{"id":319,"date":"2015-10-09T18:13:02","date_gmt":"2015-10-09T18:13:02","guid":{"rendered":"https:\/\/sites.austincc.edu\/sonography-resources\/?page_id=319"},"modified":"2016-09-15T16:00:27","modified_gmt":"2016-09-15T16:00:27","slug":"subcostal-window","status":"publish","type":"page","link":"https:\/\/sites.austincc.edu\/sonography-resources\/2d\/subcostal-window\/","title":{"rendered":"Subcostal Window"},"content":{"rendered":"<div class=\"row\">\n<h2 class=\"col-sm-12\">Subx 4C View<\/h2>\n<p class=\"col-sm-12\">To obtain the Subxiphoid (subcostal) 4C view, place the transducer just inferior to the xiphoid process. The image marker is toward the patient\u2019s left side and the sound beam is angled slightly anteriorly.   Slight adjustments in angle and rotation maybe necessary to demonstrate all the structures for this view optimally.<\/p>\n<div class=\"col-sm-6\">\n<div class=\"embed-responsive embed-responsive-4by3\">\n<div class=\"embed-responsive-item\">\n        <iframe loading=\"lazy\" title=\"2D M-Mode - Subcostal Window - Subcostal 4C\" width=\"640\" height=\"480\" src=\"https:\/\/www.youtube.com\/embed\/6TERBxIMwus?list=PLjyLaIz4YXq5GjcK3zoJHPIrCng-Dyigy\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n      <\/div>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"col-sm-6\">\n    <a href=\"https:\/\/sites.austincc.edu\/sonography-resources\/wp-content\/uploads\/sites\/115\/2015\/11\/2.3.01.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-large wp-image-374\" src=\"https:\/\/sites.austincc.edu\/sonography-resources\/wp-content\/uploads\/sites\/115\/2015\/11\/2.3.01-1024x768.jpg\" alt=\"2.3.01\" width=\"640\" height=\"480\" srcset=\"https:\/\/sites.austincc.edu\/sonography-resources\/wp-content\/uploads\/sites\/115\/2015\/11\/2.3.01-1024x768.jpg 1024w, https:\/\/sites.austincc.edu\/sonography-resources\/wp-content\/uploads\/sites\/115\/2015\/11\/2.3.01-300x225.jpg 300w, https:\/\/sites.austincc.edu\/sonography-resources\/wp-content\/uploads\/sites\/115\/2015\/11\/2.3.01.jpg 1444w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/a>\n  <\/div>\n<\/div>\n<div class=\"row\">\n<h2 class=\"col-sm-12\">Subx @ IVC View<\/h2>\n<p class=\"col-sm-12\">From the Subx 4C view, the Subx view of the IVC is obtained by rotating the transducer image marker toward the patient\u2019s face until the IVC is elongated.   Slight adjustments in angle and rotation maybe necessary to demonstrate the elongated IVC as it enters the right atrium and the hepatic vein optimally.<\/p>\n<div class=\"col-sm-6\">\n<div class=\"embed-responsive embed-responsive-4by3\">\n<div class=\"embed-responsive-item\">\n        <iframe loading=\"lazy\" title=\"2D M-Mode - Subcostal Window - Subcostal IVC\" width=\"640\" height=\"480\" src=\"https:\/\/www.youtube.com\/embed\/_mkCEr4X1jg?list=PLjyLaIz4YXq5GjcK3zoJHPIrCng-Dyigy\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n      <\/div>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"col-sm-6\">\n    <a href=\"https:\/\/sites.austincc.edu\/sonography-resources\/wp-content\/uploads\/sites\/115\/2015\/11\/2.3.02.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-large wp-image-375\" src=\"https:\/\/sites.austincc.edu\/sonography-resources\/wp-content\/uploads\/sites\/115\/2015\/11\/2.3.02-1024x769.jpg\" alt=\"2.3.02\" width=\"640\" height=\"481\" srcset=\"https:\/\/sites.austincc.edu\/sonography-resources\/wp-content\/uploads\/sites\/115\/2015\/11\/2.3.02-1024x769.jpg 1024w, https:\/\/sites.austincc.edu\/sonography-resources\/wp-content\/uploads\/sites\/115\/2015\/11\/2.3.02-300x225.jpg 300w, https:\/\/sites.austincc.edu\/sonography-resources\/wp-content\/uploads\/sites\/115\/2015\/11\/2.3.02.jpg 1439w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/a>\n  <\/div>\n<\/div>\n<div class=\"row\">\n<h2 class=\"col-sm-12\">Subx Abd ao<\/h2>\n<p class=\"col-sm-12\">From the Subx view of the IVC, the Subx view of the abdominal aorta is obtained by angling the sound beam to the patient\u2019s left side (left lateral).   