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February 2015 A&A Video Summary

Video Author: Jeanette Esau
Published on: 01.20.2015

Video summary of featured articles in Anesthesia & Analgesia for February 2015.

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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: 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: 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: 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: 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: 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: 00:18
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: Quick time
Duration: 00:10
ME views showing the anomalous RPA from aorta and MPA branching anatomy
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: 1:01
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: 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: 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: Jeanette Esau
Duration: 2:37
Video summary of featured articles in Anesthesia & Analgesia for May 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: 0:08
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: 0:08
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: 0:06
The thinning of this segment suggests a scar consistent with previous myocardial infarction.
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: 0:09
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: 0:10
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: 0:19
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: Jeanette Esau
Duration: 3:50
Video summary of featured articles in Anesthesia & Analgesia for January 2017.
Creator: Jeanette Esau
Duration: 2:04
Video summary of featured articles in Anesthesia & Analgesia for November 2016.
Creator: Jeanette Esau
Duration:
Video summary of featured articles in Anesthesia & Analgesia for August 2016.
Creator: Jeanette Esau
Duration: 1:31
Video summary of featured articles in Anesthesia & Analgesia for June 2016.
Creator: Jeanette Esau
Duration: 1:55
Video summary of featured articles in Anesthesia & Analgesia for April 2015.
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.