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Focus-assessed transthoracic echocardiography in the sitting position: two life-saving cases

Authors

  • C. A. FREDERIKSEN,

    1. Department of Anaesthesiology and Intensive Care, Aarhus University Hospital, Skejby, Denmark
    2. Institute of Clinical Medicine, Faculty of Health Sciences, Aarhus University, Aarhus, Denmark
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  • L. KNUDSEN,

    1. Institute of Clinical Medicine, Faculty of Health Sciences, Aarhus University, Aarhus, Denmark
    2. Department of Anaesthesiology and Intensive Care, Aarhus University Hospital, Aarhus, Denmark
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  • P. JUHL-OLSEN,

    1. Department of Anaesthesiology and Intensive Care, Aarhus University Hospital, Skejby, Denmark
    2. Institute of Clinical Medicine, Faculty of Health Sciences, Aarhus University, Aarhus, Denmark
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  • E. SLOTH

    1. Department of Anaesthesiology and Intensive Care, Aarhus University Hospital, Skejby, Denmark
    2. Institute of Clinical Medicine, Faculty of Health Sciences, Aarhus University, Aarhus, Denmark
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Address:
Erik Sloth
Department of Anaesthesiology and Intensive Care
Aarhus University Hospital, Skejby
Brendstrupgaardsvej 100
DK-8200 Aarhus N
Denmark
e-mail: sloth@dadlnet.dk

Abstract

Focus-Assessed Transthoracic Echocardiography (FATE) is a point-of-care ultrasound protocol allowing the fast evaluation of the cardio-pulmonary status. It has been well established that patients with an exacerbation of chronic obstructive lung disease and lung oedema benefit from the sitting position. These and other medical emergency situations may prevent patients from attaining the supine position, thus precluding standard echocardiography. Portable ultrasound machines with a wide range of different probes are now available at limited costs. This allows the physician to bring point-of-care ultrasound to the patient in almost any location. We present two cases of severely ill patients where FATE was performed in the sitting position with decisive impact on subsequent therapy.

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