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CARDIAC | Right approach and tool for that uncommon scan

Tracks
209 | Cardiac GE HealthCare
Sunday, June 15, 2025
9:00 AM - 10:30 AM
209 | Cardiac GE Healthcare

Overview

Chair | Mr Damien Noll


Speaker

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Chee Lim Liew

Live scanning - performing a focused cardiac ultrasound during an emergency

10:00 AM - 10:20 AM

Biography

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Mr David Scicluna
Royal Children Hospital, Victoria

Post op echo assessment of TOF and TGA

9:00 AM - 9:20 AM

Abstract

This presentation will look at commonly seen post operative repairs encountered in adult congenital heart disease clinics, namely post op repair of Tetralogy of Fallot and transposition of the great arteries. It will outline the best views to use to image certain aspects of the repair and the assessment of the haemodynamic compromise placed on the heart. It will also delve into the best echo modalities to use to assess various aspects of the repair.'

Biography

Mr David Scicluna | Royal Children's Hospital David is currently the Chief Cardiac Physiologist in the Cardiology department of the Royal Children’s Hospital in Melbourne. In addition to this, he is also the Lead Physiologist for paediatric echocardiography within the department. David has extensive experience in all facets of paediatric Cardiac Physiology, however his greatest passion lies in the diagnosis and assessment of congenital heart disease via echocardiography. After commencing his career in paediatric echocardiography, David introduced and developed the use of 3D echocardiography to the department and applied it to a range of congenital heart defects. To this day, it is heavily relied on in the preparation for surgical repair of AV valves in paediatric patients. David has extensive experience in providing hands on training in the field of paediatric echocardiography, training numerous Cardiology Fellows, Cardiac Physiologists and ancillary staff in this area. In addition, he has spoken at a number of local and national meetings on a range of topics including 3D echocardiography and paediatric echocardiography assessment of congenital heart disease. David is also heavily involved in coordinating and managing a large research program within the department and also has a keen interest in the area of strain imaging and how it can be applied to the assessment of varies heart defects and its role in cardiac resynchronisation therapy.
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Dr Rebecca Perry
Program Director
University of South Australia

Gestational diabetes in pregnancy - how can strain help?

9:20 AM - 9:40 AM

Abstract

Strain imaging of the left ventricle can assist in detection of subclinical myocardial abnormalities but can this assist us in patients with gestational diabetes?

Biography

Dr Rebecca Perry FASA | University of South Australia Dr Rebecca Perry is the Program Director for Medical Sonography at the University of South Australia and has an honorary position as a post-doctoral researcher in echocardiography at Flinders Medical Centre. She has been a cardiac sonographer since 1998 and has been involved in research and advanced echocardiographic techniques since 2003. She has extensive experience in advanced echocardiographic techniques such as strain and 3-D echocardiography. In 2023 she won the prestigious Australasian Sonographers Association, Pru Pratten Memorial Lifetime Achievement Award which recognises and honours a sonographer who has made a significant contribution to the profession, and the ASA, over the course of their career. She completed her PhD in 2013 and her Post-Doctoral Fellowship with the Heart Foundation through Flinders University in 2018. She is passionate about education and excellence in echocardiography and advanced imaging techniques.
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Mrs Louise Smith
Nepean Hospital Intensive Care Unit

Scanning in the ICU and the critically ill

9:40 AM - 10:00 AM

Abstract

In critically ill patients, transthoracic echocardiography [TTE] is an essential non-invasive imaging technology for evaluating cardiac function, hemodynamic stability, volume status and fluid responsiveness. It also serves as a monitoring tool for the commencement or discontinuation of treatments. However, due to patient positioning, mechanical ventilation, hemodynamic instability, and continuous treatments. TTE in the intensive care unit [ICU] poses unique challenges. To address ICU scanning challenges, this lecture will examine image optimisation strategies and offer tips and tricks to improve diagnostic accuracy. Additionally, it will address the importance of recognising and communicating potentially life-threatening conditions such as shock, pulmonary embolism, ventricular failure, and cardiac tamponade for timely interventions that can save lives. Sonographers and clinicians can enhance patient outcomes and diagnosis accuracy in the ICU by working together using scanning techniques and deciding when to employ additional diagnostic modalities.
Key Topics
1. Adapting to the ICU Environment.
2. Effective Communication, Collaboration & Clinical Context.
3. Optimizing Scanning Techniques.
4. When to Consider Contrast and Transoesophageal Echocardiography [TOE].

