A tabby cat and a white dog with black spots lounging on a black couch in a living room.

Services

Ultrasound image of the heart showing blood flow with color Doppler, indicating flow between the right atrium and ventricle.

Echocardiogram
with ECG

All echocardiograms are performed with a concurrent ECG and include review by a board-certified cardiologist. Echocardiogram studies all include 2D, M-mode, color Doppler, and pulse-wave/continuous-wave Doppler.

Ultrasound monitor displaying a black and white scan, with a golden retriever and a tabby cat sleeping beside it, in a veterinary clinic with a neon sign of a dog, cat, and medical cross in the background.

Abdominal Ultrasound

Comprehensive abdominal ultrasound. All studies include review by board-certified radiologists through Antech Diagnostics.

An ultrasound machine showing a fetus, with veterinary logos and a phone icon with a blue light in the background, indicating a pet veterinary clinic.

Urgent/ On Call Abdominal Ultrasound and Echocardiogram

Dr. Graas is available on call Oahu-wide for urgent abdominal ultrasound and echocardiograms. Although patients should always be stabilized prior to full ultrasound studies, prompt ultrasound imaging can still drastically alter treatment plans and improve patient outcomes.

A veterinarian performing an ultrasound on a dog, with a monitor displaying the ultrasound image. Below, a veterinary technician is injecting a sample into a slide, and the bottom images show close-ups of a microscope slide with purple-stained cells and biological samples.

Ultrasound Guided Tissue Sampling

Sound Veterinary Care offers fine needle aspiration of the liver, gall bladder, spleen, lymph nodes, and abdominal masses. Tru Cut needle biopsies of the liver are also available.

Ultrasound image of a developing fetus inside the womb.

Thoracocentesis, Abdominocentesis, Pericardiocentesis

Dr. Graas is available for urgent ultrasound-guided interventions such as thoracocentesis and pericardiocentesis, as well as for palliative interventions such as drainage of chronic effusions in patients with cancer or heart disease.

A golden retriever and a tabby cat sitting together in front of ultrasound images on a monitor.

Ultrasound Protocols
and Scheduling

Booking: please fill out the submission form below to schedule an appointment. If I have no availability at the desired date/ time, please text 1-808-298-2353.
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 OK).
Fasting for Echocardiograms: no fasting is needed for echocardiograms.
Sedation: Pre-medication with gabapentin and/or trazodone 1-2 hours prior can very helpful and may avoid 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 restrain patients, a table for ultrasounds, and a stool.
Equipment Provided: Sound Veterinary Care provides the ultrasound machine, probes, ultrasound gel and an echocardiogram table.
Supplies Needed: hospitals are responsible for providing isopropyl alcohol, needles, extension sets, suction, sterile gloves, shavers and sterile scrub that may be needed for abdominocentesis, thoracocentesis, pericardiocentesis, or cystocentesis.