Transthoracic Focused Rapid Echocardiographic Examination

Transthoracic Focused Rapid Echocardiographic Examination on Prezi

Transthoracic Focused Rapid Echocardiographic Examination: Real-Time Evaluation of Fluid Status in Critically Ill Trauma Patients

J Trauma. 2011;70: 56–64

FREE (Focused Rapid Echocardiographic Examination)

A.  Parasternal long axis view 

PLA is obtained between the 2nd and 6th intercostal space with the transducer notch facing the right shoulder

B.  Parasternal short axis view 

Rotated the echo probe 90 degrees The classic “donut view” of the left ventricle is seen along with the RV Tilting the probe allows imaging of the LV from the base to the apex

C.  Apical four-chamber view 

The probe is next placed along the left chest wall at the cardiac apex

D.  Subxiphoid windows 

Rroutine FAST and allows for evaluation of the IVC and pericardial effusions Rotation of the probe counter clockwise opens the IVC in long axis Once the IVC is visualized, M mode is used to better determine IVC diameter and collapsibiliy