विवरण
ECHO evaluations can also be used to evaluate the performance of valves over time, providing insights into their wear and tear. This information can be used to inform maintenance schedules and replacement plans, helping industrial facilities to operate more efficiently and safely. The results of ECHO evaluations are highly accurate and can provide detailed information about the valve's internal structure, which can be used to guide maintenance and repair efforts.
सारांश
- The presentation outlines the utility of echocardiography (echo) in critical care, drawing a parallel between its development and the principles of sonar used in submarines. Echo, an ultrasound technique, is presented as a valuable tool for bedside assessment, particularly when physical examination is limited. Transducers, including phased array, convex, and linear probes, are essential tools.
- The lecture highlights the importance of understanding the physics behind ultrasound. It underscores the relationship between frequency, wavelength, and velocity, as well as the trade-off between penetration and resolution. The need for echo arises in various conditions within the ICU, including fluid management, myocardial infarction, thrombus detection, cardiac tamponade, and trauma assessment.
- Evaluating myocardial function through global and regional wall motion analysis is crucial for assessing left ventricular systolic and diastolic function. Valvular heart disease, although less prevalent than in the past, remains significant due to potential complications like vegetations. Aortic dissection can be diagnosed with TTE.
- Echo aids in fluid therapy by assessing ventricular size, IVC diameter and variability, aortic flow, and response to passive leg raising. Specific parameters like ventricular size, IVC variability, and VTI measurements are utilized to guide fluid administration. The concept of "kissing ventricles" and their relevance in fluid management is introduced.
- The presentation includes case studies to illustrate the diagnostic applications of echo in conditions such as thrombus detection, takotsubo cardiomyopathy, pericardial effusion, pulmonary embolism, and prosthetic valve dysfunction. Management considerations, including thrombolysis versus reoperation for stuck valves, are discussed. It concludes with a message to the audience to learn the basic principles of echo, gain hands-on experience, and seek mentorship from cardiology and cardiac anesthesia specialists.
नमूना प्रमाण पत्र
वक्ताओं के बारे में
डॉ. मणिमाला राव
प्रमुख एनेस्थिसियोलॉजी और क्रिटिकल केयर, निदेशक क्रिटिकल केयर, यशोदा
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