Cardiovascular Medicine Book

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Suprasternal Echocardiogram View

Aka: Suprasternal Echocardiogram View, Suprasternal Notch View Echocardiogram
  1. See Also
    1. Echocardiogram
    2. Parasternal Long-Axis Echocardiogram View ( PLAX View)
    3. Parasternal Short-Axis Echocardiogram View (PSAX View)
    4. Subcostal Echocardiogram View (Subxiphoid Echocardiogram View)
    5. Apical Four Chamber Echocardiogram View
    6. Suprasternal Echocardiogram View
    7. Echocardiogram in Congestive Heart Failure
    8. Inferior Vena Cava Ultrasound for Volume Status
    9. Emergency Pericardiocentesis
    10. Pericardial Effusion
    11. Stress Echocardiogram
    12. Transesophageal Echocardiogram
    13. FAST Exam
    14. Ultrasound
  2. Technique
    1. Transducer orientation
      1. Transducer placed in suprasternal notch
      2. Transducer indicator pointed towards 9:00
      3. Align energy inferiorly (towards feet) until arch comes into view
      4. Rotate transducer clockwise until arch is in full view (12:00 to 2:00)
        1. May need to rotate transducer counter-clockwise
    2. Landmarks
      1. Brachiocephalic artery (right), Left Carotid Artery, Left subclavian artery
      2. Aortic arch
      3. Right pulmonary artery
      4. Left atrium
    3. Images
      1. ultrasoundProbePositionEchoSupraSternal.jpg
      2. ultrasoundBMP_cvSupraSternal.jpg
  3. Interpretation
    1. Normal aorta diameters (adults)
      1. Proximal aorta: 4 cm
      2. Aortic arch: 3.5 cm
      3. Lower thoracic aorta (and abdominal aorta): 3 cm
    2. Aortic Dissection
    3. Aortic aneurysm
  4. Resources
    1. Suprasternal Notch View Video (Sonosite)
      1. http://www.youtube.com/watch?v=Mkc6tUVRgKo
    2. Echocardiographer
      1. http://echocardiographer.org/
  5. References
    1. Mateer and Jorgensen (2012) Introduction and Advanced Emergency Medicine Ultrasound Conference, GulfCoast Ultrasound, St. Pete's Beach
    2. Noble (2011) Emergency and Critical Care Ultrasound, Cambridge University Press, New York, p. 61-88
    3. Orman, Dawson and Mallin in Majoewsky (2013) EM:Rap 13(1): 4-6
    4. Reardon (2011) Pocket Atlas Emergency Ultrasound, McGraw Hill, New York, p. 61-106

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