This is my second review, but it is not sufficient to me. I plan to review more than five times from now on. Thank you once again for your excellent lecture.
Thanks Dr Orde, excellent video and one I will put in my permanent resources file. Quick question - when doing PW of RVOT in PSAX view, where were you putting the gate? I heard you say 'box' a couple of times and was not sure if you were referring to the whole colour box or just the gate. Am asking because keen to know if the 'notched' versus 'shield' shaped waveforms are useful indicators of raised PCWP , and if they are taken from the same place or more distal. Also pleased to note that you included VTI and not Simpson's EF- do you use Simpson's EF ?
Hi BLUE Team. Great Questions. Yes you're right, "pulse wave doppler box" isn't the technical term - the correct term would be "sample volume" or "range gate". This should be place within 1cm to the pulmonary valve, the closer the better, without going through the valve, just like sampling at the LVOT. By "notched" I assume you mean mid-systolic notching, aka the "flying w" sign, which is classically used to refer to the M-mode pattern through the poster pulmonary valve leaflet but can also be seen on PW at the RVOT and is indicative of pulmonary hypertension. As for the second question, well it depends on what you're after. We find that EF in the critically ill isn't that helpful. After all, you can have a "normal ejection fraction" but still have a really low stroke volume (- think of a thick hypertrophied LV for example with a small cavity, with an end-diastolic volume of 70mls - even if the ejection volume is 60%, that's still only a stroke volume 42mls). In ICU we're far more interested in cardiac output, and VTI is the crux of that measure. Hope that's helpful and thanks for watching!
great video. Taught me more than many years as a fresh doctor in a cardiology unit over here in Germany - keep up the great work.
Best video I have ever seen for windows and views making
Excellent review of some advance echo techniques. Probably the best introduction I've seen. Thank you!
The best introduction that I ever had..
Well done
beautiful review. I am a 3rd year cardiology fellow in New Orleans and loved your review.
Excellent content, I'm sure the channel is going to take off. Thanks for the incredible effort.
Thanks for watching!
the Best Echo introduction i have ever seen in youtube...one suggestion only,if you can mark segments with each echo window...thankkk uu
Great teaching, great demonstration. I appreciate this.
Amazing explaination! I can immediately understand how follow these structural anatomy. Thank you so much!
Fantastic review of a general Transthoracic echo
best concise methodology of echo in limited time
This is my second review, but it is not sufficient to me. I plan to review more than five times from now on. Thank you once again for your excellent lecture.
THe best video i'v ever seen on the internet
Thank you for your effort teaching us in anice model.
a good refresher.... thank you doc.
Great approach
Thanks dr. Sam
This is excellent and very helpful/resourceful. Thank you so much.
Beautifully done
This is very good Echo video
Excellent presentation,Thanks very much.
just perfect demonstration
That was great.... thank you so much
Excelent & didactic video.....congratulations and thanks very much.
This was very helpful. Can you show the M-Mode views & waveforms, the subcostal 4 chamber view, and the suprasternal view also?
excellent video. Thanks for your time
simply wonderful!
Great presentation!
Very good video and comprehensive
Very useful tnx sir
Tanks for only. Its great and easy to learn❤
Thank you.. so well explained
Thank you.
awesome
Thaaaank youuu reallyyyy ❤❤❤❤❤
Very good 👍🏻
Anybody here scan with the right hand instead of the left ?
Me 🥷
You should be able to do both efficiently. You never know where machines in the ICU are set up and may get in the way (CRRT, ECMO, ventilator, drips)
I scan with the right hand
@@hraza2222 I can definitely do both. I prefer the right because I get a little bit more leverage and my wrist doesn’t hurt as much overtime
Thank you
Do you have pediatric echo? Thx
Hello dear dr
i just want to do home paractace on like that smiulator please guide me from where i can buy it
perfect thank you
Love the video, how do you bring out the 2ch anterior wall better? I always have trouble with that.
Good
How long does test take?
30 min or so depending on findings. If I’m in a hurry and there is easy anatomy and zero findings needing further imaging 20 minutes
Interesting
Thanks Dr Orde, excellent video and one I will put in my permanent resources file. Quick question - when doing PW of RVOT in PSAX view, where were you putting the gate? I heard you say 'box' a couple of times and was not sure if you were referring to the whole colour box or just the gate. Am asking because keen to know if the 'notched' versus 'shield' shaped waveforms are useful indicators of raised PCWP , and if they are taken from the same place or more distal.
Also pleased to note that you included VTI and not Simpson's EF- do you use Simpson's EF ?
Hi BLUE Team. Great Questions. Yes you're right, "pulse wave doppler box" isn't the technical term - the correct term would be "sample volume" or "range gate". This should be place within 1cm to the pulmonary valve, the closer the better, without going through the valve, just like sampling at the LVOT. By "notched" I assume you mean mid-systolic notching, aka the "flying w" sign, which is classically used to refer to the M-mode pattern through the poster pulmonary valve leaflet but can also be seen on PW at the RVOT and is indicative of pulmonary hypertension.
As for the second question, well it depends on what you're after. We find that EF in the critically ill isn't that helpful. After all, you can have a "normal ejection fraction" but still have a really low stroke volume (- think of a thick hypertrophied LV for example with a small cavity, with an end-diastolic volume of 70mls - even if the ejection volume is 60%, that's still only a stroke volume 42mls). In ICU we're far more interested in cardiac output, and VTI is the crux of that measure.
Hope that's helpful and thanks for watching!
I should say though, EF is part of a full comprehensive transthoracic study, so it should be included whenever possible.
at 10:27
i think you mean MR rather than TR 😅
Sir PLz send TEE link
Sir this is looking like animation. My Phillips machine doesn't give images like this
famous
Thank you