Can J Anesth/J Can Anesth https://doi.org/10.1007/s12630-018-1125-z IMAGES IN ANESTHESIA Imaging portal venous ﬂow to aid assessment of right ventricular dysfunction . . Andre´ Y. Denault, MD, PhD Mile`ne A. Azzam, MD William Beaubien-Souligny, MD Received: 21 March 2018 / Accepted: 22 March 2018 Canadian Anesthesiologists’ Society 2018 Pulsatile portal venous blood ﬂow is a sign of portal this population, it is associated with increased central hypertension originally described as a sign of severity in venous pressure (CVP), worse functional class, and patients with congestive heart failure (CHF) (Figure). In elevated bilirubin, suggesting an impairment in liver CD Figure A) To obtain an image of portal venous ﬂow (PVF) using typically align the right portal vein (PV) with the centre of the transesophageal echocardiography (TEE), a view of the inferior vena ultrasound beam. C) A normal portal vein ﬂow velocity is 20 ± 5 -1 cava (IVC) is obtained using a lower mid-esophageal view with the cmsec with minimal pulsatility. D) Abnormal PVF in a 78-yr-old omniplane transducer at 90 (with permission of CAE Healthcare, male before mitral valve repair with peak and trough velocities of 18 -1 Ville Saint-Laurent, QC, Canada). B) The TEE probe is then slowly and
Canadian Journal of Anesthesia/Journal canadien d'anesthésie – Springer Journals
Published: May 31, 2018
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