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The Pump – Cardiac Assessment

A NEXTGEN LEARNING SPACE DESIGNED TO ELEVATE YOUR AIRWAY PRACTICE

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RV FailurePhysiology
AssessmentApical 4 Chamber
TAPSEGuided Practice

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RV failure

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The physiology of intubation

What are the physiologic consequences of intubation? We explain it all here.

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US Assessment

Here is our approach to assess the heart for RV dysfunction and potential cardiovascular collapse in the peri-intubation period. As you can see it requires being good at a couple of US cardiac assessment skills. The Apical 4 chamber view and TAPSE measurement. We will go through both below.

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Apical 4 Chamber View

the first skill you need is to get a good apical four chamber view. Is the RV bigger than the LV?

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5measuring tapse

Tricuspid annular plane systolic excursion or (TAPSE) has a strange name but is simple to measure. It’s done in the apical 4 chamber view using m-mode. We show you how to do it here. Is the measurement less than 1.6cm? That means poor contractility.

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Instructions

  1. Look for this tabletop card
  2. Snap the QR codes
  3. Begin your practice

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What’s Next

You could stop here but why would you? Explore all the content on this top by visiting the rest of the posters within this learning installation, including training labs, deliberate practice, and expert coaching stations, or return to the online masterclass for more.

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