Biography

Mrs Louise Smith | Nepean Hospital Louise Smith is a Clinical Nurse Consultant and Cardiac Sonographer specialising in Critical Care Echocardiography at Nepean Hospital Intensive Care Unit and Cardiac Diagnostic Department. With expertise in both echocardiography and intensive care nursing, she integrates these skills to provide high-quality care for critically ill patients. Expertise & Roles • Critical Care Echocardiography specialist • Accredited Assessor for basic echocardiography – College of Intensive Care Medicine • Clinical Supervisor for students in cardiac sonography • Leader in Education & Research, empowering health professionals globally • Invited Speaker & Trainer in focused cardiac ultrasound at local and international events Publications & Research Contributions Louise is a co-author and contributor to several peer-reviewed publications in the field of echocardiography and intensive care medicine. Her research focuses on competency assessment in critical care echocardiography, guidelines for ultrasound training, and right ventricular dysfunction in critically ill patients. Speaking Engagements & Training Louise is an invited speaker and trainer at both local and international conferences, sharing her expertise in focused cardiac ultrasound in intensive care. She has presented on various topics such as echocardiographic assessment in ICU. Professional Interests Louise is passionate about teaching, research, and leadership, particularly in multidisciplinary healthcare echo education at local, national, and international levels. She actively supports the development of healthcare professionals by sharing her knowledge through structured training programs, mentorship, and innovative research initiatives.
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Mrs Louise Smith
Nepean Hospital Intensive Care Unit

Live scanning- Performing a focused cardiac ultrasound in an emergency

10:00 AM - 10:20 AM

Abstract

Overview
This practical live scanning demonstration of Focused Cardiac Ultrasound [FCUS] in Emergencies is a powerful bedside tool during cardiac arrest. The systematic application of FCUS in cardiac resuscitation can help guide therapies and uncover reversible causes of arrest. The sonographer can deliver quick and life-saving information without postponing resuscitation attempts by utilising the best cardiac windows, refining imaging methods, and maintaining effective communication. To enhance patient outcomes, the integration of FCUS into CPR requires deliberate, quick, and focused scanning to identify reversible causes.
Key Topics:
COACHED Approach
Four H’s and Four T’s
Sonographer’s Role in CPR
Tips for Best Imaging

Biography

Mrs Louise Smith | Nepean Hospital Louise Smith is a Clinical Nurse Consultant and Cardiac Sonographer specialising in Critical Care Echocardiography at Nepean Hospital Intensive Care Unit and Cardiac Diagnostic Department. With expertise in both echocardiography and intensive care nursing, she integrates these skills to provide high-quality care for critically ill patients. Expertise & Roles • Critical Care Echocardiography specialist • Accredited Assessor for basic echocardiography – College of Intensive Care Medicine • Clinical Supervisor for students in cardiac sonography • Leader in Education & Research, empowering health professionals globally • Invited Speaker & Trainer in focused cardiac ultrasound at local and international events Publications & Research Contributions Louise is a co-author and contributor to several peer-reviewed publications in the field of echocardiography and intensive care medicine. Her research focuses on competency assessment in critical care echocardiography, guidelines for ultrasound training, and right ventricular dysfunction in critically ill patients. Speaking Engagements & Training Louise is an invited speaker and trainer at both local and international conferences, sharing her expertise in focused cardiac ultrasound in intensive care. She has presented on various topics such as echocardiographic assessment in ICU. Professional Interests Louise is passionate about teaching, research, and leadership, particularly in multidisciplinary healthcare echo education at local, national, and international levels. She actively supports the development of healthcare professionals by sharing her knowledge through structured training programs, mentorship, and innovative research initiatives.
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