<p begin="00:00:07.406" end="00:00:09.090" style="s2">- [Voiceover] A phased array transducer</p>
<p begin="00:00:09.090" end="00:00:11.818" style="s2">with a cardiac exam<br />type is used to perform</p>
<p begin="00:00:11.818" end="00:00:15.443" style="s2">an Inferior Vena Cava ultrasound exam.</p>
<p begin="00:00:15.443" end="00:00:18.065" style="s2">The Inferior Vena Cava is evaluated</p>
<p begin="00:00:18.065" end="00:00:20.928" style="s2">at the level of the liver and diaphragm.</p>
<p begin="00:00:20.928" end="00:00:23.006" style="s2">The transducer is placed to the right</p>
<p begin="00:00:23.006" end="00:00:24.914" style="s2">of the epigastric midline,</p>
<p begin="00:00:24.914" end="00:00:28.139" style="s2">with the orientation marker<br />to the patient's feet.</p>
<p begin="00:00:28.139" end="00:00:29.684" style="s2">As an alternative approach,</p>
<p begin="00:00:29.684" end="00:00:33.224" style="s2">this exam may be performed<br />using an abdomen exam type</p>
<p begin="00:00:33.224" end="00:00:36.593" style="s2">with the orientation marker<br />to the patient's head.</p>
<p begin="00:00:36.593" end="00:00:39.491" style="s2">The liver, diaphragm, right atrium,</p>
<p begin="00:00:39.491" end="00:00:43.640" style="s2">and Inferior Vena Cava are<br />identified in this view.</p>
<p begin="00:00:43.640" end="00:00:46.020" style="s2">Sweep from side-to-side to differentiate</p>
<p begin="00:00:46.020" end="00:00:49.252" style="s2">the Inferior Vena Cava from the aorta.</p>
<p begin="00:00:49.252" end="00:00:52.603" style="s2">The aorta is thicker walled and pulsatile.</p>
<p begin="00:00:52.603" end="00:00:56.534" style="s2">The superior mesenteric and<br />celiac branches of the aorta</p>
<p begin="00:00:56.534" end="00:00:58.923" style="s2">are identified at this level.</p>
<p begin="00:00:58.923" end="00:01:01.883" style="s2">The Inferior Vena Cava is thin walled</p>
<p begin="00:01:01.883" end="00:01:04.668" style="s2">and changes caliber with respiration.</p>
<p begin="00:01:04.668" end="00:01:06.928" style="s2">The diameter of the Inferior Vena Cava</p>
<p begin="00:01:06.928" end="00:01:11.095" style="s2">decreases with inspiration<br />and increases with expiration.</p>