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July 2019 A&A Video Summary

Video Author: Jeanette Esau
Published on: 06.18.2019
Associated with: July 2019, Volume 129, Issue 1;

Video summary of featured articles in Anesthesia & Analgesia for July 2019.

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Creator: Brianne Aiken
Duration: 3:06
IPACK block performed for Total Knee Arthroplasty
Creator: Andrew Bowdle MD, PhD, FASE
Duration: 00:52
Creator: Jeanette Esau
Duration: 2:48
Video summary of featured articles in Anesthesia & Analgesia for August 2019.
Creator: Jeanette Esau
Duration: 1:44
Video summary of featured articles in Anesthesia & Analgesia for July 2019.
Creator: L. Rovira
Duration: 00:32
This video show our usual technique of tracheal intubation using a combined technique involving the use of a Glidescope and using a flexible guide (in this case a disposable fiberscope) to pass the tube through the vocal cords. The video contains in synch outer and inner (Glidescope camera) view.
Creator: Jeanette Esau
Duration: 2:09
Video summary of featured articles in Anesthesia & Analgesia for June 2019.
Creator: Jeanette Esau
Duration: 1:47
Video summary of featured articles in Anesthesia & Analgesia for May 2019.
Creator: Jeanette Esau
Duration: 2:17
Video summary of featured articles in Anesthesia & Analgesia for April 2019.
Creator: Jeanette Esau
Duration: 2:03
Video summary of featured articles in Anesthesia & Analgesia for March 2019.
Creator: Jeanette Esau
Duration: 1:48
Video summary of featured articles in Anesthesia & Analgesia for February 2019.
Creator: Jeanette Esau
Duration: 2:00
Video summary of featured articles in Anesthesia & Analgesia for January 2019.
Creator: Jeanette Esau
Duration: 1:54
Video summary of featured articles in Anesthesia & Analgesia for December 2018.
Creator: Jeanette Esau
Duration: 1:49
Video summary of featured articles in Anesthesia & Analgesia for November 2018.
Creator: Jeanette Esau
Duration: 1:50
Video summary of featured articles in Anesthesia & Analgesia for October 2018.
Creator: Jeanette Esau
Duration: 1:58
Video summary of featured articles in Anesthesia & Analgesia for September 2018.
Creator: Jeanette Esau
Duration: 1:39
Video summary of featured articles in Anesthesia & Analgesia for August 2018.
Creator: Paolo Beccaria
Duration: 0:15
The video represents RaCeVA method, RaCeVA is the acronyms for Rapid Central Vein Assessment. It is the ultrasound method to identify the adequate site and side to central venous access placement.
Creator: Jeanette Esau
Duration: 2:09
Video summary of featured articles in Anesthesia & Analgesia for July 2018.
Creator: Zach P.G. Olufs, co-author on manuscript
Duration: 0:06
Fruit flies experience incapacitation after blunt trauma presenting as temporary paralysis and reminding concussion injury in mammals. The video shows paralysis and recovery of an incapacitated fly after blunt trauma.
Creator: Jeanette Esau
Duration: 1:46
Video summary of featured articles in Anesthesia & Analgesia for June 2018.



Creator: Brianne Aiken
Duration: 3:06
IPACK block performed for Total Knee Arthroplasty
Creator: Jeanette Esau
Duration: 2:48
Video summary of featured articles in Anesthesia & Analgesia for August 2019.
Creator: Jeanette Esau
Duration: 1:44
Video summary of featured articles in Anesthesia & Analgesia for July 2019.
Creator: L. Rovira
Duration: 00:32
This video show our usual technique of tracheal intubation using a combined technique involving the use of a Glidescope and using a flexible guide (in this case a disposable fiberscope) to pass the tube through the vocal cords. The video contains in synch outer and inner (Glidescope camera) view.
Creator: Jeanette Esau
Duration: 2:09
Video summary of featured articles in Anesthesia & Analgesia for June 2019.
Creator: Jeanette Esau
Duration: 1:47
Video summary of featured articles in Anesthesia & Analgesia for May 2019.
Creator: Jeanette Esau
Duration: 2:17
Video summary of featured articles in Anesthesia & Analgesia for April 2019.
Creator: Jeanette Esau
Duration: 2:03
Video summary of featured articles in Anesthesia & Analgesia for March 2019.
Creator: Jeanette Esau
Duration: 1:48
Video summary of featured articles in Anesthesia & Analgesia for February 2019.
Creator: Jeanette Esau
Duration: 2:00
Video summary of featured articles in Anesthesia & Analgesia for January 2019.
Creator: Paolo Beccaria
Duration: 0:15
The video represents RaCeVA method, RaCeVA is the acronyms for Rapid Central Vein Assessment. It is the ultrasound method to identify the adequate site and side to central venous access placement.
Creator: Jeanette Esau
Duration: 1:35
Video summary of featured articles in Anesthesia & Analgesia for May 2018.
Creator: Diana Zakarkaite
Duration: 0:19
Identification of the left ventricular access site with a finger. Midesophageal 2D TEE long-axis view at 130° (the indentation is on the left of the image sector, shown by arrow) and 3D TEE zoom-mode acquisition of the entry site (shown by asterisk).
Creator: Massimiliano Meineri, MD
Duration: 1:16
A ME long axis view and a ME four chamber view are selected and analyzed using the Cardiac Motion Quantification (CMQ) analysis software package. First the aortic valve closure is identified and aortic valve closure time set. The ME four chamber is then selected and the LV long axis strain model is applied to the RV to allow correct labeling of septal segments. Tracking is qualitatively assessed and manually adjusted to capture the myocardium. The RV is divided into seven segments and the global strain is measured at – 29.8% with regional peak variability with all segments within limits of normal. RV Septum is de-selected to obtain RV free wall strain that is measured at -31.4%.
Creator: Massimiliano Meineri, MD
Duration: 1:15
The ME four chamber view is analyzed using the Automated Function Imaging (AFI) software package. The LV long axis strain model is applied to the RV to allow correct labeling of septal segments. Tracking quality is automatically assessed for each segment (green: good or red: poor). Parametric display provides measurements for each of the six RV and global strain. The latter is normal at – 22.3% with regional peak variability with basal segments below normal limits. RV myocardial region of interest is redefined and the septum de-selected to obtain RV free wall strain that is measured at approximately -22%
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: 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: Akira Ushiyama
Duration: 0:15
Representative movie of leukocyte-endothelial interactions in precapillary arterioles in a control mouse.
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: 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: Luiz F Maracaja MD
Duration: 0:15
1. Starting with ME 2-chamber view, activate the orthogonal imaging by aiming the cursor into the atrioventricular groove underneath the left atrial appendage lateral to the CX. 2. Activate CFD with a low-velocity scale (15–30 cm/s). Then, by moving the CFD sector over the atrioventricular groove lateral to the CX, one can display an image of the great cardiac vein (GCV) 3. The orthogonal plane displays retrograde blood cardioplegia flowing anteriorly from the coronary sinus (CS) to GCV and tributaries. The GCV wraps around the left side of the heart and posteriorly merges with the CS.
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: Jeanette Esau
Duration: 3:11
Video summary of featured articles in Anesthesia & Analgesia for March 2017.
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: 0:06
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: 0:07
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
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
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: 2:33
Video summary of featured articles in Anesthesia & Analgesia for February 2017.
Creator: Jeanette Esau
Duration: 1:48
Video summary of featured articles in Anesthesia & Analgesia for September 2015.