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. 2024 Sep;52(7):973-975.
doi: 10.1002/jcu.23714. Epub 2024 May 14.

The usefulness of trans-splenic retrocardiac imaging in prone positioned critically ill patients

Emanuele Catena  1 , Chiara Rizzuto  1 , Beatrice Borghi  1 , Paola Bergomi  1 , Luigi Guglielmetti  1 , Matteo Gambarini  1 , Cristopher Paratico  1 , Alessandra Volontè  2 , Giulia Gavanna  1 , Tommaso Fossali  1 , Riccardo Colombo  1
Affiliations

The usefulness of trans-splenic retrocardiac imaging in prone positioned critically ill patients

Emanuele Catena et al. J Clin Ultrasound. 2024 Sep.

Abstract

In the last few years prone positioning has been used increasingly in the treatment of patients with acute respiratory distress syndrome and this maneuver is now considered a simple and safe method to improve oxygenation. Hemodynamic monitoring by echocardiography may be required but prone positioning imposes certain challenges limiting standard examination. The article describes the application of the "trans-splenic retrocardiac view," a little-known echographic window for obtaining Doppler parameters from the back in prone-positioned patients.

Keywords: acute respiratory distress syndrome; echocardiography; heart failure; hemodynamic monitoring; intensive care; prone positioning.

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References

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