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Apr 26 8 tweets 5 min read Twitter logo Read on Twitter
Some excellent anatomic illustrations for friends who place central lines.
#POCUS #MedTwitter #Nephpearls #FOAMed
Courtesy: pubmed.ncbi.nlm.nih.gov/27521991/
1. Internal jugular vein (A. Transducer placement in short axis, B. long axis) Image
2. The supraclavicular approach to the subclavian vein (A. Transducer in short axis to the vessel, B. long axis)
#POCUS #MedEd Image
3. Infraclavicular approach to the subclavian vein
#POCUS #MedEd Image
4. Femoral vein cannulation (A. short axis #POCUS, B. long axis) Image
Beware of the anatomic variations of the IJ vein. Use #POCUS if available Image
Anatomic variations of the subclavian vein. Again, use #POCUS where available.
A: indicates the normal junction and position of the SCV in relation to both the internal jugular vein (IJV) and subclavian artery. B: The SCV may join the IJV as high or even higher than the level of… twitter.com/i/web/status/1… Image
Finally, thanks to the authors for these great illustrations. Image
🚨Something to be aware of 👇🏼
Correlate with anatomy above.

bjanaesthesia.org/article/S0007-….

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More from @NephroP

Apr 4
#POCUS quiz
1. What tracing did I obtain here?
2. What are some clinical scenarios where doing this would be helpful?
#IMPOCUS #MedEd #Nephpearls Image
Read 4 tweets
Apr 3
Just plethoric IVC or there is some other notable finding?
#POCUS #MedEd #Nephpearls
#POCUS Answer: Pericardial effusion
Cannot comment on tamponade just from this view
Other views in 🧵below. No obvious chamber collapse.
Subcostal #POCUS
Read 6 tweets
Mar 27
Some helpful illustrations of cardiac support devices for trainees and non-intensivist consultants like me rounding in the ICU.
🔗ccjm.org/content/84/4/2…
#Nephpearls #MedEd #MedTwitter
Also, good to be aware while performing #POCUS
Other relevant illustration: Left ventricular circulatory support devices
🔗 nature.com/articles/s4156…

a, The intra-aortic balloon pump uses counterpulsation to provide circulatory support and is commonly inserted via the femoral or axillary artery. b, Microaxial flow devices… twitter.com/i/web/status/1…
Read 4 tweets
Feb 1
After yesterday's #POCUS quiz, it's time to reshare these cardiac tamponade infographics.
Courtesy of @ACEP_EUS
🔗acep.org/emultrasound/s…
Set of 3
See 🧵for the rest
#Nephpearls #MedEd #FOAMcc
Pulsus paradoxus #echofirst
Hepatic vein waveform changes
#POCUS #VExUS
Read 5 tweets
Feb 1
A 58-year-old woman with no known comorbidities presents with progressive fatigue and shortness of breath x several months. Noted to have bilateral pedal edema; BNP 2,473 pg/mL.
#echofirst 👇❓
Answer and 🔗 to source in thread.
#POCUS #MedEd #FOAMcc
Left atrial myxoma -> pulmonary hypertension (RVSP 93 mmHg) -> RV dysfunction (Note obvious RV enlargement ☝️
cvcasejournal.com/article/S2468-…
PLAX (same case)
Read 4 tweets
Jan 30
Another set of cardiac #POCUS #anatomy illustrations. 🧵
#Nephpearls #FOAMed
Source: sciencedirect.com/science/articl…
1⃣ Parasternal long axis
2⃣ Parasternal short axis aortic valve level
#POCUS
3⃣ Apical 4-chamber view #POCUS
Read 7 tweets

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