Secondary Logo

Journal Logo

Video Gallery

September 2019 A&A Video Summary

Video Author: Jeanette Esau
Published on: 08.19.2019
Associated with: September 2019, Volume 129, Issue 3;

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

All Videos
Most Viewed
Most Emailed



Creator: Lee Goeddel
Duration: 0:14
In prebypass imaging the midesophageal 5 chamber view with color Doppler demonstrated a bullet in the aortic root and absence of aortic valve regurgitation. With simultaneous orthogonal imaging the bullet was localized to the non-coronary sinus of Valsalva within the aortic valve. An eccentric mitral regurgitation jet was found in the anterior leaflet of the mitral valve in the midesophageal long axis view. RCC= Right coronary cusp of the aortic valve. LCC= Left coronary cusp of the aortic valve. NCC= Non-coronary cusp of the aortic valve.
Creator: Lee Goeddel
Duration: 0:08
Post-bypass images of the ME 4C view showed no gross abnormality. The midesophageal long axis view demonstrated trace central mitral regurgitation after repair, no residual aortic regurgitation, and an intact aortic root. A2= Middle scallop of the anterior leaflet of the mitral valve. P2= Middle scallop of the posterior leaflet of the mitral valve. AV= Aortic Valve.
Creator: Dr Lachlan F. Miles
Duration: 0:32
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: 0:56
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: 1:03
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: 1:38
Video summary of featured articles in Anesthesia & Analgesia for September 2019.
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: Lee Goeddel
Duration: 0:14
In prebypass imaging the midesophageal 5 chamber view with color Doppler demonstrated a bullet in the aortic root and absence of aortic valve regurgitation. With simultaneous orthogonal imaging the bullet was localized to the non-coronary sinus of Valsalva within the aortic valve. An eccentric mitral regurgitation jet was found in the anterior leaflet of the mitral valve in the midesophageal long axis view. RCC= Right coronary cusp of the aortic valve. LCC= Left coronary cusp of the aortic valve. NCC= Non-coronary cusp of the aortic valve.
Creator: Lee Goeddel
Duration: 0:08
Post-bypass images of the ME 4C view showed no gross abnormality. The midesophageal long axis view demonstrated trace central mitral regurgitation after repair, no residual aortic regurgitation, and an intact aortic root. A2= Middle scallop of the anterior leaflet of the mitral valve. P2= Middle scallop of the posterior leaflet of the mitral valve. AV= Aortic Valve.
Creator: Dr Lachlan F. Miles
Duration: 0:32
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: 1:38
Video summary of featured articles in Anesthesia & Analgesia for September 2019.
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: 2:03
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: 1:50
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: 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: Jeanette Esau
Duration: 1:46
Video summary of featured articles in Anesthesia & Analgesia for June 2018.
Creator: Diana Zakarkaite
Duration: 0:09
The anatomical result of the MV P2 segment repair was evaluated by placing the NeoChordae under tension and observing disappearance or reduction of the prolapse (Live 3D zoom MV “surgeon’s” view)
Creator: Diana Zakarkaite
Duration: 0:08
Midesophageal 2D TEE long axis view at 120–130° with color Doppler was used to evaluate reduction of the MR after successful NeoChordae implantation on P2 scallop and placing them under tension. MR reoccurs after releasing the NeoChordae.
Creator: Jeanette Esau
Duration: 02:09
Video summary of featured articles in Anesthesia & Analgesia for January 2018.
Creator: Roy Kiberenge
Duration: 0:55
Video of ultrasound-guided dynamic needle tip positioning technique with synchronized live ultrasound view. The arterial puncture and the sequential advancement of the catheter and needle is shown with the corresponding ultrasound image.
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 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:
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: 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: 2:57
Video summary of featured articles in Anesthesia & Analgesia for June 2017.
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: 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: 0:07
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: 0:07
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: 0:10
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: Edward C. Nemergut, MD
Duration: 5:17
Video summary of featured articles in Anesthesia & Analgesia for October 2013.