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FOCUSED TRANSTHORACIC ECHOCARDIOGRAPHY (FATE) FOR ANESTHESIOLOGISTS AND INTENSIVISTS November 1314, 2010 Sponsored By St. Luke's Hospital & Health Network and The Echocardiography & Ultrasound Institute

How to fill out focused transthoracic echocardiography

How to Fill Out Focused Transthoracic Echocardiography:

1. Gather the necessary equipment for the procedure, including an ultrasound machine, a transducer, and gel.
2. Position the patient in a supine position, with their left side slightly elevated to enhance the visibility of the heart.
3. Apply gel to the transducer and place it on the patient's chest in different locations to obtain various cardiac views.
4. Obtain the parasternal long-axis view by angling the transducer slightly to the left of the sternum and obtaining a clear image of the heart's long axis.
5. Capture the parasternal short-axis view by rotating the transducer clockwise from the parasternal long-axis view to visualize the heart in a cross-section manner.
6. Obtain the apical four-chamber view by positioning the transducer near the apex of the heart to visualize all four chambers simultaneously.
7. Capture the subcostal four-chamber view by placing the transducer just below the xiphoid process to obtain a clear image of the heart from the subcostal area.
8. Assess the structures and functions of the heart, including the valves, ventricles, atria, and pericardium, for any abnormalities or signs of disease.
9. Take note of any findings or measurements made during the procedure, such as ejection fraction, wall motion abnormalities, or presence of fluid around the heart.
10. Once the procedure is complete, clean and disinfect the equipment used to ensure proper hygiene and prevent cross-contamination.

Who Needs Focused Transthoracic Echocardiography:

1. Patients with suspected heart diseases, such as those experiencing symptoms like chest pain, shortness of breath, or palpitations, may undergo focused transthoracic echocardiography to assess their cardiac health.
2. Individuals with a known cardiac condition may require periodic focused transthoracic echocardiography to monitor the progression of the disease, evaluate treatment effectiveness, or detect any new abnormalities.
3. Focused transthoracic echocardiography may also be performed on patients before or after cardiac procedures or surgeries to provide additional information about the heart's structure and function.

Note: It is important to consult with a healthcare professional, such as a cardiologist, to determine if focused transthoracic echocardiography is necessary for an individual and to interpret the results properly.

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