A particularly important view in ICU echocardiography as it may be the only available acoustic window. The transducer is placed just inferior to the xiphisternum with the transducer marker pointing to the left flank.
All four chambers are visible.
Also note the pericardium visible both anteriorly and inferiorly. The right ventricular free wall is visible anteriorly, the motion of which is assessed in the diagnosis of tamponade.
Both the tricuspid and mitral valves are visible. The interatrial septum is seen in this view.
Subcostal IVC Transition
For the Subcostal IVC view the transducer is rotated 90 degrees anti-clockwise. The beam is then directed to the patient's right mid-clavicular line and angled slightly posteriorly.
IVC Normal 2d
The IVC is brought into the imaging plane by rotating the probe 90 degrees anticlockwise.
Caution should be taken in correctly identifying the IVC (vs. abdoinal aorta). IVC measurements are taken here.