Stroke volume determination using LVOT VTI is rapidly becoming a valuable asset for answering complex hemodynamic questions at the bedside in the critically ill. Given that important clinical recommendations are made based on the LVOT VTI and stroke volume determination it is vital that we understand the limitations associated with VTI acquisition. In this screencast Dr. Zain Burhani and Dr. Michael Sattin take us through 5 of the common pitfalls associated with LVOT VTI acquisition and interpretation.