| Literature DB >> 36033241 |
Ashley Miller1, Marcus Peck2, Tom Clark3, Hannah Conway4, Segun Olusanya5, Nick Fletcher6, Nick Coleman7, Prashant Parulekar8, Jonathan Aron6, Justin Kirk-Bayley9, Jonathan Nicholas Wilkinson10, Adrian Wong11, Jennie Stephens12, Antonio Rubino13, Ben Attwood14, Andrew Walden15, Andrew Breen16, Manprit Waraich17, Catherine Nix18, Simon Hayward19.
Abstract
FUSIC haemodynamics (HD) - the latest Focused Ultrasound in Intensive Care (FUSIC) module created by the Intensive Care Society (ICS) - describes a complete haemodynamic assessment with ultrasound based on ten key clinical questions: 1. Is stroke volume abnormal? 2. Is stroke volume responsive to fluid, vasopressors or inotropes? 3. Is the aorta abnormal? 4. Is the aortic valve, mitral valve or tricuspid valve severely abnormal? 5. Is there systolic anterior motion of the mitral valve? 6. Is there a regional wall motion abnormality? 7. Are there features of raised left atrial pressure? 8. Are there features of right ventricular impairment or raised pulmonary artery pressure? 9. Are there features of tamponade? 10. Is there venous congestion? FUSIC HD is the first system of its kind to interrogate major cardiac, arterial and venous structures to direct time-critical interventions in acutely unwell patients. This article explains the rationale for this accreditation, outlines the training pathway and summarises the ten clinical questions. Further details are included in an online supplementary appendix. © The Intensive Care Society 2021.Entities:
Keywords: FUSIC; Ultrasound; echocardiography; guidelines; haemodynamics
Year: 2021 PMID： 36033241 PMCID： PMC9411780 DOI： 10.1177/17511437211010032
Source DB: PubMed Journal: J Intensive Care Soc ISSN： 1751-1437