Ultrasonido cardiaco

focalizado
Sandra Jimena Bernal Salazar
Residente I año – Medicina de Emergencias
Contenido

01 ¿Para qué? 03 Lo normal

Preguntas clave Estructuras anatómicas

02 ¿Cómo? 04 Lo Anormal
Técnica y ventanas

05 Aplicaciones
Función cardiaca
Utilidad en paro
Embolismo pulmonar
 01
¿Hay actividad cardiaca? ¿Para qué? ¿Cómo está la contractilidad?

¿Hay derrame pericárdico? ¿Hay dilatación del VD?

Noble V, Nelson B. Emergency and critical care ultrasound. 2th edition. New York: Cambridge; 2011. p. 61-88.
 02 ¿Cómo?

Posición Transductor Ventanas

Noble V, Nelson B. Emergency and critical care ultrasound. 2th edition. New York: Cambridge; 2011. p. 61-88.
Beraud AS, Burkett T. Introduction to transthoracic echocardiography. Philips. USA; 2015. p. 1-100.
Ventanas
SxF

Beraud AS, Burkett T. Introduction to transthoracic echocardiography. Philips. USA; 2015. p. 1-100.
 ¿Problemas visualizando el ♥?

1 Posición

2 Profundidad

3 Ventana
acústica

Beraud AS, Burkett T. Introduction to transthoracic echocardiography. Philips. USA; 2015. p. 1-100.
Ventanas
PeL

Beraud AS, Burkett T. Introduction to transthoracic echocardiography. Philips. USA; 2015. p. 1-100.
 ¿Problemas visualizando el ♥?

1 Posición
2 Profundidad 3 Inclinación

Beraud AS, Burkett T. Introduction to transthoracic echocardiography. Philips. USA; 2015. p. 1-100.
Ventanas
PeC

Beraud AS, Burkett T. Introduction to transthoracic echocardiography. Philips. USA; 2015. p. 1-100.
Ventanas
PeC

Beraud AS, Burkett T. Introduction to transthoracic echocardiography. Philips. USA; 2015. p. 1-100.
Ventanas
PeC

Beraud AS, Burkett T. Introduction to transthoracic echocardiography. Philips. USA; 2015. p. 1-100.
Ventanas
Apx

Beraud AS, Burkett T. Introduction to transthoracic echocardiography. Philips. USA; 2015. p. 1-100.
 ¿Problemas visualizando el ♥?

1 Posición
2 Profundidad 3 Punto de
MXI

Beraud AS, Burkett T. Introduction to transthoracic echocardiography. Philips. USA; 2015. p. 1-100.
04
Lo Normal

Noble V, Nelson B. Emergency and critical care ultrasound. 2th edition. New York: Cambridge; 2011. p. 61-88.
Noble V, Nelson B. Emergency and critical care ultrasound. 2th edition. New York: Cambridge; 2011. p. 61-88.
Noble V, Nelson B. Emergency and critical care ultrasound. 2th edition. New York: Cambridge; 2011. p. 61-88.
Noble V, Nelson B. Emergency and critical care ultrasound. 2th edition. New York: Cambridge; 2011. p. 61-88.
Noble V, Nelson B. Emergency and critical care ultrasound. 2th edition. New York: Cambridge; 2011. p. 61-88.
04
Lo
anormal
Noble V, Nelson B. Emergency and critical care ultrasound. 2th edition. New York: Cambridge; 2011. p. 61-88.
Beraud AS, Burkett T. Introduction to transthoracic echocardiography. Philips. USA; 2015. p. 1-100.
Noble V, Nelson B. Emergency and critical care ultrasound. 2th edition. New York: Cambridge; 2011. p. 61-88.
Noble V, Nelson B. Emergency and critical care ultrasound. 2th edition. New York: Cambridge; 2011. p. 61-88.
Noble V, Nelson B. Emergency and critical care ultrasound. 2th edition. New York: Cambridge; 2011. p. 61-88.
Noble V, Nelson B. Emergency and critical care ultrasound. 2th edition. New York: Cambridge; 2011. p. 61-88.
 05 Función ♥ global

