Hudson Valley Community College Echocardiography Protocol Sarah Burns Kristin Logan Valerie Burdo Kathy Ives Jennifer Mesch John Coram Ali
The Echo exam will provide information to assess, measure, and document overall cardiac Function.
Equipment to be Checked prior to exam Proper Transducer Examination Table ECG wires and electrodes Storage Documentation (VCR Tape) Transducer gel Patient gown Sheets
Equipment (continued) Towels Disinfectant spray
Prior to the Examination Obtain patient consent Obtain patient’s medical history Insure there is a valid signed and dated Physician’s order Note the indication for the exam (If applicable) Review any previous exams Enter the patient identification
Patient Preparation Advise patient to remove clothing from the waist up and to change into a hospital gown Have patient lie supine Attach ECG electrodes to the chest Have patient now lie in left lateral decubitus position with left arm elevated Dim the lights
The Exam noninvasive.html
Parasternal Long Axis 4-5 inter-costal spaces Index toward right shoulder Assess for wall motion Asses size and function of RV, LV, IVS, LVPW, LVOT, LA, MV, and products.medison.co.kr/category/.../ sm-3.asp
Parasternal Long Axis Color Flow Doppler Aortic Valve Mitral Valve case11/color.htm
Measurements (2-D or M-Mode) Aortic Root Left atrium Left Ventricle Inter-ventricular Septum LV posterior wall Research/iag_projects.html
Parasternal- RVIT Angle inferiorly towards Patients right hip Color flow Doppler of TV Pulsed Wave Doppler TV
Parasternal Short Axis Aortic Level -document tri-leaflet -tricuspid valve -pulmonic valve -color flow Doppler -Pulsed Wave Doppler -M-mode (if app.) Mitral Valve Level -left ventricle wall motion -M-mode (if app.) -valvular motion
Parsternal Short (cont) Papillary -note LV wall motion Apex -note LV wall motion info.med.yale.edu/intmed/cardio/ imaging/techniques/echo_intro
Apical Views
Apical Location Find the Apical Impulse on lower left side of chest Place the index toward the patients left side Diagnostics/diagnostics.html
Apical 4 LV wall motion Spectral recording of MV Spectral recording of TV Pulse wave Doppler of MV & TV Continuous wave Doppler if necessary Color flow Doppler of MV & TV
Apical 5 Chamber Interrogate LVOT Pulse wave Doppler of LVOT & AoV Continuous wave Doppler (if appl.) Color flow Doppler ecocanino.htm
Apical 3 Chamber Document LV wall motion Color flow Doppler to MV, AoV, and LVOT Pulsed wave Doppler to interrogate Aov research_echo.htm
Apical 2 Chamber Document LV wall motion Apply Color Flow to interrogate MV
Sub-Costal Views
Sub-costal Location Have patient lie on back with knees elevated Place transducer below the xyphoid process Angle the transducer to the patients left should with index toward the left side of the body
Sub-costal Sub-costal Long -document 4 chambers -color flow Doppler to assess IAS and IVS IVC, Hepatic veins, and abdominal aorta Sub-costal Short -Aortic level -Mitral -Papillary -Apex
Supra-Sternal Patient in supine position Extend neck Angle inferiorly toward the heart Assess ascending and descending aorta Color Flow Doppler Pulse wave Doppler casestudies_AorticArch.html