Services
Echocardiogram
with ECG
To ensure the highest standard of care, all echocardiograms are performed with concurrent ECG and reviewed by a board-certified cardiologist. Our comprehensive imaging studies utilize advanced modalities to evaluate heart structure and blood flow:
2D and M-Mode imaging
Color, Pulse-Wave and Continuous-Wave Doppler
By delivering accurate measurements, our detailed cardiology reports allow us to detect and track even small changes in cardiac disease over time.
Abdominal Ultrasound
Our abdominal ultrasound studies offer a detailed evaluation of internal organs and structures. To guarantee a high level of quality, all imaging studies are reviewed by board-certified radiologists through Antech Diagnostics. These evaluations allow for early detection and monitoring of internal health conditions.
On-Call Urgent Ultrasound Services
Dr. Graas is available on call Oahu-wide for urgent abdominal ultrasound and echocardiograms. While patients should always be stabilized prior undergoing a full ultrasound study, prompt diagnostic imaging can drastically alter treatment plans and significantly improve patient outcomes.
Ultrasound Guided Tissue Sampling
Sound Veterinary Care provides ultrasound-guided tissue sampling to assist in accurate diagnostics. Our sampling services include:
Fine Needle Aspiration: available for the liver, gall bladder (bile), spleen, lymph nodes, and abdominal masses.
Tru-Cut Needle Liver Biopsies
Ultrasound-Guided Fluid Drainage
Dr. Graas is available for ultrasound-guided interventions to safely remove fluid from the chest, abdomen or pericardial sac. Our services include:
Urgent Interventions: Rapid stabilization via thoracocentesis and pericardiocentesis for critical patients.
Palliative care: Therapeutic drainage of chronic effusions to improve comfort and quality of life for patients with cancer or advanced heart disease
Ultrasound Protocols
and Scheduling
Booking: please fill out the submission form below to schedule an appointment. For urgent requests, or if I have no availability at the desired date/ time, please text 1-808-298-2353. for assistance.
Shaving: Patients will be shaved for both abdominal and echocardiogram studies. Exceptions can be made for Pomeranians who may not grow their fur back!
Fasting for Abdominal Ultrasounds: patients should be fasted for 8 hours (no food, but water is perfectly fine).
Fasting for Echocardiograms: no fasting is needed for cardiac studies.
Sedation: Pre-medication with gabapentin and/or trazodone 1-2 hours prior to the appointment can very helpful and often prevents the need for injectable sedatives.
Approvals: please request owner approval ahead of time for fine needle aspirates.
Clinic Support: hospitals must provide 1-2 assistants (patient dependent) to safely restrain patients, a standard exam stable, and a stool.
Supplies Needed: hospitals are responsible for providing consumables needed for procedures (abdominocentesis, thoracocentesis, pericaridocentesis, FNAs, or cystocentesis). This includes isopropyl alcohol, needles, extension sets, suction, sterile gloves, shavers and sterile scrub.
Equipment Provided: Dr. Graas will bring all core imaging equipment, including the ultrasound machine, probes, ultrasound gel and a dedicated echocardiogram table.