¿Simetría en la contracción? Apertura de la V. Mitral

Todas las paredes hacia el centro ≈ Llenado de cavidades

¿Se engrosa cuando se acorta? Auriculas dilatadas

¿Segmentaria? ↓ FE

Noble V, Nelson B. Emergency and critical care ultrasound. 2th edition. New York: Cambridge; 2011. p. 61-88.
Beraud AS, Burkett T. Introduction to transthoracic echocardiography. Philips. USA; 2015. p. 1-100.
Noble V, Nelson B. Emergency and critical care ultrasound. 2th edition. New York: Cambridge; 2011. p. 61-88.
Noble V, Nelson B. Emergency and critical care ultrasound. 2th edition. New York: Cambridge; 2011. p. 61-88.
 Fracción de Eyección

Método de Simpson

Noble V, Nelson B. Emergency and critical care ultrasound. 2th edition. New York: Cambridge; 2011. p. 61-88.
 Volumen sistólico

Noble V, Nelson B. Emergency and critical care ultrasound. 2th edition. New York: Cambridge; 2011. p. 61-88.
 Utilidad en Paro Ø

●Identificar actividad cardiaca

sin pulso

●Contracciones ventriculares

●Descartar causas
intervenibles
●No presenciado + no
actividad

●Ayuda a decidir cuándo parar

●Documental (M)

Noble V, Nelson B. Emergency and critical care ultrasound. 2th edition. New York: Cambridge; 2011. p. 61-88.
Noble V, Nelson B. Emergency and critical care ultrasound. 2th edition. New York: Cambridge; 2011. p. 61-88.
 Embolismo Pulmonar

01 Neptune is the farthest planet

from the Sun

02 Venus has a beautiful name,

but it’s terribly hot

03 Despite being red, Mars is

actually a cold place

Beraud AS, Burkett T. Introduction to transthoracic echocardiography. Philips. USA; 2015. p. 1-100.
Noble V, Nelson B. Emergency and critical care ultrasound. 2th edition. New York: Cambridge; 2011. p. 61-88.
 Ultrasonido
Vena Cava Inferior
Ventana VCI

Beraud AS, Burkett T. Introduction to transthoracic echocardiography. Philips. USA; 2015. p. 1-100.
Beraud AS, Burkett T. Introduction to transthoracic echocardiography. Philips. USA; 2015. p. 1-100.
Beraud AS, Burkett T. Introduction to transthoracic echocardiography. Philips. USA; 2015. p. 1-100.
Gracias
sandraji.bernal@urosario.edu.co
+57 304 546 9888

CREDITS: This presentation template was created

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 Diagnosis

Mars Neptune Jupiter

Despite being red, Mars is Neptune is the farthest It’s the biggest planet in the
actually a cold place planet from the Sun Solar System

Mercury Saturn Venus

Mercury is the closest Saturn is the ringed one and Venus has a beautiful name,
planet to the Sun a gas giant but it’s terribly hot

Noble V, Nelson B. Emergency and critical care ultrasound. 2th edition. New York: Cambridge; 2011. p. 61-88.
 Review of Systems

Mars Saturn
Despite being red, Mars is a Saturn is the ringed one. It’s
cold place. The planet is full composed mostly of
of iron oxide dust hydrogen and helium

Jupiter Venus
Jupiter is a gas giant and the Venus has a beautiful name
biggest planet in the Solar and is the second planet from
System the Sun

Noble V, Nelson B. Emergency and critical care ultrasound. 2th edition. New York: Cambridge; 2011. p. 61-88.
 Case Timeline

Day 1 Mercury is the Day 3 Saturn is the Day 5

closest planet to ringed one and a
the Sun gas giant

It’s the biggest Neptune is the Despite being

planet in the farthest planet red, Mars is a
Solar System Day 2 from the Sun Day 4 cold place

Noble V, Nelson B. Emergency and critical care ultrasound. 2th edition. New York: Cambridge; 2011. p. 61-88.