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The Nuts and Bolts of Performing Focused Cardiovascular Ultrasound (FoCUS)

Zimmerman, Josh M. MD, FASE; Coker, Bradley J. MD

doi: 10.1213/ANE.0000000000001861
Perioperative Echocardiography and Cardiovascular Education: Special Article
Continuing Medical Education

The benefit of focused cardiovascular ultrasound as an adjunct to physical examination has been shown in numerous specialties and in diverse clinical settings. Although the value of these techniques to the practice of anesthesiology is substantial, they have only begun to be incorporated. This article reviews the basic techniques required to perform a bedside focused cardiovascular ultrasound (ie, FoCUS examination). This includes a discussion of patient positioning, breath control, probe position, and manipulation and was supplemented by normal and abnormal examples for review.

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From the *Department of Anesthesiology, University of Utah, Salt Lake City, Utah; and Department of Perioperative Medicine and Anesthesiology, University of Alabama at Birmingham, Birmingham, Alabama.

Accepted for publication November 28, 2016.

Funding: None.

The authors declare no conflicts of interest.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s website.

Reprints will not be available from the authors.

Address correspondence to Josh M. Zimmerman, MD, FASE, Department of Anesthesiology, University of Utah, 30 North 1900 East, Room 3C444, Salt Lake City, UT 84132. Address e-mail to

© 2017 International Anesthesia Research Society