139 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
Orthostatic Hypotension Management Algorithm
 • Hypovolemic?  Yes → Resuscitate
 • Volume Overloaded? No → Fludrocortisone
Improves venous return ... Improves venous return
ICU Hypotension - Evaluation Algorithm

OFTEN Mnemonic:

OWN THE PULSE PRESSURE 

FEEL YOUR PATIENT'S LEGS 

TEST FOR FLUID
NORMALIZE VENOUS RETURN
Shoulder Effusion Ballottement on Physical Examination

Shoulder effusion. You can ballot and see fluid return at posterior
and see fluid 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
Hepatic Vein Waveform

a wave - atrial contraction (end diastole)
S - ventricular systole
v - increasing RA pressure
systemic venous 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