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September 2018 A&A Video Summary

Video Author: Jeanette Esau
Published on: 08.17.2018
Associated with: September 2018, Volume 127, Issue 3;

Video summary of featured articles in Anesthesia & Analgesia for September 2018.

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Creator: Daniel Mount and Jeanette Esau
Duration: 3:12
Video summary covering three featured articles in the February 2022 issue of Anesthesia & Analgesia.
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Creator: Daniel Mount and Jeanette Esau
Duration: 2:44
Video summary covering three featured articles in the January 2022 issue of Anesthesia & Analgesia.
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Creator: Daniel Mount and Jeanette Esau
Duration: 2:34
Video summary covering three featured articles in the December 2021 issue of Anesthesia & Analgesia.
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Creator: Lovell, Mark
Duration: 2:46
This video provides an overview of the anatomical and functional features of a novel pediatric airway model using a combination of additive manufacturing and casting techniqiues
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Creator: Daniel Mount and Jeanette Esau
Duration: 3:20
Video summary covering three featured articles in the November 2021 issue of Anesthesia & Analgesia.
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Creator: A. Y. Denault
Duration: 0:01
Renal sinus cyst.
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Creator: A. Y. Denault
Duration: 0:03
Renal tumor with color Doppler.
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Creator: A. Y. Denault
Duration: 0:24
Renal artery air embolism upon unclamping at the end of cardiopulmonary bypass.
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Creator: A. Y. Denault
Duration: 0:04
Renal artery air embolism and simultaneous transcranial Doppler upon unclamping at the end of cardiopulmonary bypass. A total of 3590 high-intensity transient signals occurred during the procedure.
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Creator: A. Y. Denault
Duration: 0:31
Transesophageal probe position to obtain a transgastric view of the left kidney using Vimedix Simulator from CAE Healthcare. Color Doppler image of the left kidney. The initial pulsed wave Doppler of renal vein flow was continuous but then became pulsatile from an elevated right atrial pressure. Following the administration of 75 ug of epoprostenol by inhalation and 60 ug of intravenous nitroglycerine, the venous Doppler velocity became normal. (With permission of Beaubien-Souligny et al.20)
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Creator: A. Y. Denault
Duration: 1:31
Transgastric abdominal ultrasonography view of the pancreas using a longitudinal view. Note the position of the splenic vein under the pancreas.
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Creator: A. Y. Denault
Duration: 0:01
Animated description on the technique to obtain splenic vein Doppler interrogation under the pancreas using the Vimedix Simulator from CAE Healthcare. With permission of Denault et al. for the international study on the clinical significance of portal hypertension after cardiac surgery (NCT03656263).
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Creator: A. Y. Denault
Duration: 0:02
Transgastric abdominal ultrasonography view of the pancreas using a transverse view. Note the position of the splenic vein under the pancreas.
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Creator: A. Y. Denault
Duration: 0:01
Transgastric abdominal ultrasonography view at 0o with color Doppler (Nyquist 8 cm/s) of the splenic vein shows alternative to and fro splenic venous flow.
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Creator: A. Y. Denault
Duration: 0:01
This abnormality was associated with only mild tricuspid regurgitation as seen from a mid-esophageal modified right ventricular inflow view.
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Creator: Daniel Mount and Jeanette Esau
Duration: 3:36
Video summary covering three featured articles in the October 2021 issue of Anesthesia & Analgesia.
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Creator: A. Y. Denault
Duration: 0:01
Thrombus in the inferior vena cava in an unstable patient after removal of a right-ventricular assist device. Note free fluid between the liver and the diaphragm.
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Creator: A. Y. Denault
Duration: 0:01
Spontaneous contrast in a 55-year-old man before pericardectomy. The right atrial pressure was 20 mmHg.
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Creator: A. Y. Denault
Duration: 0:01
Dilated intrahepatic bile duct in an 83-year-old woman with previous cholecyctectomy undergoing cardiac surgery.
