142 results
Total Anomalous Pulmonary Venous Return (TAPVR)
 • Introduction
 • Classification
 • Pathophysiology of TAPVR
 • Presentation
Pulmonary Venous Return ... Pulmonary #Venous #Return
Total Anomalous Pulmonary Venous Return (TAPVR)

Here's the bedside Echo of an 8-week-old boy who presented to
Pulmonary Venous Return ... Pulmonary #Venous #Return
Cardiac Maneuvers and Effects on Murmurs

Valsalva Standing - Decr BIood Return to LV
Laying Down, Squatting, Straight
Standing - Decr BIood Return ... Raise - Incr BIood Return
Hypertrophic Obstructive Cardiomyopathy: Heart Murmur
 • Occurs during systole 
 • Crescendo-decrescendo murmur
 • Heard best
afterload and venous return ... afterload and venous return
Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
system • Blood returns ... system • Blood returns ... achieving sustained return
ICU Hypotension - Evaluation Algorithm

OFTEN Mnemonic:

OWN THE PULSE PRESSURE 

FEEL YOUR PATIENT'S LEGS 

TEST FOR FLUID
NORMALIZE VENOUS RETURN
Orthostatic Hypotension Management Algorithm
 • Hypovolemic?  Yes → Resuscitate
 • Volume Overloaded? No → Fludrocortisone
Improves venous return ... Improves venous return
Hepatic Vein Waveform

a wave - atrial contraction (end diastole)
S - ventricular systole
v - increasing RA pressure
systemic venous return
Shoulder Effusion Ballottement on Physical Examination

Shoulder effusion. You can ballot and see fluid return at posterior
and see fluid return
ECMO Troubleshooting - OnePager Summary
ECMO Emergency Protocol - Team should train/practice & have necessary supplies at
Clamp drainage & return ... Call for help - Return ... native venous return ... decreased venous return ... blood from the return