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Subxiphoid Cardiac and Inferior Vena Cava Views

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Abstract

The subxiphoid (SX) view, also referred to as the subcostal, can be helpful in a patient with difficult parasternal or apical windows due to air trapping, high positive end expiratory pressure, or patient anatomy. The SX is the easiest view during cardiac arrest and for rapid assessment of the heart. It is the primary cardiac window in both the Focused Assessment Sonogram for Trauma (FAST) and Rapid Ultrasound in SHock (RUSH) examinations. Using the SX, providers can examine for pericardial effusions, RV dilation, and overall cardiac function. In the same window, with minor adjustments, is the inferior vena cava (IVC). The IVC is responsible for returning blood to the heart and has been considered a surrogate measurement for volume status and volume responsiveness (VR), or the likelihood that the stroke volume will increase with a fluid bolus.

Keywords

  • Subxiphoid, subcostal view
  • Left ventricle
  • LV
  • Right ventricle
  • RV
  • Pericardial effusion
  • Inferior vena cava
  • IVC

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  • DOI: 10.1007/978-3-030-74687-2_5
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Correspondence to Shannon Gaasch .

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1 Electronic Supplementary Material

This video shows the longitudinal view of the IVC (MP4 5024 kb)

189640_1_En_5_MOESM2_ESM.mp4

This video shows the subxiphoid view in abdominal preset (MP4 733 kb)

Video 2

This video shows the subxiphoid view in abdominal preset (MP4 733 kb)

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Votipka, R., Gaasch, S. (2021). Subxiphoid Cardiac and Inferior Vena Cava Views. In: Salerno, A., Haase, D.J., Murthi, S.B. (eds) Atlas of Critical Care Echocardiography. Springer, Cham. https://doi.org/10.1007/978-3-030-74687-2_5

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  • DOI: https://doi.org/10.1007/978-3-030-74687-2_5

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-74685-8

  • Online ISBN: 978-3-030-74687-2

  • eBook Packages: MedicineMedicine (R0)