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Creator: A. Y. Denault
Duration: 0:02
Transgastric abdominal ultrasonographic view of the inferior vena cava (IVC) long-axis view shows a dilated IVC following a Fontan procedure due to a partial occlusion at the level of the graft anastomosis to the IVC. Hepatic venous flow is present before and is almost absent after cardiopulmonary bypass from iatrogenic occlusion.
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Creator: Daniel Mount and Jeanette Esau
Duration: 3:12
Video summary covering three featured articles in the February 2022 issue of Anesthesia & Analgesia.
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Creator: Daniel Mount and Jeanette Esau
Duration: 2:44
Video summary covering three featured articles in the January 2022 issue of Anesthesia & Analgesia.
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Creator: Daniel Mount and Jeanette Esau
Duration: 2:34
Video summary covering three featured articles in the December 2021 issue of Anesthesia & Analgesia.
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Creator: Lovell, Mark
Duration: 2:46
This video provides an overview of the anatomical and functional features of a novel pediatric airway model using a combination of additive manufacturing and casting techniqiues
Play Video |
Creator: A. Y. Denault
Duration: 0:01
Renal sinus cyst.
Play Video |
Creator: A. Y. Denault
Duration: 0:04
Renal artery air embolism and simultaneous transcranial Doppler upon unclamping at the end of cardiopulmonary bypass. A total of 3590 high-intensity transient signals occurred during the procedure.
Play Video |
Creator: A. Y. Denault
Duration: 1:31
Transgastric abdominal ultrasonography view of the pancreas using a longitudinal view. Note the position of the splenic vein under the pancreas.
Play Video |
Creator: A. Y. Denault
Duration: 0:01
Thrombus in the inferior vena cava in an unstable patient after removal of a right-ventricular assist device. Note free fluid between the liver and the diaphragm.
Play Video |
Creator: A. Y. Denault
Duration: 0:01
Spontaneous contrast in a 55-year-old man before pericardectomy. The right atrial pressure was 20 mmHg.
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Creator: A. Y. Denault
Duration: 0:02
Transgastric abdominal ultrasonographic view of the inferior vena cava (IVC) long-axis view shows a dilated IVC following a Fontan procedure due to a partial occlusion at the level of the graft anastomosis to the IVC. Hepatic venous flow is present before and is almost absent after cardiopulmonary bypass from iatrogenic occlusion.
Play Video |
Creator: A. Y. Denault
Duration: 1:02
Animated description on the technique to obtain splenic vein Doppler interrogation using the Vimedix Simulator from CAE Healthcare.
With permission of Denault et al. for the international study on the clinical significance of portal hypertension after cardiac surgery (NCT03656263).
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Creator: A. Y. Denault
Duration: 1:05
Animated description on the technique to obtain right portal Doppler interrogation using the Vimedix Simulator from CAE Healthcare. With permission of Denault et al. for the international study on the clinical significance of portalhypertension after cardiac surgery (NCT03656263).
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Creator: A. Y. Denault
Duration: 0:01
Hemodynamic instability in an 85-year-old patient after removal of an intra-aortic pump 2 days after cardiac surgery associated with normal cerebral oximetry values but elevated lactate. Upon examination of the liver, air was present in the portal vein. (With permission of Denault et al.59)
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Creator: A. Y. Denault
Duration: 0:39
Transgastric abdominal ultrasonography 3D orientation withthe ultrasound beam at 0o and 90o during a right-to-left rotation.
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Creator: A. Y. Denault
Duration: 0:01
Transgastric abdominal ultrasonography view at 0o with color Doppler (Nyquist 16-22 cm/s) shows the celiac trunk in relation to the aorta and its division into the hepatic and splenic artery.
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Creator: A. Y. Denault
Duration: 0:01
A 64-year-old man undergoing aortic valve replacement and coronary revascularisation. On transesophageal thoracic and abdominal ultrasonographic examination of the aorta, atheromatosis grade 4 was observed. Significant color Doppler acceleration observed at the origin of the celiac trunk.
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Creator: A. Y. Denault
Duration: 0:01
Despite numerous air emboli in the splenic artery upon unclamping after cardiopulmonary bypass, maximal lactate was 2.3 at the end of the procedure with avoidance of any prolonged intraoperative hypotension.