Slight adjustments in angle and rotation maybe necessary to demonstrate the elongated Abd ao.<\/p>\n<div class=\"col-sm-6\">\n<div class=\"embed-responsive embed-responsive-4by3\">\n<div class=\"embed-responsive-item\">\n        <iframe loading=\"lazy\" title=\"2D M-Mode - Subcostal Window - Subcostal ABD AO\" width=\"640\" height=\"480\" src=\"https:\/\/www.youtube.com\/embed\/fsX3bHRsJ1A?list=PLjyLaIz4YXq5GjcK3zoJHPIrCng-Dyigy\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n      <\/div>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"col-sm-6\">\n    <a href=\"https:\/\/sites.austincc.edu\/sonography-resources\/wp-content\/uploads\/sites\/115\/2015\/11\/2.3.03.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-large wp-image-376\" src=\"https:\/\/sites.austincc.edu\/sonography-resources\/wp-content\/uploads\/sites\/115\/2015\/11\/2.3.03-1024x768.jpg\" alt=\"2.3.03\" width=\"640\" height=\"480\" srcset=\"https:\/\/sites.austincc.edu\/sonography-resources\/wp-content\/uploads\/sites\/115\/2015\/11\/2.3.03-1024x768.jpg 1024w, https:\/\/sites.austincc.edu\/sonography-resources\/wp-content\/uploads\/sites\/115\/2015\/11\/2.3.03-300x225.jpg 300w, https:\/\/sites.austincc.edu\/sonography-resources\/wp-content\/uploads\/sites\/115\/2015\/11\/2.3.03.jpg 1252w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/a>\n  <\/div>\n<\/div>\n<div class=\"row\">\n<h2 class=\"col-sm-12\">Subx SAX @ LV View<\/h2>\n<p class=\"col-sm-12\">From the Subx 4C view, the Subx SAX @ LV level is obtained by rotating the transducer counterclockwise 90&deg; until the papillary muscles are seen and the LV walls are circular. Slight adjustments in angle and rotation maybe necessary.<\/p>\n<div class=\"col-sm-6\">\n<div class=\"embed-responsive embed-responsive-4by3\">\n<div class=\"embed-responsive-item\">\n        <iframe loading=\"lazy\" title=\"2D M-Mode - Subcostal Window - SAX @ LV\" width=\"640\" height=\"480\" src=\"https:\/\/www.youtube.com\/embed\/-PbbPUIH8L0?list=PLjyLaIz4YXq5GjcK3zoJHPIrCng-Dyigy\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n      <\/div>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"col-sm-6\"><\/div>\n<\/div>\n<div class=\"row\">\n<h2 class=\"col-sm-12\">Subx SAX @ MV View<\/h2>\n<p class=\"col-sm-12\">From the Subx SAX view @ LV, the Subx SAX @ mitral valve level is obtained by angling the sound beam toward the patient\u2019s midline until the anterior and posterior mitral valve leaflets are seen. Slight adjustments in angle and rotation maybe necessary.<\/p>\n<div class=\"col-sm-6\">\n<div class=\"embed-responsive embed-responsive-4by3\">\n<div class=\"embed-responsive-item\">\n        <iframe loading=\"lazy\" title=\"2D M-Mode - Subcostal Window - SAX @ MV\" width=\"640\" height=\"480\" src=\"https:\/\/www.youtube.com\/embed\/0W-NPlWi5sY?list=PLjyLaIz4YXq5GjcK3zoJHPIrCng-Dyigy\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n      <\/div>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"col-sm-6\"><\/div>\n<\/div>\n<div class=\"row\">\n<h2 class=\"col-sm-12\">Subx SAX @ Base View<\/h2>\n<p class=\"col-sm-12\">From the Subx SAX view @ MV, the Subx SAX @ the base level is obtained by angling the sound beam toward the patient\u2019s right.  Slight adjustments in angle and rotation maybe necessary.