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Recent Advances in Chest Medicine |

Advanced Echocardiography for the Critical Care PhysicianAdvanced Echocardiography Technique: Part 1: Part 1

Mangala Narasimhan, DO, FCCP; Seth J. Koenig, MD, FCCP; Paul H. Mayo, MD, FCCP
Author and Funding Information

From the Division of Pulmonary, Critical Care and Sleep Medicine, the Hofstra North Shore LIJ School of Medicine, New Hyde Park, NY.

Correspondence to: Mangala Narasimhan, DO, FCCP, Division of Pulmonary, Critical Care and Sleep Medicine, 410 Lakeville Rd, Ste 107, New Hyde Park, NY 11040; email: mnarasimhan@nshs.edu


For related article see page 135

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2014;145(1):129-134. doi:10.1378/chest.12-2441
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This is the first of a two-part series that reviews advanced critical care echocardiography (CCE) techniques designed for critical care physicians. In this section, we review training in basic and advanced CCE. This is followed by a review of Doppler principles, including pulsed wave, continuous wave, and color flow Doppler. Included are Doppler measurement techniques that are useful for assessing the patient with cardiopulmonary failure and the common pitfalls of Doppler. This section ends with a review of the quantitative and semiquantitative measurements of stroke volume, as well as problems with measurement of stroke volume in the ICU and its useful clinical applications. Video-based examples will help demonstrate the techniques that are described in the text.

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Figures

Tables

Video 1. Gain

Running Time: 1:51

Video 2. Severe AR and MR wall jet

Running Time: :04

Video 3. LVOT

Running Time: 1:00

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