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There is no doubt that over the past 10 years the average size of our patients has increased noticeably. It is well recognized that body habitus plays a role in echo image quality, with both unusually small and large patients potentially being difficult to image. There is however considerable variability between individuals and it is near impossible to predict image quality just by “sizing” the patient up.
Today’s post focuses on the “fifth” acoustic window to the heart, the right sternal edge (RSE). The right sternal edge , or right sternal border, allows improved visualization of the mid to distal ascending aorta and potentially an improved angle of incidence for assessing aortic stenosis. Whilst some consider this a routine component to the scan, other sonographers are quite unsure of how to approach this.
Each year many sonographers travel abroad for work. For some, this is an opportunity to further develop their skills, for others it is simply a means to travel and see the world. I regularly receive emails asking my advice for working overseas. For today’s post I have asked Tim Eller to provide some insight on his experience working as a sonographer in the UK. Tim was responsible for a lot of my echo training, many years ago, before heading to the UK. Tim has since returned to Australia providing locum echo services throughout Queensland.