Critical Care Medicine In the Department of Anesthesia

Echocardiography

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.

echocardiographyThe 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)

 Sept 25, 2008 Left chambers evaluation (Duration: 38 minutes 28 seconds)

 Oct 2, 2008 Right chambers evaluation

 Oct 7, 2008 Valves evaluation 1: aortic diseases

 Oct 9, 2008 Valves evaluation 2: mitral and tricuspid diseases

 Oct 14, 2008 Pericardium and extracardiac structures

 Oct 16, 2008 Hemodynamics

 Oct 21, 2008 Trauma

 Oct 23, 2008 Placement of venous and arterial lines, Dr Mihm

 Oct 28, 2008 Echo in shock

 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 Room

Physics 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

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