Echocardiography
Training in TTE echocardiography is provided each year with a 4 week course taught by Stanford cardiologists with emphasis on basic echocardiographic techniques with helpful case examples.
The goal of this course is to allow critical care fellows to use echocardiography to assist in the bedside assessment of critically ill patients in order to quickly assess volume status (e.g. inferior venal caval diameter) and to identify cardiac tamponade, cardiac function (e.g. significant wall motion abnormalities) and major valve dysfunction.
In 2008 we are embarking on an extensive expansion of our formal ultrasound/echocardiography training for our fellows. This training will encompass formal training in TTE as well as TEE, noncardiac applications (FAST exam, pleural effusions, ascites, pneumothorax) of ultrasound in the ICU, as well as ultrasound guided vascular access for venous (peripheral IV, femoral, axillary, internal jugular, subclavian, brachial) and arterial (femoral, axillary) access.
TTE/Ultrasound Education Conference/Workshop
(all sessions videoed and accessible online)
12 - 1 pm Tuesday/Thursday Beginning Sept 23, 2008
Sept 23, 2008 TTE in the ICU (Duration: 46 minutes 17 seconds)
- Indications of TTE in the ICU
- Advantages and disadvantages of TTE
- Basic principles of Ultrasound
- Imaging modalities
- Settings
- TTE views: how to get them, how to interpret them
Sept 25, 2008 Left chambers evaluation (Duration: 38 minutes 28 seconds)
- Assessment of left ventricular size
- Assessment of systolic left ventricular function
- Left atrium
- Examples
Oct 2, 2008 Right chambers evaluation
- How to scan the RV?
- Assessment of right ventricular size and function
- Inferior vena cavae
- Estimation of right ventricular systolic pressure
- Pulmonary embolism
Oct 7, 2008 Valves evaluation 1: aortic diseases
- Exploration of the aortic valve
- Aortic stenosis
- Aortic regurgitation
Oct 9, 2008 Valves evaluation 2: mitral and tricuspid diseases
- Exploration of the mitral valve
- Mitral regurgitation
- Mitral stenosis
- Tricuspid regurgitation
Oct 14, 2008 Pericardium and extracardiac structures
- Pericardium and pericardial space
- Echographic criteria of tamponade
- Vena cavae and hepatic veins
- Aorta
- Assessment of LV pumping function:
- Ejection fraction
- Stroke volume
- Parameters derived from stroke volume
- Ejection fraction
- Fluid challenge
- Dynamic markers in ventilated patients:
- Respiratory variations in stroke volume
- Respiratory variations in IVC diameter
- Respiratory variations in stroke volume
- Prediction in spontaneous breathing patients
- Dynamic markers in ventilated patients:
- FAST exam
- E-FAST exam
Oct 23, 2008 Placement of venous and arterial lines, Dr Mihm
Oct 30, 2008 Conclusion: artifacts, important tools, clinical cases
Nov 4 , 2008 Heart-lung interactions in ventilated patients
Nov 6, 2008 Thoracic/Abdominal/Pelvic trauma (FAST exam)
Nov 11, 2008 Artifacts and pitfalls of imaging
TEE Education Conference
5-6 pm Anesthesia Conference RoomPhysics of Ultrasound - Dr. HILL August 18, 2008
1. Probe
2. Processing
3. Artifacts
4. Safety
Doppler Analysis - Dr. SIEGAL September 1, 2008
1. Continuous Wave
2. Pulsed-Wave
3. Continuity Equation
4. PISA
5. RF/RF/ERO
6. Qp/Qs, CO
Basic Introduction of LV and RV Function - Dr. KANVESKY September 15, 2008
1. Wall segment nomenclature
2. Coronary anatomy correlation
3. Methods of estimating EF
4. FS
5. FAC
6. MOD
7. Volume assessment
Diastolic Function - Dr. SORAN September 29, 2008
1. Atrio-ventricular inflow patterns
2. Pulmonary vein flow patterns
3. Tissue Doppler
4. Vp
5. Hepatic Vein flow patterns
