Video Gallery

August 2017 A&A Video Summary

Video Author: Jeanette Esau
Published on: 07.24.2017
Associated with: August 2017, Volume 125, Issue 2;

Video summary of featured articles in Anesthesia & Analgesia for August 2017.

All Videos
Most Viewed
Most Emailed



Creator: Jeanette Esau
Duration: 2:16
Video summary of featured articles in Anesthesia & Analgesia for October 2017.
Creator: Dr Neelam Aggarwal
Duration: 00:18
ME RV inflow-outflow view is shown in the initial part followed by modified transgastric RV inflow view. CFD shows diastolic aliasing below the pulmonic annulus and systolic aliasing at the level of the stenotic RVOT.
Creator: Dr Neelam Aggarwal
Duration: 00:24
A thin rim of valve tissue is seen at pulmonic annulus in modified ME RV inflow-outflow view (sector angle at 800) and modified ME aortic valve long-axis view (sector angle at 1150)
Creator: Dr Neelam Aggarwal
Duration: 00:13
A 3D en-face of absent PV obtained from upper-esophageal aortic arch short-axis view. In the initial part, the image is cropped from PA side and rotated clockwise to bring aortic arch on right side of the screen. The later part of clip shows the image cropped from RV side.
Creator: Quick time
Duration: 00:10
ME views showing the anomalous RPA from aorta and MPA branching anatomy
Creator: Quick time
Duration: 00:08
UE views showing the PDA and LPA
Creator: Quick time
Duration:
Modified ME views showing the post-surgery anastomosis
Creator: Andrej Alfirevic
Duration: 25:00
2D and color-flow Doppler Transgastric long axis view of the VSD; Transgastric right ventricular basal 2D and color compare views describing turbulent flow in the RVOT sue to subpulmonic hypertrophy
Creator: Andrej Alfirevic
Duration: 26:00
ME 4chamber color color-flow Doppler showing VSD; ME Long-axis view showing overriding aorta; ME 4chamber view post repair without residual VSD; CWD post repair with gradient resolution in the RVOT
Creator: Andrej Alfirevic
Duration: 25:00
Epicardial long-axis view color-flow Doppler showing VSD and CWD gradient measurement. Epicardial AV long axis view 2D and color-flow Doppler and AS gradients measurement.
Creator: Akira Ushiyama
Duration: 0:15
Representative movie of leukocyte-endothelial interactions in precapillary arterioles in a control mouse.
Creator: Akira Ushiyama
Duration: 0:15
Representative movie of leukocyte-endothelial interactions in postcapillary venules in a control mouse.
Creator: Akira Ushiyama
Duration: 0:15
Representative movie of leukocyte-endothelial interactions in precapillary arterioles in a septic mouse.
Creator: Akira Ushiyama
Duration: 0:15
Representative movie of leukocyte-endothelial interactions in postcapillary venules in a septic mouse.
Creator: Jeanette Esau
Duration: 1:58
Video summary of featured articles in Anesthesia & Analgesia for September 2017.
Creator: Dr Lachlan F. Miles
Duration: 1:17
Two- and three-dimensional imaging of the aortic valve in short axis, demonstrating differences in flow between the perimembranous VSD and the aorto-right ventricular fistula. The mid-esophageal aortic valve short axis view is used. In short-axis imaging, it is particularly difficult to appreciate the differences in flow arising above and below the plane of the aortic valve annulus.
Creator: Dr Lachlan F. Miles
Duration: 1:08
Two- and three-dimensional imaging of the aortic valve in the long axis in both mid-esophageal five chamber and the mid-esophageal long axis and modified mid-esophageal aortic valve short axis views. The full course of the fistula tract is difficult to appreciate without color flow Doppler. The change in perspective to long axis allows the viewer to distinguish between flow through the VSD (in systole) and the aorto-right ventricular fistula (in diastole).
Creator: Dr Lachlan F. Miles
Duration: 1:01
Two- and three-dimensional imaging of the left and right ventricular outflow tract using the transgastric left ventricular long axis view. The distance of the area of interest from the transducer decreases spatial resolution. Furthermore, the path of the fistula relative to the probe in this position precludes satisfactory Doppler alignment.



Creator: Jeanette Esau
Duration: 2:16
Video summary of featured articles in Anesthesia & Analgesia for October 2017.
