@EGarciaSayan @ASE360 @nehasonipatel @boegel_kelly @NadeenFaza Thanks everyone! #ASEchoJC

@boegel_kelly #ASEchoJC Important to make QI/QA a regular part of lab processes for sonographers and physicians together

@EGarciaSayan @ASE360 @nehasonipatel @boegel_kelly @NadeenFaza @JournalASEcho @daniel_forsha @LaiWyman The Guidelines provide great resource for QI/QA in your labs! Table 2 provides links to ACPC Quality Metrics related to Echo #ASEchoJC

@boegel_kelly @EGarciaSayan @ASE360 @nehasonipatel @NadeenFaza @JournalASEcho @echoleolopez @RituSachdevaMD @LaiWyman @daniel_forsha @iamritu @Kfarooqi Color M mode can really help in obtaining good RV strain images! #ASEchoJC

@EGarciaSayan @ASE360 @nehasonipatel @boegel_kelly @NadeenFaza @JournalASEcho @echoleolopez @RituSachdevaMD @LaiWyman @daniel_forsha @iamritu @Kfarooqi Keep in mind that while TAPSE and FAC are useful, they do not incorporate the RVOT in the measurement- #ASEchoJC

@EGarciaSayan @ASE360 @nehasonipatel @boegel_kelly @NadeenFaza @JournalASEcho @daniel_forsha @LaiWyman @RituSachdevaMD @echoleolopez Strain utility in peds 1. LV GLS: consider in all functional LV protocols, but particularly in children receiving chemotherapy 2. RV GLS in repaired TOF to assess for dyssynchrony and appropriate timing of PVR 3. GLS in single ventricles #ASEchoJC

@nehasonipatel @EGarciaSayan @ASE360 @boegel_kelly @NadeenFaza @JournalASEcho @daniel_forsha @LaiWyman @RituSachdevaMD @echoleolopez My favorites for 3D echo are -evaluation of DORV and ability to construct unobstructed outflows... #ASEchoJC -assessing Left AV valves in AVSDs pre-op

@boegel_kelly @EGarciaSayan @ASE360 @nehasonipatel @NadeenFaza @JournalASEcho @daniel_forsha @LaiWyman @RituSachdevaMD @echoleolopez @iamritu Flow in the RA and LA visualized-cool! That was from an injection in the left arm? #ASEchoJC

@EGarciaSayan @ASE360 @nehasonipatel @boegel_kelly @NadeenFaza UAE: may considered in peds when delineation of LV endocardium by 2DE challenging Lumason (sulfur hexafluoride lipid–type A microspheres) IS approved for pedi use- particularly in setting of obesity, prior cardiac surgery, perfusion imaging in KD, MISC, repaired CHD #ASEchoJC

@EGarciaSayan @ASE360 @nehasonipatel @boegel_kelly @NadeenFaza Remember Z score models are derived from normal hearts in "normal" size children. May be problematic in Premature infants Children with CHD Obese pts: Excess adiposity disrupts usual relationships between BSA and the sizes of cardiovascular structure #ASEchoJC #ASEchoJC

@EGarciaSayan @ASE360 @nehasonipatel @boegel_kelly @NadeenFaza Can also see the posterior descending on parasternal long axis if you look carefully too #ASEchoJC

@EGarciaSayan @ASE360 @nehasonipatel @boegel_kelly @NadeenFaza #ASEchoJC Look at that RCA aneurysm in the distal right AV groove!

@EGarciaSayan @ASE360 @nehasonipatel @boegel_kelly @NadeenFaza Tilting anterior to see left main, LAD and circ

@EGarciaSayan @ASE360 @nehasonipatel @boegel_kelly @NadeenFaza @JournalASEcho @echoleolopez @RituSachdevaMD @LaiWyman @daniel_forsha @iamritu @DavidWienerMD Short axis is a great place to start imaging coronaries- but not the only view PS long axis: RCA anterior origin from the aortic root Circumflex in the left AV groove Post descending in post interventricular groove: tilt rightward and posteroinferior #ASEchoJC

@boegel_kelly Perfect images to demonstrate the RUPV flow !#ASEchoJC

@EGarciaSayan @ASE360 @nehasonipatel @boegel_kelly @NadeenFaza @JournalASEcho @daniel_forsha @LaiWyman @RituSachdevaMD @echoleolopez Right upper pulmonary vein! Great view for assessing this structure when the RUPV is difficult to find on crab views... #ASEchoJC