Great presentation and the waveforms and anatomy is all as it should be. I wasn't sure why your probe indicator is towards the patient's left. I thought the indicator should be pointed to the right at all times for anatomical accuracy.
@@0230Raveena Probe indicator is pointed superiorly. Not sure if you are referring to the screen orientation marker. I use cardiac preset (marker to the right) when doing VExUS because EKG doesn’t work in the abdomen preset.
I've done 50+ vexus exams. I notice that I often get very irregular waveforms when my pulse wave doppler sample is in the proximal hepatic vein (near the IVC). I have often had to find a more distal / smaller segment. Otherwise the waveform is irregular and isn't really making any sense. What do you think of this? Am I doing something majorly incorrect? Any tips would be welcomed!
Yes, subxiphoid IVC-HV view often gives hazy waveforms difficult to interpret, especially if there is no simultaneous EKG. We mentioned about it here - pubmed.ncbi.nlm.nih.gov/38815571/ Key is to use the right lateral window to find a relatively straight segment of HV a little farther from HV-IVC junction.
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Great presentation and the waveforms and anatomy is all as it should be. I wasn't sure why your probe indicator is towards the patient's left. I thought the indicator should be pointed to the right at all times for anatomical accuracy.
@@0230Raveena Probe indicator is pointed superiorly. Not sure if you are referring to the screen orientation marker. I use cardiac preset (marker to the right) when doing VExUS because EKG doesn’t work in the abdomen preset.
@@abhilashnephropocus1297 . Thank You so much for clarifying.
fantastic
I've done 50+ vexus exams. I notice that I often get very irregular waveforms when my pulse wave doppler sample is in the proximal hepatic vein (near the IVC). I have often had to find a more distal / smaller segment. Otherwise the waveform is irregular and isn't really making any sense. What do you think of this? Am I doing something majorly incorrect? Any tips would be welcomed!
Yes, subxiphoid IVC-HV view often gives hazy waveforms difficult to interpret, especially if there is no simultaneous EKG. We mentioned about it here - pubmed.ncbi.nlm.nih.gov/38815571/
Key is to use the right lateral window to find a relatively straight segment of HV a little farther from HV-IVC junction.