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Bedside Classification of Shock Hypovolemic shock - Vomiting, diarrhea, overdiuresis - Hemorrhage (GI, peritoneal, RP) Distributive shock
outflow Obstruction (LVOTO ... #Cardiogenic #Comparison
Stroke Volume & Cardiac Output Measurement on POCUS Accurately measure LVOT diameter: 1. Obtain PLAX 2. Zoom to
Accurately measure LVOT ... Zoom to LVOT 3. ... PW doppler into LVOT ... VTI x π (LVOT Diam ... /2) 2 SV = LVOT
POCUS - Measuring Cardiac Output 1) Calculate LVOT Area 2) Calculate LVOT VTI 3) Calculate Cardiac Output SV = (LVOT
Area 2) Calculate LVOT ... Output SV = (LVOT ... Area) x (LVOT VTI ... ) CO = (LVOT Area ... ) x (LVOT VTI) X
LVOT Obstruction noted during CPR on TEE (iatrogenic LVOT obstruction) - Dr. Tom Jelic @TomJelic #LVOT #Obstruction #CPR #ACLS
LVOT Obstruction ... TEE (iatrogenic LVOT ... @TomJelic #LVOT
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 LVOT measurement 1. PLX view zoom mode 2. Measure within 5 mm to 10 mm from aortic annulus
LVOT measurement ... Mid-systole #LVOT
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary Fluid resuscitation can be beneficial when required or
the extreme • LVOT ... : Similar to L VOT ... #criticalcare #comparison
LVOTO due to SAM on POCUS Echocardiogram Septic patient after IV fluids and initiation of Levophed. Worsening
LVOTO due to SAM ... Answer: Dynamic LVOTO ... Anterior #Motion #LVOTO
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 PLAX. Bit Las Vegas gains posteriorly 😉 lovely HOCM case with systolic anterior motion. Significant LVOT
Significant LVOT
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 Differentiating PAH from PVH - Echocardiography Pulmonary Artery Hypertension (PAH): • RV size - Enlarged • LA
right to left • RVOT ... left to right • RVOT ... Echocardiogram #comparison
The Role of Echocardiography in Hypertrophic Cardiomyopathy • Establish diagnosis & determine pattern of hypertrophy •
& severity of LVOT
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