Critical Care Scenarios

Lightning rounds 52: Echo tips with Michael Lanspa

May 28, 2025
In this discussion, Dr. Michael Lanspa, an intensivist and director of the Intermountain Critical Care Echocardiography Core Lab, dives into the world of point-of-care ultrasound. He highlights common pitfalls faced by practitioners and shares strategies to enhance ultrasound skills in critical care. Key topics include evaluating cardiac function with echocardiographic techniques and understanding the complexities of Doppler measurements. Dr. Lanspa also elaborates on the clinical relevance of measurements like S prime and TAPSE, emphasizing practical approaches to improving patient outcomes.
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ADVICE

Save and Complete Your Echo Exam

  • Always save your ultrasound images for documentation and review.
  • Complete your exam fully before making critical decisions based on Echo findings.
INSIGHT

Eyeball EF with Context

  • Eyeballing ejection fraction (EF) is valid but requires familiarity with various EF levels.
  • Loading conditions and imaging angle dramatically impact EF interpretations.
ADVICE

Train EF Measurement by Comparison

  • Compare your own EF measurements using the method of discs with formal echo reports.
  • Train on 50 to 100 echocardiograms to develop reliable quantitative skills.
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