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Creator: A. Y. Denault
Duration: 0:01
Transgastric abdominal ultrasonography view of the superior mesenteric artery (SMA) renal confluence. In this view the SMA is located between the left renal vein and the superior mesenteric veins.
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Creator: A. Y. Denault
Duration: 0:09
Transgastric abdominal ultrasonography view of the aorta and related vessels.
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Creator: A. Y. Denault
Duration: 0:02
Transgastric abdominal ultrasonography view of the stomach at 0o.
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Creator: A. Y. Denault
Duration: 0:01
Transgastric abdominal ultrasonography view of the stomach at 90o.
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Creator: A. Y. Denault
Duration: 0:03
Free peritoneal fluid in an unstable patient after cardic arrest. Transgastric view at 0o showing free fluid between the stomach, the left lobe of the liver and the heart.
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Creator: A. Y. Denault
Duration: 0:01
Transgastric abdominal ultrasonography images of the stomach at various transducer angles showing a normal stomach.
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Creator: Daniel Mount and Jeanette Esau
Duration: 3:35
Video summary covering three featured articles in the September 2021 issue of Anesthesia & Analgesia.
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Creator: Daniel Mount and Jeanette Esau
Duration: 2:48
Video summary covering three featured articles in the August 2021 issue of Anesthesia & Analgesia.
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Creator: Lance Lichtor
Duration: 3:42
Video summary of the featured article “Aspirin Use is Associated with Decreased Mechanical Ventilation, ICU Admission, and In-Hospital Mortality in Hospitalized Patients with COVID-19” in the April 2021 issue of Anesthesia & Analgesia.
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Creator: Lance Lichtor
Duration: 3:20
Video summary of the featured article “Anesthesia and Long-Term Oncological Outcomes: A Systematic Review and Meta-analysis” in the March 2021 issue of Anesthesia & Analgesia.
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Creator: Lance Lichtor
Duration: 3:14
Video summary of the featured article “Acute Kidney Injury and Outcomes in Children undergoing Noncardiac Surgery: a Propensity-matched Analysis” in the February 2021 issue of Anesthesia & Analgesia.
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Creator: Jeanette Esau
Duration: 2:57
Video summary of featured articles in Anesthesia & Analgesia for October 2020.
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Creator: Butterfly Network, Inc.
Duration: 00:27
COVID-19 lung ultrasound with thick irregular pleural line, confluent and isolated B lines and A lines
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Creator: Butterfly Network, Inc.
Duration: 00:23
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Creator: Gerald Matchett
Duration: 00:13
Video showing one method of securing an endotracheal tube with tape.
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Creator: Gerald Matchett
Duration: 00:13
Video showing one method of securing an endotracheal tube with tape.
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Creator: Gerald Matchett
Duration: 1:03
Video showing one method of securing an endotracheal tube with tape.
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Creator: Jeanette Esau
Duration: 2:23
Video summary of featured articles in Anesthesia & Analgesia for July 2020.
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Creator:
Duration: 0:13
Video depicting three-layer transparent drape technique for extubation.
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Creator: Marta Kelava
Duration: 0:39
SAP block can be performed in supine or lateral position. Using a 12-15 MHz linear ultrasound probe, scanning starts from the midclavicular line just below the clavicle. The ribs are counted with caudal and lateral probe movement until the 4th and 5th ribs are identified in the midaxillary line. The in-plane needle approach and injection is usually performed in an anteroposterior or craniocaudal direction in the midaxillary line at the level of the 4-5th ribs with LA deposition above (superficial SAP) or below (deep SAP) the serratus anterior muscle
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Creator: Marta Kelava
Duration: 0:41
The PIF block is performed under ultrasound guidance, with either cranio-caudal or latero-medial needle advancement. The latter has been proposed to avoid inadvertent puncture of the perforating branch of the internal thoracic artery or the anterior perforating veins joining the internal thoracic vein, with the goal to deposit LA between the pectoralis major and intercostal muscles. The craniocaudal in-plane needle approach and injection is usually performed 1 cm lateral to the sternum at the midsternal level with LA deposition between the pectoralis major and intercostal muscles.
