Echocardiography and Ultrasonography in the ICU

This is a comprehensive textbook on the emerging field of critical care ultrasound and echocardiography. These imaging modalities are being used increasingly in the ICU, and this book contains more detail than any other book in the field, offering readers a one-stop resource.
The text starts with ultrasound basics to introduce the technology to the reader. Chapters are then divided between echocardiography and ultrasound chapters and are further divided by organ system and applications. The book then wraps up with sections detailing complex clinical scenarios, ultrasound education, and practical aspects of setting up an ultrasound service. In addition to being a resource to aid a clinician's daily practice, this book can also assist in board review preparation, and relevant chapters will be highlighted as such, with indicators for high-yield topics and board-style questions. All chapters are liberally illustrated throughout with hundreds of video clips available electronically.
This is an ideal guide for physicians and allied health professionals who practice pulmonary medicine, critical care medicine, and emergency medicine, related trainees, learners preparing for the critical care echocardiography boards, and medical educators.

Serves as a comprehensive reference for critical care ultrasonography and echocardiography Includes practical guidance for ultrasound education and the guidance on starting a clinical ultrasound service Highlights content for the NBE Critical Care Echocardiography examination and board review-style questions

Autorentext

Michael J. Lanspa, MD, ATSF, FASE, FCCM, FCCP is Adjunct Associate Professor in the Pulmonary Medicine Division at the University of Utah. He developed and directs the American Thoracic Society's postgraduate course, "Critical Care Echocardiography and Ultrasound."

Andrew T. Levinson, MD, MPH, FCCP is Associate Professor of Medicine at Warren Alpert Medical School, Brown University. He also serves as Program Director of the Critical Care Medicine Fellowship at Brown University Health.

Inhalt
Section I: Ultrasound Basics.- Physics of Ultrasound.- Probes and Imaging Modes.- Ultrasound Artifacts.- Positioning, Safety, manipulation of probe.- Section II: ECHOCARDIOGRAPHY: Transthoracic Echocardiography.- Transthoracic windows and views.- Transthoracic M-mode echocardiography.- Transthoracic Doppler echocardiography.- Section III: ECHOCARDIOGRAPHY: Transesophageal Echocardiography.- Transesophageal echocardiography: Insertion, Manipulation, Risks, Complications.- Transesophageal windows and views.- Transesophageal artifacts and pitfalls.- Section IV: ECHOCARDIOGRAPHY: Quantification of Cardiac Chambers and Function.- Left Ventricular size Systolic Function.- Alternatives for assessing left ventricular systolic function when image quality is poor.- Right Ventricular size and function.- Atrial size and function.- Left Ventricular diastolic function.- Cardiomyopathies.- Section V: ECHOCARDIOGRAPHY: Valvulopathy.- Aortic Stenosis.- Aortic and Pulmonic Regurgitation.- Mitral and Tricuspid Stenosis.- Mitral and Tricuspid Regurgitation.- Calculation of intracardiac pressures using Doppler Flow.- Prosthetic valves.- Infective endocarditis.- Section VI: ECHOCARDIOGRAPHY: Pericardial disease.- Tamponade.- Ultrasound-guided Pericardiocentesis.- Pericarditis and constriction.- Section VII: ECHOCARDIOGRAPHY: Tumors and Masses.- Benign masses, normal anatomic variants and artifacts.- Left ventricular thrombus.- Left atrial thrombus.- Right-sided thrombus.- Aortic Diseases.- Adult Congenital Heart Disease.- Section VIII: ULTRASONOGRAPHY: Lungs.- Effusion.- Pneumothorax.- Pulmonary Edema.- Pneumonia and consolidation.- Diaphragm.- Thoracentesis and thoracostomy procedural guidance.- Section IX: ULTRASONOGRAPHY: Airway.- Ultrasound during intubation.- Vocal Cord Dysfunction.- Section X: ULTRASONOGRAPHY: Abdomen.- Focused Assessment of Sonography in Trauma (FAST).- Renal and Bladder ultrasonography for the intensivist.- Biliary and hepatic ultrasound in the ICU.- Procedural guidance.- Section XI: ULTRASONOGRAPHY: Vascular.- Vascular access.- Cannulation for Intravascular devices.- Deep Venous Thrombosis.- Carotid ultrasonography.- Section XII: ULTRASONOGRAPHY: Brain.- Optic nerve assessment.- Transcranial ultrasonography.- Additional Neurocritical care applications.- Section XIII: COMPLEX CLINICAL SCENARIOS.- Diagnostic approach to the patient in shock.- Assessment of Fluid Responsiveness.- Pulmonary embolism and acute cor pulmonale.- ARDS and respiratory failure.- Diuresis and weaning.- Dyspnea.- Acute Coronary Syndrome.- Extracorporeal Life Support.- Cardiac Arrest.- Section XIV: Ultrasound Education.- Principles of pedagogy.- Curriculum design.- Education of near-peers.- Utilization of echocardiography labs.- Utilization of simulators, healthy volunteers, patients.- Features of successful teaching programs.- Assessment of competency in education.- Training for the critical care echocardiography board certification.- Section XV: Practical aspects of clinical ultrasound and echocardiography.- Competency and quality assurance.- Credentialing, privileging, and accreditation.- Selection of devices and software.- Image storage and reporting.- Billing.- Integration with traditional ultrasound and echocardiography services.- Glossary.- Appendix: High-yield Topics and Board Review Questions.- Appendix: Reference Values.- Appendix: Sample reports.