FUSIC HD. Comprehensive haemodynamic assessment with ultrasound
Miller, Ashley Peck, Marcus Clark, Tom Conway, Hannah Olusanya, Segun Fletcher, Nick Parulekar, Prashant Aron, Jonathan Kirk-Bayley, Justin Wilkinson, Jonathan Nicholas
Miller, Ashley
Peck, Marcus
Clark, Tom
Conway, Hannah
Olusanya, Segun
Fletcher, Nick
Parulekar, Prashant
Aron, Jonathan
Kirk-Bayley, Justin
Wilkinson, Jonathan Nicholas
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Affiliation
South Warwickshire University NHS Foundation Trust; et al.
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Publication date
2022-08
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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.
Citation
Miller A, Peck M, Clark T, Conway H, Olusanya S, Fletcher N, Coleman N, Parulekar P, Aron J, Kirk-Bayley J, Wilkinson JN, Wong A, Stephens J, Rubino A, Attwood B, Walden A, Breen A, Waraich M, Nix C, Hayward S. FUSIC HD. Comprehensive haemodynamic assessment with ultrasound. J Intensive Care Soc. 2022 Aug;23(3):325-333. doi: 10.1177/17511437211010032. Epub 2021 Apr 23.
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Article