FUSIC HD. Comprehensive haemodynamic assessment with ultrasound.
Ashley MillerMarcus PeckTom ClarkHannah ConwaySegun OlusanyaNick FletcherNick ColemanPrashant ParulekarJonathan AronJustin Kirk-BayleyJonathan Nicholas WilkinsonAdrian WongJennie StephensAntonio RubinoBen AttwoodAndrew WaldenAndrew BreenManprit WaraichCatherine NixSimon HaywardPublished in: Journal of the Intensive Care Society (2021)
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.
Keyphrases
- mitral valve
- left atrial
- aortic valve
- pulmonary artery
- left ventricular
- atrial fibrillation
- aortic stenosis
- transcatheter aortic valve replacement
- coronary artery
- transcatheter aortic valve implantation
- pulmonary hypertension
- aortic valve replacement
- end stage renal disease
- pulmonary arterial hypertension
- magnetic resonance imaging
- ejection fraction
- heart failure
- newly diagnosed
- blood pressure
- chronic kidney disease
- physical activity
- prognostic factors
- high resolution
- catheter ablation
- high speed
- peritoneal dialysis
- ultrasound guided
- cerebral ischemia
- brain injury
- blood brain barrier
- patient reported outcomes
- coronary artery disease
- drug delivery
- subarachnoid hemorrhage