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Portal Venous Air from Mesenteric Ischemia

Video Author: A. Y. Denault
Published on: 08.20.2021
Associated with: September 2021, Volume 133, Issue 3; Anesthesia & Analgesia. 133(3):630-647, September 2021

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: 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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Video 22: Normal subcostal IVC view (SC IVC)

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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Video 23: Subcostal IVC in a patient with cardiac tamponade

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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Video 24: Subcostal IVC in a patient with hypovolemia

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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February 2017 A&A Video Summary

Creator: Jeanette Esau

Duration: 2:33

Video summary of featured articles in Anesthesia & Analgesia for February 2017.

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September 2016 A&A Video Summary

Creator: Jeanette Esau

Duration: 2:22

Video summary of featured articles in Anesthesia & Analgesia for September 2016.

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July 2015 A&A Video Summary

Creator: Jeanette Esau

Duration: 1:36

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

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June 2014 A&A Video Summary

Creator: Edward C. Nemergut, MD

Duration: 5:10

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

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June 2013 A&A Video Summary

Creator: Edward C. Nemergut, MD

Duration: 6:09

Video summary of featured articles in Anesthesia & Analgesia for June 2013.

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