Focused echocardiography in life support: The subcostal window

Raoul Breitkreutz, Felix Walcher, Hendrik Ilper, Florian H. Seeger, Susanna Price, Gabriele Via, Holger Steiger

Research output: Contribution to journalArticlepeer-review


Context: Focused echocardiography evaluation in life support (FEEL) for emergency and critical caremedicine is an innovative approach to introducing limited-in-scope echocardiography in a timely fashion into periresuscitation care. FEEL is an advanced life support-conformed concept and a simple procedure that can be readily used in shock roomor pre-hospital scenarios as an extension of focused abdominal sonography for trauma (FAST). The subcostal window plays a pivotal role in this context, because it can easilybe applied inthesupine position, and is usually better than other windows in patients with mechanical ventilation or during resuscitation maneuvers. Most information can be obtained at a glance. Aim: As the FAST exam was not developed for implementation in resuscitation or cardiac arrest procedures, herewedescribe an accurate and easymethod that allows non-cardiologists to add FEEL to the FAST exam. As a result, it conforms to actual resuscitation guidelines. To perform the FEEL procedure and the subcostal window, a specific training seems to bemandatory. The aim of this paper is to set special emphasis on the use of the subcostal window.

Original languageEnglish
Pages (from-to)347-356
Number of pages10
JournalEuropean Journal of Trauma and Emergency Surgery
Issue number4
Publication statusPublished - Aug 2009


  • Echocardiography in life support
  • Focused
  • Nonspecialist
  • Periresuscitation care
  • Time
  • Training

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine
  • Critical Care and Intensive Care Medicine
  • Emergency Medicine


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