Creator: Dr Neelam Aggarwal
Duration: 00:18
ME RV inflow-outflow view is shown in the initial part followed by modified transgastric RV inflow view. CFD shows diastolic aliasing below the pulmonic annulus and systolic aliasing at the level of the stenotic RVOT.
Creator: Dr Neelam Aggarwal
Duration: 00:24
A thin rim of valve tissue is seen at pulmonic annulus in modified ME RV inflow-outflow view (sector angle at 800) and modified ME aortic valve long-axis view (sector angle at 1150)
Creator: Dr Neelam Aggarwal
Duration: 00:13
A 3D en-face of absent PV obtained from upper-esophageal aortic arch short-axis view. In the initial part, the image is cropped from PA side and rotated clockwise to bring aortic arch on right side of the screen. The later part of clip shows the image cropped from RV side.
Creator: Quick time
Duration: 00:10
ME views showing the anomalous RPA from aorta and MPA branching anatomy
Creator: Quick time
Duration: 00:08
UE views showing the PDA and LPA
Creator: Andrej Alfirevic
Duration: 25:00
2D and color-flow Doppler Transgastric long axis view of the VSD; Transgastric right ventricular basal 2D and color compare views describing turbulent flow in the RVOT sue to subpulmonic hypertrophy
Creator: Andrej Alfirevic
Duration: 26:00
ME 4chamber color color-flow Doppler showing VSD; ME Long-axis view showing overriding aorta; ME 4chamber view post repair without residual VSD; CWD post repair with gradient resolution in the RVOT
Creator: Andrej Alfirevic
Duration: 25:00
Epicardial long-axis view color-flow Doppler showing VSD and CWD gradient measurement. Epicardial AV long axis view 2D and color-flow Doppler and AS gradients measurement.
Creator: Akira Ushiyama
Duration: 0:15
Representative movie of leukocyte-endothelial interactions in precapillary arterioles in a control mouse.
Creator: Akira Ushiyama
Duration: 0:15
Representative movie of leukocyte-endothelial interactions in postcapillary venules in a septic mouse.
Creator: Jeanette Esau
Duration: 1:58
Video summary of featured articles in Anesthesia & Analgesia for September 2017.
Creator: Dr Lachlan F. Miles
Duration: 1:17
Two- and three-dimensional imaging of the aortic valve in short axis, demonstrating differences in flow between the perimembranous VSD and the aorto-right ventricular fistula. The mid-esophageal aortic valve short axis view is used. In short-axis imaging, it is particularly difficult to appreciate the differences in flow arising above and below the plane of the aortic valve annulus.
Creator: Jeanette Esau
Duration: 2:24
Video summary of featured articles in Anesthesia & Analgesia for August 2017.
Creator:
Duration: 0:15
Real-time ultrasound-guided left supraclavicular approach to the central vein
Creator:
Duration: 0:15
Identify the right jugular vein and carotid artery at the level of the thyroid cartilage on the short-axis view. Then, the probe is moved caudally following the internal jugular vein in the center of the monitor. Once the probe has reached the clavicle, it is inclined following the internal jugular vein to identify where it merges with the right subclavian vein and the underlying pleura on the long-axis view. The puncture needle is inserted using the long-axis view and advanced while identifying the needle point in real-time, until it reaches the right brachiocephalic vein.
Creator: Dr. Saikat Bandyopadhyay
Duration: 0:55
The tumor is attached to the inter-atrial septum and protrudes into the RV cavity in diastole. Parts of the tumor are imaged in the right ventricular outflow tract. The mean gradient across the tricuspid valve was 1.93 mm Hg. (Abbreviations: RA = Right atrium, LA = Left atrium, RV = Right ventricle, LV = Left ventricle, PA = Pulmonary artery, RVOT = Right ventricular outflow tract, IVC = Inferior vena cava, SVC = Superior vena cava).
Creator: Dr. Saikat Bandyopadhyay
Duration: 1:05
In the pre-cardiopulmonary bypass (CPB) period tumor fragments are seen adjacent to the IVC cannula as well as inside the IVC and hepatic vein, after advancement of the IVC cannula into the IVC. Post initiation of CPB, tumor fragments are seen abutting the tip of the IVC cannula.