<\/p>\n<div class=\"col-sm-6\">\n<div class=\"embed-responsive embed-responsive-4by3\">\n<div class=\"embed-responsive-item\">\n        <iframe loading=\"lazy\" title=\"2D M-Mode - Subcostal Window - SAX @ base\" width=\"640\" height=\"480\" src=\"https:\/\/www.youtube.com\/embed\/qNDgNWpeTZw?list=PLjyLaIz4YXq5GjcK3zoJHPIrCng-Dyigy\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n      <\/div>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"col-sm-6\"><\/div>\n<\/div>\n<aside class=\"row well\">\n<h2 class=\"col-sm-12\">Learn More<\/h2>\n<div class=\"col-sm-6\">\n<figure class=\"wp-caption alignnone\">\n<div class=\"embed-responsive embed-responsive-4by3\">\n<div class=\"embed-responsive-item\">\n          <iframe loading=\"lazy\" title=\"2D M-Mode - Subcostal Window - Learn More 1\" width=\"640\" height=\"480\" src=\"https:\/\/www.youtube.com\/embed\/oPHZWqqdzIQ?list=PLjyLaIz4YXq5GjcK3zoJHPIrCng-Dyigy\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n          <\/div>\n<\/p><\/div><figcaption class=\"wp-caption-text\">This image is angled too anteriorly.  The aorta is seen.  Additionally, adjusting the depth to a deeper setting will position all structures adequately in the field of view.<\/figcaption><\/figure>\n<\/p><\/div>\n<div class=\"col-sm-6\">\n<figure class=\"wp-caption alignnone\">\n<div class=\"embed-responsive embed-responsive-4by3\">\n<div class=\"embed-responsive-item\">\n          <iframe loading=\"lazy\" title=\"2D M-Mode - Subcostal Window - Learn More 2\" width=\"640\" height=\"480\" src=\"https:\/\/www.youtube.com\/embed\/PofIkI4NACk?list=PLjyLaIz4YXq5GjcK3zoJHPIrCng-Dyigy\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n          <\/div>\n<\/p><\/div><figcaption class=\"wp-caption-text\">This image of the IVC is under rotated. Rotate more to elongate the vessel and visualize the hepatic vein.<\/figcaption><\/figure>\n<\/p><\/div>\n<\/aside>\n<aside class=\"row well\">\n<h2>Test Yourself<\/h2>\n<p>[QTL-Question id=8]<br \/>\n[QTL-Question id=9]<br \/>\n[QTL-Question id=10]<br \/>\n[QTL-Question id=11]<br \/>\n<\/aside>\n","protected":false},"excerpt":{"rendered":"<p>Subx 4C View To obtain the Subxiphoid (subcostal) 4C view, place the transducer just inferior to the xiphoid process. The image marker is toward the patient\u2019s left side and the sound beam is angled slightly anteriorly. Slight adjustments in angle and rotation maybe necessary to demonstrate all the structures for this view optimally. Subx @ [&hellip;]<\/p>\n","protected":false},"author":32,"featured_media":0,"parent":256,"menu_order":3,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-319","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/sites.austincc.edu\/sonography-resources\/wp-json\/wp\/v2\/pages\/319","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sites.austincc.edu\/sonography-resources\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/sites.austincc.edu\/sonography-resources\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/sites.austincc.edu\/sonography-resources\/wp-json\/wp\/v2\/users\/32"}],"replies":[{"embeddable":true,"href":"https:\/\/sites.austincc.edu\/sonography-resources\/wp-json\/wp\/v2\/comments?post=319"}],"version-history":[{"count":0,"href":"https:\/\/sites.austincc.edu\/sonography-resources\/wp-json\/wp\/v2\/pages\/319\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/sites.austincc.edu\/sonography-resources\/wp-json\/wp\/v2\/pages\/256"}],"wp:attachment":[{"href":"https:\/\/sites.austincc.edu\/sonography-resources\/wp-json\/wp\/v2\/media?parent=319"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}