<CVC placement>

Indication for central venous catheter:

(volume resuscitation, lack of peripheral access, CVP monitoring, others)
Procedure:
Ultrasound Guided Central Venous Catheter Placement:
Under (static , real-time ) ultrasound guidance, cannulation was done successfully. No
complications were noted. Vital signs were stable throughout the procedure.
1. Puncture site : ( right , left ) (internal jugular vein, femoral vein, subclavian vein)
2. Type of Central Cenous Catheter :
  (2, 3) lumen, 7 Fr. X 20 cm
3. Catheter fixed at ( ) cm.

<Paracentesis>
Indication for paracentesis:
(ascitic drain, new onset ascites, rule out SBP, others)
Finding:
Liver: hepatic focal lesion (yes, no)
       Liver cirrhosis (yes, no)
Splenomegaly (yes, no)
massive ascites/others:
Procedure:
Under (static , real-time ) ultrasound guidance ,paracentesis with (16G,18G) catheter was
inserted via (right ,left ) side abdominal wall and (yellowish, bloody, turbid, others) ascites was
drained smoothly.

<thoracentesis>
Indication for thoracentesis :
(symptomatic treatment, diagnostic analysis , others)
Finding:
a (small ,moderate, massive ) amount of (anechoic , echogenic , loculated) pleural effusion in
the (right, left ,both) side of the chest
Procedure:
Under (static , real-time ) ultrasound guidance ,thoracentesis with 18G catheter was inserted
via (right ,left ) side chest wall and (yellowish, bloody, pus like, others) pleural effusion was
drained smoothly.
<knee arthrocentesis>
Indication for arthrocentesis :
(symptomatic treatment, diagnostic analysis )
Finding:
a (small ,moderate, massive ) amount of (anechoic , echogenic ) effusion in the (right,
left ,both) side of the knee
Procedure:
Under (static , real-time ) ultrasound guidance, used a 30ml syringe with 20G needle
arthrocentesis was performed via (right ,left ) side of the knee and (yellowish, bloody, pus like)
effusion was aspirated smoothly.

<upper abdominal pain, abdominal sepsis, jaundice>

Liver: focal lesion (yes, no), pneumobilia (yes, no)
Gall bladder: stone/sludge (yes, no), wall thickening (yes, no), increased transverse
diameter (>5 cm) (yes, no), pericholecystic fluid (yes, no), echo Murphy’s sign
(yes, no)
CBD & IHD: dilatation (yes, no)
Kidney: hydronephrosis (yes, no)
Abdominal aorta aneurysm: (yes, no), intimal flap: (yes, no)
Others: ascites , post cholecystectomy

<chest pain, syncope>

pericardial effusion (yes, no), global contractility (good, fair, poor)
RV≧LV(yes, no), IVC (flat, engorged), aorta intimal flap: (yes, no)
Aortic root >4cm : (yes, no), lung sliding (yes, no)
No evidence of aortic dissection or pulmonary embolism
Please correlate to the clinical condition and closely follow up

<deep vein thrombosis>

right common femoral vein: complete compression (yes, no)
left common femoral vein: complete compression (yes, no)
right popliteal vein: complete compression (yes, no)
left popliteal vein: complete compression (yes, no)
No evidence of deep vein thrombosis
Please correlate to the clinical condition and closely follow up
<soft tissue>
Cellulitis: cobblestone-like appearance (yes, no)
Abscess: hypoechoic mass (yes, no)
Necrotizing fasciitis: anechoic fluid greater then 4 mm, adjacent to deep fascia (yes, no)
Foreign body: hyperechoic substance (yes, no)
Others: gas, septum, sguish sign

<female lower abdominal pain>

Yolk sac or fetal pole located within the endometrial stripe: (yes, no)
cul de sac free fluid :(yes, no)
Morrison’s pouch free fluid :(yes, no)
splenorenal recess free fluid :(yes, no)
Others: adnexa cyst or mass lesion
No evidence of internal bleeding
Please correlate to the clinical condition and closely follow up

<cardiac arrest (non-shockable)>

pericardial effusion & collapsed RV :(yes, no)
flat RV & flat LV :(yes, no)
enlarged RA+RV & flat LV:(yes, no)
lung sliding sign absent & no comet tails :(yes, no)
No evidence of aortic dissection, pneumothorax or pulmonary embolism