Points to remember

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Points to remember



Catherine Fredouille, Jean-Eric Develay-Morice and Claudio Lombardi



In order to examine the fetal heart efficiently, certain rules must be followed.



Technical points to remember


The technical rules for obtaining an excellent image are:



• An ideal exposition in the zone of interest due to:
– appropriate windows to the fetal position

– a perpendicular approach to the zones of interest

– an extensive use of the zoom, but also:

• An optimal use of settings with:
– a specific pre-adjustment, specifically for the heart

– a constant modification of the gain

– appropriate focal zones.

The use of Doppler, which is limited to certain indications, imposes the use of a “box” of minimal size.



• First-trimester study has specific technical requirement

 



Throughout our examination we acquire—and pay special attention in choosing—the highest quality images. After the examination, these will stand as proof of normality or pathology of the heart, even when interpreted by other operators and specialists.



Key points to remember


By understanding ultrasound settings (US) we can use them to our advantage. By their correct use, with constant attention to acquiring excellent views, we can avoid many of the pitfalls we are confronted with in these examinations. Thus while acquiring our views we can use the three steps and ten key points methodology to verify if a fetal heart is normal or not.


The first step verifies position with:


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Sep 26, 2016 | Posted by in PEDIATRICS | Comments Off on Points to remember

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