Sub Xiphoid (2)

Incorrect

Correct

This view is obtained with either the phased array transducer (marker at 3 o’clock). If you do not have the benefit of a phased array transducer then a traditional FAST sub-xiphoid view with a curvilinear transducer can be obtained.

The key to obtaining a good view is to place the handle of the probe flat on the skin under the xiphisternum, with the probe pointing towards the patient’s chin and then to press the flattened probe down gently towards the bed at maximal inspiration. An increased depth, often over 20cm, is required initially to appreciate the correct angle followed by optimal adjustment of depth.

Learning bite

The subcostal view needs increased depth settings, usually over 20cm, and a different handling of the probe