Creator: Dr. Saikat Bandyopadhyay
Duration: 1:04
No tumor fragments or residual tumor were found during this examination however significant RV dilation and hypokinesis is noted. No inter-atrialcommunication was seen with color flow Doppler.
Creator: Juan G. Ripoll
Duration: 0:25
Under two-dimensional transthoracic echocardiography parasternal right ventricular inflow tract view, Color flow Doppler was utilized to assess adequate catheter positioning. Avalon Elite catheter outflow/reinfusion port is imaged and flow is directed towards the tricuspid valve.
Creator:
Duration: 0:24
First part: The ME view, obtained by slightly withdrawing the probe from the modified ME 5-chamber view in video clip 1, demonstrates two cardiac masses (“proximal” and “distal”), with the RCA penetrating the left side of the distal mass. Second part: Color flow Doppler reveals laminar blood flow in the RCA. Third part: Simultaneous orthogonal planes to the RCA based on the ME aortic valve short axis view. Fourth part: Simultaneous orthogonal planes to the tricuspid valve based on the modified trans-gastric RV inflow-outflow view.
Creator: Jeanette Esau
Duration: 2:26
Video summary of featured articles in Anesthesia & Analgesia for July 2017.
Creator: Quick time
Duration: 0:16
ME 4-chamber view showing intermittent tricuspid prosthesis regurgitation
Creator: Quick time
Duration: 0:10
ME- 4 chamber showing abnormal regurgitation in all cycles
Creator: Quick time
Duration: 0:09
ME-4 chamber view showing resolution of the intraprosthetic regurgitation
Creator: i-movie
Duration: 0:24
Prebypass comprehensive TEE showed severely depressed left ventricular function with spontaneous echo contrast (SEC), basal to mid-ventricular inferior and inferolateral wall akinesis, dilated apex with dyskinesis and no evidence of left ventricular thrombus. A prominent false tendon (FT) was visualized at the mid-esophageal long-axis view both before and after thrombus evacuation. AK: akinesis, DK: dyskinesis.
Creator: i-movie
Duration: 0:18
Prebypass mid-esophageal view of the left atrial appendage showed no thrombus by 2 D images, and no filling defect by color flow Doppler at orthognal views. Please notice the prominent pectinate muscle (arrow).
Creator: i-movie
Duration: 0:20
Three short echocardiographic video clips taken shortly after removal of aortic cross-clamp showed transition of the thrombus from left atrium to left ventricle and then back to left atrium. The patient remained on cardiopulmonary bypass. The three video clips are taken within 8 minutes. The video demonstrates a mid-esophageal 4-chamber view.
Creator: Jeanette Esau
Duration: 2:37
Video summary of featured articles in Anesthesia & Analgesia for May 2017.
Creator: Jeanette Esau
Duration: 2:27
Video summary of featured articles in Anesthesia & Analgesia for April 2017.
Creator: Luiz F Maracaja MD
Duration: 0:21
1.The imaging acquisition starts with a standard ME 2-chamber view. In this view, the left main coronary artery (LMCA) or CX frequently is visualized in SAX view underneath the left atrial appendage. 2. Activate the orthogonal imaging and move the cursor directly into the vessels located in the atrioventricular groove just underneath the left atrial appendage, which could be the CX, LMCA, or GCV. The orthogonal plane displays a longitudinal view, allowing differentiation of these vessels by showing the LMCA continuous with the CX and frequently a short segment of the LAD. 3. Adjust the position of the color flow Doppler (CFD) sector, focusing on the atrioventricular groove, and use low-velocity scale (15–30 cm/s). Reducing the CFD sector size will increase the resolution, improve the frame rate, and enhance flow imaging.
Creator: Luiz F Maracaja MD
Duration: 0:08
1. Start at the 2D ME AV SAX or LAX view, focusing on the right SoV during the delivery antegrade cardioplegia. 2. Activate the orthogonal imaging and aim the cursor to the middle of the right SoV. 3. Adjust size and position of the CFD sector and use low-velocity scale (15–30 cm/s). 4. Acquiring and reviewing the loop with slower cine speed allows better display of the RCA color flow.
Creator: J. Kirk Edwards, MD
Duration: 0:07
2D transesophageal echo (TEE) view of the mid-esophageal (ME) color Doppler x-plane of the short axis (SAX) and long axis (LAX). Color Doppler displays moderate to severe eccentric aortic insufficiency (AI) directed away from the noncoronary leaflet.
