Bubble study from the upper limb? Watch out for Eustachius

A 47-year-old man admitted to intensive care unit (ICU) for acute respiratory distress syndrome remained severely hypoxemic despite mechanical ventilation and proning. Under transesophageal echocardiography (TEE) guidance, a bubble study was performed through an upper-body venous access to rule out...

Full description

Saved in:
Bibliographic Details
Published inIntensive care medicine Vol. 45; no. 11; pp. 1649 - 1650
Main Authors Cai, Sean, Ratano, Damian, Douflé, Ghislaine
Format Journal Article
LanguageEnglish
Published Berlin/Heidelberg Springer Berlin Heidelberg 01.11.2019
Springer
Springer Nature B.V
Subjects
Acute respiratory distress syndrome
Anesthesiology
Critical Care Medicine
Emergency Medicine
Imaging in Intensive Care Medicine
Intensive
Intensive care
Medicine
Medicine & Public Health
Pain Medicine
Pediatrics
Pneumology/Respiratory System
Respiratory distress syndrome
Ultrasonic imaging
Canada
Ontario
Online AccessGet full text

Cover

More Information
Summary:A 47-year-old man admitted to intensive care unit (ICU) for acute respiratory distress syndrome remained severely hypoxemic despite mechanical ventilation and proning. Under transesophageal echocardiography (TEE) guidance, a bubble study was performed through an upper-body venous access to rule out a patent foramen ovale (PFO). However, a large Eustachian valve (Fig. 1a and video 1) prevented the bubbles from reaching the inter-atrial septum (IAS) (Fig. 1b and video 2). Colour Doppler did not show flow through the IAS (Fig. 1c and video 3).
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
ISSN:0342-4642
1432-1238
DOI:10.1007/s00134-019-05639-5