SCCM Resource Library-Trying to Fool Me: Tricky Images in POCUS

Video Transcription

Video Summary

The speaker discusses various cases of tricky ultrasound images and artifacts that can be misinterpreted in clinical care. In the first case, a patient with dyspnea is evaluated using thoracic ultrasound. The speaker explains how to differentiate between the inferior vena cava (IVC) and the aorta, emphasizing differences in wall thickness, appearance on ultrasound, and position in the body. The second case involves an abdominal ultrasound to assess for fluid in the hepato-renal recess. The speaker highlights the importance of using Trendelenburg position to improve the accuracy of the exam. The third case shows a cardiac ultrasound with severely reduced left ventricular contractility and an effusion, which the speaker demonstrates how to differentiate between pleural and pericardial effusion. In the fourth case, the speaker discusses the potential for misinterpretation of ultrasound features of right ventricular dilation and pulmonary embolism due to probe orientation. The fifth case highlights that mirror image artifacts from the diaphragm can mimic hepatization in the lungs and potentially be confused with pneumonia. Lastly, the speaker discusses the classic appearance of Takotsubo syndrome on ultrasound and the limitations of using fractional shortening to estimate ejection fraction. The speaker encourages clinicians to consider clinical context, review multiple images and modalities, and gain hands-on practice in order to avoid misinterpreting tricky ultrasound images.

Asset Subtitle

Procedures, 2023

Asset Caption

Type: two-hour concurrent | Stump the Intensivist! POCUS Cases (SessionID 1221919)

Meta Tag

Content Type Presentation

Knowledge Area Procedures

Membership Level Professional

Membership Level Select

Tag Ultrasound

Year 2023

Keywords

ultrasound images

artifacts

thoracic ultrasound

abdominal ultrasound

cardiac ultrasound

Takotsubo syndrome

	Society of Critical Care Medicine 500 Midway Drive Mount Prospect, IL 60056 USA Phone: +1 847 827-6888 Fax: +1 847 439-7226 Email: support@sccm.org	Contact Us About SCCM Newsroom Advertising & Sponsorship DONATE	MySCCM LearnICU Patients & Families Surviving Sepsis Campaign Critical Care Societies Collaborative	GET OUR NEWSLETTER
© Society of Critical Care Medicine. All rights reserved. \| Privacy Statement \| Terms & Conditions The Society of Critical Care Medicine, SCCM, and Critical Care Congress are registered trademarks of the Society of Critical Care Medicine.