Creator: J. Kirk Edwards, MD
Duration: 0:09
3D transesophageal echo (TEE) of the aortic root, obliquely looking towards the right and noncoronary leaflets with an overriding dissection flap.
Creator: J. Kirk Edwards, MD
Duration: 0:07
3D transesophageal echo (TEE) en-face view of the aortic root and valve from the aortic perspective. The false lumen is seen overriding the noncoronary leaflet, with extension over the right coronary leaflet.
Creator: Dr. Josh Zimmerman, MD, FASE
Duration: 23:23
A brief, screen-in-screen review of the techniques required to perform bedside cardiac ultrasound at the parasternal, apical, and subcostal windows.
Creator: Dr. Josh Zimmerman, MD, FASE
Duration: 0:08
The right ventricle is under the transducer. There is normal excursion and coaptation of the aortic and mitral valves. The chambers are normal in size. There is brisk excursion of the aortic root, brisk opening of the mitral valve, a normal descent of the base of the MV, and normal thickening of the left ventricular segments.
Creator: Dr. Josh Zimmerman, MD, FASE
Duration: 0:06
The aortic valve is heavily calcified and does not open well. The degree of stenosis cannot be quantified from this view, but with excursion this limited the assumption should be that the patient has severe stenosis until it is proven otherwise. In addition to aortic valve calcification, the mitral annulus is heavily calcified, there is left ventricular hypertrophy, and the left atrium is enlarged.
Creator: Dr. Josh Zimmerman, MD, FASE
Duration: 0:06
In systole, the body of both mitral leaflets is above the level of the mitral annulus.
Creator: Dr. Josh Zimmerman, MD, FASE
Duration: 0:08
The RVOT, LA, and LV are all dilated and appear proportionally large compared to the aortic annulus and root. Compare the relative sizes with Video 1 (normal PLAX.) There is evidence of decreased LV systolic function, with decreased motion of the aortic root, decreased excursion of the anterior mitral leaflet, decreased mitral annular excursion, and decreased thickening of the left ventricular segments. There is also a left pleural effusion.
Creator: Dr. Josh Zimmerman, MD, FASE
Duration: 0:05
Left ventricular and aortic valve function appear normal. There is thickening of the tips of the mitral leaflets, with diastolic bowing seen particularly in the anterior mitral leaflet (the “hockey stick” appearance). The left atrium appears enlarged as well, consistent with elevated left atrial pressure from mitral stenosis.
Creator: Dr. Josh Zimmerman, MD, FASE
Duration: 0:07
Multiple beats are shown in this clip and the image does not remain still because the patient was severely dyspneic. The patient has significant hypertrophy of the anterioseptal wall of the left ventricle. In multiple cardiac cycles the anterior mitral leaflet can be seen to impinge on the left ventricular outflow tract.
Creator: Dr. Josh Zimmerman, MD, FASE
Duration: 0:05
The descending thoracic aorta is outside the pericardium, and a pericardial effusion will be seen extending between the heart and the aorta in this view while a pleural effusion will be seen deep and lateral to the aorta.
Creator: Dr. Josh Zimmerman, MD, FASE
Duration: 0:07
The right ventricle is seen to the left of the screen, with the anterior portion of the left ventricle closest to the probe. The papillary muscles are seen, identifying this as the mid-portion of the left ventricle. Six segments of the left ventricle are seen, representing all three main coronary artery territories.
Creator: Dr. Josh Zimmerman, MD, FASE
Duration: 0:06
The thinning of this segment suggests a scar consistent with previous myocardial infarction.
Creator: Dr. Josh Zimmerman, MD, FASE
Duration: 0:07
A pericardial effusion around the heart, hyperdynamic left ventricular systolic function, and decreased LV filling in diastole.
Creator: Dr. Josh Zimmerman, MD, FASE
Duration: 0:07
Septic shock, decreased left ventricular (LV) afterload, and increased cardiac output. The LV is full in diastole and empty in systole, consistent with the patient’s low-afterload state.
