FUSIC HD. Comprehensive haemodynamic assessment with ultrasound

Author:

Miller Ashley1ORCID,Peck Marcus2,Clark Tom3,Conway Hannah4,Olusanya Segun5,Fletcher Nick6,Coleman Nick7,Parulekar Prashant8,Aron Jonathan6,Kirk-Bayley Justin9,Wilkinson Jonathan Nicholas10ORCID,Wong Adrian11ORCID,Stephens Jennie12,Rubino Antonio13,Attwood Ben14,Walden Andrew15,Breen Andrew16,Waraich Manprit17,Nix Catherine18,Hayward Simon19

Affiliation:

1. Department of Intensive Care, Shrewsbury and Telford Hospital NHS Trust, Shrewsbury, UK

2. Department of Intensive Care, Frimley Park Hospital NHS Foundation Trust, Surrey, UK

3. Department of Intensive Care, Royal Devon and Exeter NHS Foundation Trust, Devon, UK

4. Department of Intensive Care, Glenfield Hospital, Leicester, UK

5. Department of Intensive Care, Barts Health NHS Trust, London, UK

6. Department of Intensive Care, St George's University Hospitals NHS Foundation Trust, London, UK

7. Department of Intensive Care, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent, UK

8. Department of Intensive Care, East Kent Hospitals University NHS Foundation Trust, Kent, UK

9. Department of Intensive Care, Royal Surrey County Hospital NHS Foundation Trust, Surrey, UK

10. Department of Intensive Care, Northampton General Hospital NHS Trust, Northampton, UK

11. Department of Intensive Care, Oxford University Hospitals NHS Trust, Oxford, UK

12. Department of Intensive Care, Royal Cornwall Hospitals NHS Trust, Cornwall, UK

13. Department of Intensive Care, Royal Papworth Hospital NHS Foundation Trust, Cambridge, UK

14. Department of Intensive Care, South Warwickshire NHS Foundation Trust, Warwick, UK

15. Department of Intensive Care, Royal Berkshire NHS Foundation Trust, Reading, UK

16. Department of Intensive Care, Leeds Teaching Hospitals NHS Trust, Leeds, UK

17. Department of Intensive Care, Southampton University Hospitals NHS Trust, Southampton, UK

18. Department of Intensive Care, University Hospital Limerick, Dooradoyle, Limerick Ireland

19. Department of Intensive Care, Blackpool Victoria Hospital, Blackpool, UK

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.

Publisher

SAGE Publications

Subject

Critical Care and Intensive Care Medicine,Critical Care Nursing

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