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Creator: Marta Kelava
Duration: 1:16
A 12-15 MHz linear ultrasound probe is placed at a midclavicular line below the clavicle. The probe is moved inferolaterally to the level of the 3rd rib. With a slight medial tilt, the three layers of muscles are identified: pectoralis major, pectoralis minor and serratus anterior. When performing both blocks simultaneously, single puncture site can be used to preserve near-field imaging with deposition of the LA between the layers of the serratus anterior and pectoralis minor (PECS II), followed by needle withdrawal and injection between the pectoralis minor and pectoralis major (PECS I)
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Creator: Marta Kelava
Duration: 0:36
The ESP block is performed in a sitting, prone or lateral decubitus position under ultrasound guidance. A high frequency (12-15 MHz) linear array transducer is placed in a parasagittal plane and moved from a lateral to medial direction until the ribs are no longer visualized and transverse processes of T3-5 are identified. An in-plane needle is inserted in the craniocaudal direction and advanced below the erector spine muscle with the tip contacting the T5 transverse process. LA is injected and lifting of the erector spine muscle off the transverse process with craniocaudal spread of the LA is confirmed.
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Creator: Sun-Kyung Park
Duration: 00:27
The performance of spinal anesthesia using preprocedural ultrasound skin marking, via paramedian approach.
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Creator: Jeanette Esau
Duration: 1:43
Video summary of featured articles in Anesthesia & Analgesia for February 2020.
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Creator: Jeanette Esau
Duration: 1:43
Video summary of featured articles in Anesthesia & Analgesia for January 2020.
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Creator: Jeanette Esau
Duration: 2:03
Video summary of featured articles in Anesthesia & Analgesia for December 2019.
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Creator: Jeanette Esau
Duration: 1:47
Video summary of featured articles in Anesthesia & Analgesia for November 2019.
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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.
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Creator: Brianne Aiken
Duration: 3:06
IPACK block performed for Total Knee Arthroplasty
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Creator: Jeanette Esau
Duration: 2:17
Video summary of featured articles in Anesthesia & Analgesia for April 2019.
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Creator: Jeanette Esau
Duration: 1:54
Video summary of featured articles in Anesthesia & Analgesia for December 2018.
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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.
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Creator: Jeanette Esau
Duration: 2:09
Video summary of featured articles in Anesthesia & Analgesia for July 2018.
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Creator: Jeanette Esau
Duration: 1:46
Video summary of featured articles in Anesthesia & Analgesia for June 2018.
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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.
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Creator: Jeanette Esau
Duration: 1:58
Video summary of featured articles in Anesthesia & Analgesia for September 2017.
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Creator: Jeanette Esau
Duration: 2:24
Video summary of featured articles in Anesthesia & Analgesia for August 2017.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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Creator: Dr. Josh Zimmerman, MD, FASE
Duration: 0:06
The thinning of this segment suggests a scar consistent with previous myocardial infarction.
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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.
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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.
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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.)
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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.
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Creator: Dr. Josh Zimmerman, MD, FASE
Duration: 0:09
Prolapse of both anterior and posterior mitral leaflets with left atrial enlargement.
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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.
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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.
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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.
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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.
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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.
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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.
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Creator: Jeanette Esau
Duration: 2:04
Video summary of featured articles in Anesthesia & Analgesia for October 2016.
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Creator: Jeanette Esau
Duration: 1:48
Video summary of featured articles in Anesthesia & Analgesia for January 2016.
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Creator: Edward C. Nemergut, MD
Duration: 5:10
Video summary of featured articles in Anesthesia & Analgesia for June 2014.
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Creator: Edward C. Nemergut, MD
Duration: 5:02
March summary of featured articles in Anesthesia & Analgesia for April 2014.
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Creator: Edward C. Nemergut, MD
Duration: 5:24
Video summary of featured articles in Anesthesia & Analgesia for August 2013.
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