Creator: Dr. Josh Zimmerman, MD, FASE
Duration: 0:08
The interventricular septum (IVS) is normally convex with respect to the left left ventricle throughout the cardiac cycle. In this case the IVS is flat in both systole and diastole, suggesting that the right and left ventricular pressures are similar (near systemic pulmonary artery pressures.)
Creator: Dr. Josh Zimmerman, MD, FASE
Duration: 0:08
The apex of the left ventricle is directly under the ultrasound transducer. All four chambers can be visualized. There is normal global and regional biventricular systolic function, normal excursion and coaptation of the mitral and tricuspid valves, and normal chamber sizes.
Creator: Dr. Josh Zimmerman, MD, FASE
Duration: 0:11
A large portion of the myocardium at the LV apex is not thickening. There is decreased global LV systolic function and left atrial enlargement as well.
Creator: Dr. Josh Zimmerman, MD, FASE
Duration: 0:09
Prolapse of both anterior and posterior mitral leaflets with left atrial enlargement.
Creator: Dr. Josh Zimmerman, MD, FASE
Duration: 0:09
Abnormal mitral valve opening in a patient with rheumatic heart disease. The tips of the mitral leaflets are thickened. The left atrium appears qualitatively enlarged compared with the size of the left ventricle.
Creator: Dr. Josh Zimmerman, MD, FASE
Duration: 0:09
Enlarged right ventricle with decreased RV systolic function in a patient with a history of chronic severe pulmonary hypertension.
Creator: Dr. Josh Zimmerman, MD, FASE
Duration: 0:11
Apical four chamber zoomed in on the tricuspid valve. This valve does not coapt well in systole, suggesting the presence of significant tricuspid regurgitation.
Creator: Dr. Josh Zimmerman, MD, FASE
Duration: 0:10
At the top of the image is the liver. The right atrium and right ventricle are seen well, as is the left ventricle. There is normal global biventricular systolic function. It is important to remember that, while this view often shows all four cardiac chambers, the cross section is not exactly the same as the apical four chamber.
Creator: Dr. Josh Zimmerman, MD, FASE
Duration: 0:10
Subcostal four chamber with right ventricular dilation and hypertrophy. The free wall of the RV appears as thick as the left ventricle. The RV appears larger than the LV, suggesting significant enlargement.
Creator: Dr. Josh Zimmerman, MD, FASE
Duration: 0:11
Subcostal four chamber in a patient with pericardial effusion and tamponade. The effusion is seen as a large echolucent space around the heart. The right atrium appears collapsed in ventricular systole and the right ventricle appears compressed in ventricular diastole. These findings are both consistent with tamponade physiology.
Creator: Dr. Josh Zimmerman, MD, FASE
Duration: 0:19
The liver is at the top of the screen, with the thin-walled IVC seen entering the right atrium. There is more than 50% collapse of the IVC when the patient sniffs.
Creator: Dr. Josh Zimmerman, MD, FASE
Duration: 0:10
Subcostal IVC in a patient with cardiac tamponade. The IVC appears dilated and does not collapse as the patient sniffs.
Creator: Dr. Josh Zimmerman, MD, FASE
Duration: 0:14
Subcostal IVC in a patient with hypovolemia. The IVC is small and collapses completely as the patient breathes.
Creator: Jeanette Esau
Duration: 3:50
Video summary of featured articles in Anesthesia & Analgesia for January 2017.
Creator: Jeanette Esau
Duration: 3:49
Video summary of featured articles in Anesthesia & Analgesia for December 2016.
Creator: Jeanette Esau
Duration: 2:04
Video summary of featured articles in Anesthesia & Analgesia for November 2016.
Creator: Jeanette Esau
Duration: 1:27
Video summary of featured articles in Anesthesia & Analgesia for July 2016.
Creator: Jeanette Esau
Duration: 1:48
Video summary of featured articles in Anesthesia & Analgesia for January 2016.
Creator: Steven Sayre
Duration: 3:08
Video summary of featured articles in Anesthesia & Analgesia for January 2015
Creator: Edward C. Nemergut, MD
Duration: 5:06
Video summary of featured articles in Anesthesia & Analgesia for September 2014.
Creator: Edward C. Nemergut, MD
Duration: 5:41
Video summary of featured articles in Anesthesia & Analgesia for July 2014.
Creator: Edward C. Nemergut, MD
Duration: 5:29
Video summary of featured articles in Anesthesia & Analgesia for September 2013.