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focused cardiac ultrasound (FoCUS)
Indications:
- cardiac arrest
- pulseless electrical activity
- pericardial effusion
- acute systolic heart failure
- *acute valvular heart disease
- acute mitral regurgitation
- patent ductus arteriosus [1]
* not intended to definitely rule out pathology [1]
Procedure:
- simplified form of echocardiography used primarily in emergency medicine & critical care medicine
- may be done with standard ultrasound instruments
- uses M-mode imaging
- synchronizes imaging with ECG tracings
- a phased-array transducer is recommended
- a limited number of views is sufficient
- subcostal long axis
- subcostal inferior vena cava
- parasternal long axis
- parasternal mid-papillary short axis
- apical 4 chamber [1]
* video [2]
Specific
handheld bedside cardiac ultrasound
General
transthoracic echocardiogram (TTE)
References
- Anello J, Feinberg B, Heinegg J, Lindsey R, Wojdylo C, Wong O.
Medcsape Oncology. August 2014
Focused Cardiac Ultrasound. First international guidance on
focused cardiac ultrasound (FoCUS) by the World Interactive
Network Focused on Critical Ultrasound (WINFOCUS)
http://reference.medscape.com/features/slideshow/guidelines-review/august2014
- Prada G, Pustavoitau A, Koenig S
Focused Cardiac Ultrasonography for Right Ventricular Size and Systolic Function.
N Engl J Med 2022; 387:e52
PMID: 36416769
https://www.nejm.org/doi/full/10.1056/NEJMvcm2004089