Neonatal Teleechocardiography in the NICU - PowerPoint PPT Presentation
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Title:
Neonatal Teleechocardiography in the NICU
Description:
Tricare = 1. 9. Echocardiography. Uses very high frequency sound or ultrasound ( 2- 15 MHz) ... Apex of pie represents the point nearest to the probe & rest of picture ... – PowerPoint PPT presentation
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Title: Neonatal Teleechocardiography in the NICU
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Neonatal Tele-echocardiography in the NICU
- Ana Maria López, MD, MPH
- Medical Director
- Arizona Telemedicine Program
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ATP Network
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Tucson ATP Team
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In Partnership
University Medical Center - Tucson
Yuma Regional Medical Center
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YUMA AZ ATP
TUCSON AZ ATP
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Demographic Data of Neonates in NICU - Yuma
- Age
- Neonatal ( lt 2 days) 4
- Infants ( gt 2 days) 14
- Ethnicity
- Hispanic 12
- Caucasian 3
- African American 2
- Native American 1
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Diverse Ethnic Backgrounds
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Insurance Coverage
- AHCCCS 13
- Blue Cross 2
- HMO 2
- Tricare 1
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Echocardiography
- Uses very high frequency sound or ultrasound
- ( 2- 15 MHz)
- Visualizes details of heart anatomy
- Uses probe with transducer
- Two-dimensional echocardiography probe emits a
sequence of pulses in different directions
provides information by returning echoes - Apex of pie represents the point nearest to the
probe rest of picture represents a composite of
depth information
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Technology
- Yuma
- Philips 5500 or 7500 model echo machine
- Videoconferencing dual screen Tandberg Intern-2
unit via a video S-cable. - IP connection via a T1 line on the ATP's private
network. - Tucson
- Videoconferencing Tandberg 6000 Standard
bandwidth for clinical consultations is 768 Kbps.
- Same hook up (Store-forward Real-time echo
studies)
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Real-Time vs Store-Forward
- Real-time Store-forward echo studies 2 cases
- Real-time connection 16 cases
- Yuma used real-time and store-forward to have a
tape to be locally reviewed
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Reasons for Consult
- Murmur 7
- Respiratory distress 5
- Infant of diabetic mother 3
- Respiratory distress diabetic mother 2
- Premature infant 1
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(No Transcript)
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Definitive Diagnoses
- Atrial level shunt 1
- Patent foramen ovale 5
- Septal and left ventricular hypertrophy 1
- Ventricular septal defect 2
- Double left ventricle with malposition of the
great arteries 1 - Patent ductus arteriosus with bidirectional
shunting 1
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Probable Diagnoses
- Atrial septal defects 2
- Atrial septal defect or patent foramen ovale1
- Coarctation of the aorta 1
- Patent foramen ovale vs. atrial septal defect 3
- Atrial level shunt 2
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Recommendations
- Immediate transferred to UMC 1
- Follow up in 1 month 1
- Follow up in 1-2 months 1
- Follow up in 2-3 months 1
- Follow up in 3-4 months 1
- Follow up in 1 year 1
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ATP Team
- Phyllis Webster ATP Case Coordinator
- Ronald Weinstein MD ATP Director
- Ricardo Samson MD- Chief Ped. Cardiology
- Elizabeth Krupinski PhD Associate Director,
Evaluation UMC - Brent Barber MD Cardiologist UMC
- Richard Donnerstein MD Cardiologist UMC
- Daniela Lax MD Cardiologist UMC
- Gregory Warda MD Neonatologist Yuma
- Kim Maryniak Director NICU Yuma
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(No Transcript)
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