditions Left (same findings as on right) Additional measures (if time to evaluate incidental findings) can also be measured for in this view (normal <12-14 cm) Images IV. Approach: Left Coronal Ultrasound View Obtain view by tilting transducer inferiorly from right intercostal view (or dropping down 1-2 rib spaces) Transducer positioning Placement: 1-2 interspaces below the Left Intercostal Oblique Axis: Long axis with indicator at 12:00 Direction: Energy perpendicular to lateral Pan transducer (...) , 3rd Rock , Minneapolis, MN Alameda County Service Mateer (2012) Introduction to Trauma Video, GulfCoast , VL-95-T HCMC Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Left Intercostal Oblique Ultrasound View." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Related Topics in Radiology About FPnotebook.com is a rapid access, point-of-care medical

2015 FP Notebook

5. Guidelines For Professional Ultrasound Practice

for Professional Ultrasound Practice’, in the past affectionately known to sonographers as the ‘UKAS Guidelines’. The United Kingdom Association of Sonographers was set up to support sonographers, provide advice and practice guidance and ultimately get sonography recognised as a profession in its own right. To this day the latter still remains a challenge! However, since the last edition of the Guidelines was produced in 2008, UKAS has merged with SCOR, so, while UKAS no longer exists, its legacy lives (...) 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

2019 British Medical Ultrasound Society

6. Guidelines For Professional Ultrasound Practice

University SCoR/BMUS Guidelines for Professional Ultrasound Practice. Revision 2. December 2017. 5 FOREWORD TO THE DECEMBER 2015 EDITION It is my pleasure to introduce the updated ‘Guidelines for Professional Ultrasound Practice’, in the past affectionately known to sonographers as the ‘UKAS Guidelines’. The United Kingdom Association of Sonographers was set up to support sonographers, provide advice and practice guidance and ultimately get sonography recognised as a profession in its own right (...) 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

2018 British Medical Ultrasound Society

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

, continuous wave Doppler and pulsed wave Doppler where appropriate 13 Demonstration of the understanding of the longitudinal (long axis) and transverse (short axis) planes of view 14 Demonstration of understanding of the term ‘in-plane’ approach by placing needle under the long axis of the ultrasound probe 15 Demonstration of understanding of the term ‘out-of-plane’ approach by placing the needle under middle of the probe at right angles to the long axis of the probe 16 Precise control of the probe (...) 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

2012 Association of Anaesthetists of GB and Ireland

8. Gallbladder Ultrasound

obliquely to position the gallbladder in long axis Landmarks: Short Axis (transverse) Common bile duct (faint narrow line normally) in long axis (immediately below common bile duct) in long axis Inferior vena cava (~1 cm inferior to ) in cross-section Images RUQ/GB Long Axis RUQ/GB Long Axis - Intercostal RUQ/GB Short Axis Gallbladder localization Anterior Long axis or longitudinal approach Start with probe indicator at 12:00 with energy directed towards patient's right Sweep from midline to right (...) : Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Gallbladder Ultrasound." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Ultrasound gallbladder (C1536154) Concepts Diagnostic Procedure ( T060 ) Dutch echo galblaas French Echographie de la vésicule biliaire German Ultraschall Gallenblase Italian Ecografia colecistica Portuguese Ecografia da vesícula

2018 FP Notebook

9. 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

10. 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 (...) to perform gentle, graded compression. This can often stimulate the bowel to peristalse out of the way. Another technique is to reattempt the view from a position just to the right of midline and try to use more of the liver as an acoustic window. The parasternal long-axis (PLA) view should visualize the aortic root. If the aortic root is absent, the image is most likely oblique. In this case, angle the transducer slightly in either direction to optimize the image. The parasternal short-axis view should

2014 eMedicine Emergency Medicine

11. 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 (...) to perform gentle, graded compression. This can often stimulate the bowel to peristalse out of the way. Another technique is to reattempt the view from a position just to the right of midline and try to use more of the liver as an acoustic window. The parasternal long-axis (PLA) view should visualize the aortic root. If the aortic root is absent, the image is most likely oblique. In this case, angle the transducer slightly in either direction to optimize the image. The parasternal short-axis view should

2014 eMedicine Emergency Medicine

12. 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 (...) to perform gentle, graded compression. This can often stimulate the bowel to peristalse out of the way. Another technique is to reattempt the view from a position just to the right of midline and try to use more of the liver as an acoustic window. The parasternal long-axis (PLA) view should visualize the aortic root. If the aortic root is absent, the image is most likely oblique. In this case, angle the transducer slightly in either direction to optimize the image. The parasternal short-axis view should

2014 eMedicine Emergency Medicine

13. Gallbladder Ultrasound

obliquely to position the gallbladder in long axis Landmarks: Short Axis (transverse) Common bile duct (faint narrow line normally) in long axis (immediately below common bile duct) in long axis Inferior vena cava (~1 cm inferior to ) in cross-section Images RUQ/GB Long Axis RUQ/GB Long Axis - Intercostal RUQ/GB Short Axis Gallbladder localization Anterior Long axis or longitudinal approach Start with probe indicator at 12:00 with energy directed towards patient's right Sweep from midline to right (...) : Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Gallbladder Ultrasound." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Ultrasound gallbladder (C1536154) Concepts Diagnostic Procedure ( T060 ) Dutch echo galblaas French Echographie de la vésicule biliaire German Ultraschall Gallenblase Italian Ecografia colecistica Portuguese Ecografia da vesícula

2015 FP Notebook

14. 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

15. 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 (...) ]. In certain patient groups, including variant anatomy such as aberrant right subclavian artery with aneurysmal degeneration of the vessel origin, hybrid open and endovascular procedures are performed wherein affected visceral branch vessels are surgically revascularized with concomitant or staged endovascular exclusion of the primary aortic pathology [7-9]. Thoracic aortic aneurysms are defined as permanent dilation of the thoracic aorta by more than 2 SDs over the mean. Based on population studies

2017 American College of Radiology

16. 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

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

for surgery. Symptomatic documented ischemia or ventricular arrhythmia is an indication for surgical repair. A slit-like coronary ostium, an acutely oblique proximal coronary course (particularly with a high takeoff as occurs with the anomalous right coronary artery), and a longer segment running within the arterial wall (“intramural”) are all high-risk features. Additionally, ventricular arrhythmia elicited on exercise testing, unexplained syncope, or a dominant anomalous vessel should prompt further (...) 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

2015 American Heart Association

18. Aortic Diseases

diseases. The most important TOE views of the ascending aorta, aortic root, and aortic valve are the high TOE long-axis (at 120–1508) and short-axis (at 30– 608). 68 Owing to interposition of the right bronchus and trachea, a shortsegmentofthedistalascendingaorta,justbeforetheinnomin- ate artery,remains invisible (a ‘blind spot’). Images of the ascending aortaoftencontainartefactsduetoreverberationsfromtheposter- ior wall of the ascending aorta or the posterior wall of the right pulmonary artery (...) . . . . . . . . . . . . . . . . . . . . . . . . .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

19. 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

20. 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

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