Critical Care Medicine  

 

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.

In 2009, under the direction of Dr. Anne-Sophie Beraud, a new educational website was launched to teach echocardiography in the Intensive Care Unit. This site continues to develop, and has a growing number of presentations and TTE case examples.



 

 

In addition to transthoracic echocardiography, we have formal and bedside teaching in transesophageal echocardiography and are heavily invested in training our fellows in other applications of bedside ultrasound.

TEE Education Conference

5-6 pm Anesthesia Conference Room

Physics of Ultrasound - Dr. HILL

1. Probe
2. Processing
3. Artifacts
4. Safety

Doppler Analysis - Dr. SIEGAL

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

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

1. Atrio-ventricular inflow patterns
2. Pulmonary vein flow patterns
3. Tissue Doppler
4. Vp
5. Hepatic Vein flow patterns

 

 Trauma

 Ultrasound-Guided Placement of venous and arterial lines

 Echo in shock

 

 

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