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Hudson Valley Community College Echocardiography Protocol

This comprehensive protocol outlines equipment checks, patient preparation steps, examination procedures, and detailed measurements for an echocardiography exam. It covers various views, Doppler techniques, and necessary documentation practices to ensure a thorough assessment of cardiac function.

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Hudson Valley Community College Echocardiography Protocol

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  1. Hudson Valley CommunityCollege EchocardiographyProtocol Sarah Burns Kristin Logan Valerie Burdo Kathy Ives Jennifer Mesch John Coram Ali

  2. The Echo exam will provide information to assess, measure, and document overall cardiac Function. http://www.stanthonys.org.uk/news.html

  3. Equipment to be Checked prior to exam • Proper Transducer • Examination Table • ECG wires and electrodes • Storage Documentation (VCR Tape) • Transducer gel • Patient gown • Sheets

  4. Equipment (continued) • Towels • Disinfectant spray

  5. Prior to the Examination • Obtain patient consent • Obtain patient’s medical history • Insure there is a valid signed and dated Physician’s order • Note the indication for the exam • (If applicable) Review any previous exams • Enter the patient identification

  6. Patient Preparation • Advise patient to remove clothing from the waist up and to change into a hospital gown • Have patient lie supine • Attach ECG electrodes to the chest • Have patient now lie in left lateral decubitus position with left arm elevated • Dim the lights

  7. The Exam www.aimshospital.org/Pages/PedCard/noninvasive.html

  8. Parasternal Long Axis • 4-5 inter-costal spaces • Index toward right shoulder • Assess for wall motion • Asses size and function of RV, LV, IVS, LVPW, LVOT, LA, MV, and products.medison.co.kr/category/.../sm-3.asp

  9. Parasternal Long Axis • Color Flow Doppler • Aortic Valve • Mitral Valve www.vmth.ucdavis.edu/cardio/cases/case11/color.htm

  10. Measurements (2-D or M-Mode) • Aortic Root • Left atrium • Left Ventricle • Inter-ventricular Septum • LV posterior wall www.s2.chalmers.se/research/image/Research/iag_projects.html

  11. Parasternal- RVIT • Angle inferiorly towards Patients right hip • Color flow Doppler of TV • Pulsed Wave Doppler TV

  12. Aortic Level -document tri-leaflet -tricuspid valve -pulmonic valve -color flow Doppler -Pulsed Wave Doppler -M-mode (if app.) Mitral Valve Level -left ventricle wall motion -M-mode (if app.) -valvular motion Parasternal Short Axis

  13. Papillary -note LV wall motion Apex -note LV wall motion Parsternal Short (cont) info.med.yale.edu/intmed/cardio/imaging/techniques/echo_intro

  14. Apical Views

  15. Apical Location • Find the Apical Impulse on lower left side of chest • Place the index toward the patients left side www.cardiology-houston.com/Diagnostics/diagnostics.html

  16. Apical 4 • LV wall motion • Spectral recording of MV • Spectral recording of TV • Pulse wave Doppler of MV & TV • Continuous wave Doppler if necessary • Color flow Doppler of MV & TV

  17. Apical 5 Chamber • Interrogate LVOT • Pulse wave Doppler of LVOT & AoV • Continuous wave Doppler (if appl.) • Color flow Doppler www.fvet.uba.ar/hospital/ecocardio/ecocanino.htm

  18. Apical 3 Chamber • Document LV wall motion • Color flow Doppler to MV, AoV, and LVOT • Pulsed wave Doppler to interrogate Aov www.ctr.columbia.edu/~shahram/research_echo.htm

  19. Apical 2 Chamber • Document LV wall motion • Apply Color Flow to interrogate MV

  20. Sub-Costal Views

  21. Sub-costal Location • Have patient lie on back with knees elevated • Place transducer below the xyphoid process • Angle the transducer to the patients left should with index toward the left side of the body

  22. Sub-costal Long -document 4 chambers -color flow Doppler to assess IAS and IVS IVC, Hepatic veins, and abdominal aorta Sub-costal Short -Aortic level -Mitral -Papillary -Apex Sub-costal

  23. Supra-Sternal • Patient in supine position • Extend neck • Angle inferiorly toward the heart Assess ascending and descending aorta Color Flow Doppler Pulse wave Doppler www.quintemri.com/casestudies_AorticArch.html

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