Hudson Valley Community College Echocardiography Protocol
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Transcript of Hudson Valley Community College Echocardiography Protocol
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Hudson Valley CommunityCollege Echocardiography
Protocol
Sarah Burns Kristin Logan Valerie Burdo Kathy IvesJennifer Mesch John Coram Ali
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The Echo exam will provide information to
assess, measure, and document overall cardiac
Function.
http://www.stanthonys.org.uk/news.html
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Equipment to be Checked prior to exam
• Proper Transducer
• Examination Table
• ECG wires and electrodes
• Storage Documentation (VCR Tape)
• Transducer gel
• Patient gown
• Sheets
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Equipment (continued)
• Towels
• Disinfectant spray
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Prior to the Examination
• Obtain patient consent
• Obtain patient’s medical history
• Insure there is a valid signed and dated Physician’s order
• Note the indication for the exam
• (If applicable) Review any previous exams
• Enter the patient identification
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Patient Preparation
• Advise patient to remove clothing from the waist up and to change into a hospital gown
• Have patient lie supine• Attach ECG electrodes to the chest• Have patient now lie in left lateral decubitus
position with left arm elevated• Dim the lights
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The Exam
www.aimshospital.org/Pages/PedCard/noninvasive.html
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Parasternal Long Axis
• 4-5 inter-costal spaces • Index toward right
shoulder• Assess for wall motion• Asses size and
function of RV, LV, IVS, LVPW, LVOT, LA, MV, and
products.medison.co.kr/category/.../sm-3.asp
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Parasternal Long Axis
• Color Flow Doppler• Aortic Valve• Mitral Valve
www.vmth.ucdavis.edu/cardio/cases/case11/color.htm
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Measurements (2-D or M-Mode)
• Aortic Root• Left atrium• Left Ventricle• Inter-ventricular
Septum• LV posterior wall
www.s2.chalmers.se/research/image/Research/iag_projects.html
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Parasternal- RVIT
• Angle inferiorly towards Patients right hip
• Color flow Doppler of TV
• Pulsed Wave Doppler TV
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Parasternal Short Axis
• Aortic Level
-document tri-leaflet
-tricuspid valve
-pulmonic valve
-color flow Doppler
-Pulsed Wave Doppler
-M-mode (if app.)
• Mitral Valve Level
-left ventricle wall
motion
-M-mode (if app.)
-valvular motion
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Parsternal Short (cont)
• Papillary
-note LV wall motion
• Apex
-note LV wall motion
info.med.yale.edu/intmed/cardio/
imaging/techniques/echo_intro
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Apical Location
• Find the Apical Impulse on lower left side of chest
• Place the index toward the patients left side
www.cardiology-houston.com/
Diagnostics/diagnostics.html
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Apical 4
• LV wall motion
• Spectral recording of MV
• Spectral recording of TV
• Pulse wave Doppler of MV & TV
• Continuous wave Doppler if necessary
• Color flow Doppler of MV & TV
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Apical 5 Chamber
• Interrogate LVOT• Pulse wave Doppler of
LVOT & AoV• Continuous wave
Doppler (if appl.)• Color flow Doppler
www.fvet.uba.ar/hospital/ecocardio/ecocanino.htm
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Apical 3 Chamber
• Document LV wall motion
• Color flow Doppler to MV, AoV, and LVOT
• Pulsed wave Doppler to interrogate Aov
www.ctr.columbia.edu/~shahram/research_echo.htm
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Apical 2 Chamber
• Document LV wall motion
• Apply Color Flow to interrogate MV
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Sub-Costal Views
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Sub-costal Location
• Have patient lie on back with knees elevated
• Place transducer below the xyphoid process
• Angle the transducer to the patients left should with index toward the left side of the body
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Sub-costal
• Sub-costal Long
-document 4 chambers
-color flow Doppler to assess IAS and IVS
• IVC, Hepatic veins, and abdominal aorta
• Sub-costal Short
-Aortic level
-Mitral
-Papillary
-Apex
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Supra-Sternal
• Patient in supine position
• Extend neck• Angle inferiorly
toward the heartAssess ascending and descending
aorta
Color Flow Doppler
Pulse wave Doppler
www.quintemri.com/casestudies_AorticArch.html