This paper can be cited using the date of access and the unique DOI number which can be found in the footnotes. Comprehensive exam. All findings, primary interest and incidental, are reported on Requires limited number of views, utilizes basic imaging modalities Requires standardized training and understanding of all cardiac views, ultrasound imaging modalities, and cardiac disease Able to be performed with any ultrasound with phased array probe Advanced equipment required Image storage and reporting not standardized Images stored to PACS, formal report required Always goal directed in utilization Can be goal directed (limited) or comprehensive Performed and interpreted in real time Performed and interpreted separately Requires weeks to months of training Requires years of training PACS indicates picture archiving and communication system.

While transesophageal echocardiography (TEE) has traditionally been used in perioperative care, there is growing evidence supporting point of care ultrasound (POCUS) for the anesthesiologist in guiding patient care. It is a quick way to non-invasively evaluate hemodynamically unstable patients and ascertain their state of shock, determine volume status, and guide resuscitation in cardiac arrest. In addition, through use of POCUS, the anesthesiologist is able to identify signs of chronic heart disease to provide a more tailored and safer approach to perioperative care.

Focused Assessment with Sonography in Trauma (FAST) examinations have been performed for decades by surgeons during initial patient presentation for emergency care and surgical planning, as well as for guiding resuscitation. This case highlights how use of intraoperative FAST examinations performed by anesthesiologists can dramatically change patient management. Use by anesthesiologists perioperatively is an important skill, although it is not widely practiced.

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