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September 2014 A&A Video Summary

Video Author: Edward C. Nemergut, MD
Published on: 08.15.2014
Associated with: September 2014, Volume 119, Issue 3;

Video summary of featured articles in Anesthesia & Analgesia for September 2014.

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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: Jeanette Esau
Duration: 1:35
Video summary of featured articles in Anesthesia & Analgesia for May 2018.
Creator: Jeanette Esau
Duration: 2:17
Video summary of featured articles in Anesthesia & Analgesia for April 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: Diana Zakarkaite
Duration: 0:09
Mitral valve P2 segment prolapse (Live 3D zoom MV “surgeon’s” view). The jaws of the device are opened in the left atrium, and the prolapsing P2 segment is captured.
Creator: Diana Zakarkaite
Duration: 0:21
Mitral valve P2 segment prolapse (Live 3D zoom MV “surgeon’s” view). The jaws of the device are opened in the left atrium, and the prolapsing P2 segment is captured.
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: 1:47
Video summary of featured articles in Anesthesia & Analgesia for March 2018.
Creator: Jeanette Esau
Duration: 2:35
Video summary of featured articles in Anesthesia & Analgesia for February 2018.
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: Jeanette Esau
Duration: 1:56
Video summary of featured articles in Anesthesia & Analgesia for December 2017.
Creator: Jeanette Esau
Duration:
Video summary of featured articles in Anesthesia & Analgesia for November 2017.
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: Massimiliano Meineri, MD
Duration: 0:48
A ME long axis view and a ME four chamber view are selected and analyzed using the Velocity Vector Imaging (VVI) software package. First the aortic valve and mitral valve closures are identified using anatomical M Mode on a static 2D image. The ME four chamber is then selected, the RV strain model is applied and the endocardium traced excluding trabeculations and the moderator band. Tracking is qualitatively assessed. Parametric display provides measurements for each of the six RV, global strain and quantification of RV apical rocking. The latter is a measurement of apical myocardial transverse motion and it is increased with dyssynchrony. Peak global strain is normal and measures -29.5%. Regional peak variability can be appreciated with the mid septal segment being the only one below normal limits. The septum de-selected to obtain global RV free wall strain that is negative 36.



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: 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: Diana Zakarkaite
Duration: 0:09
Mitral valve P2 segment prolapse (Live 3D zoom MV “surgeon’s” view). The jaws of the device are opened in the left atrium, and the prolapsing P2 segment is captured.
Creator: Diana Zakarkaite
Duration: 0:21
Mitral valve P2 segment prolapse (Live 3D zoom MV “surgeon’s” view). The jaws of the device are opened in the left atrium, and the prolapsing P2 segment is captured.
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: Jeanette Esau
Duration: 1:47
Video summary of featured articles in Anesthesia & Analgesia for March 2018.
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: Jeanette Esau
Duration: 1:56
Video summary of featured articles in Anesthesia & Analgesia for December 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: Jeanette Esau
Duration: 1:58
Video summary of featured articles in Anesthesia & Analgesia for September 2017.
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: Quick time
Duration: 0:09
ME-4 chamber view showing resolution of the intraprosthetic regurgitation
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: 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: 0:07
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: 0:06
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: 0:07
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: 0:08
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
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: Jeanette Esau
Duration:
Video summary of featured articles in Anesthesia & Analgesia for August 2016.
Creator: Jeanette Esau
Duration: 1:39
Video summary of featured articles in Anesthesia & Analgesia for March 2016.
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: 5:50
Video summary of featured articles in Anesthesia & Analgesia for April 2014.