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critical care ultrasound (CCUS)

Jennifer G Wilson, Kristine E W Breyer
The use of point-of-care ultrasound in the intensive care unit, both for diagnostic and procedural purposes, has rapidly proliferated, and evidence supporting its use is growing. Conceptually, critical care ultrasound (CCUS) should be considered an extension of the physical examination and should not be considered a replacement for formal echocardiography or radiology-performed ultrasound. Several CCUS applications are of particular relevance to nephrologists, including focused renal ultrasound in patients at high risk for urinary tract obstruction, real-time ultrasound guidance and verification during the placement of central venous catheters, and ultrasound-augmented assessment of shock and volume status...
May 2016: Advances in Chronic Kidney Disease
Vi Am Dinh, Paresh C Giri, Inimai Rathinavel, Emilie Nguyen, David Hecht, Ihab Dorotta, H Bryant Nguyen, Ara A Chrissian
Objectives. Despite the increasing utilization of point-of-care critical care ultrasonography (CCUS), standards establishing competency for its use are lacking. The purpose of this study was to evaluate the effectiveness of a 2-day CCUS course implementation on ultrasound-naïve critical care medicine (CCM) fellows. Methods. Prospective evaluation of the impact of a two-day CCUS course on eight CCM fellows' attitudes, proficiency, and use of CCUS. Ultrasound competency on multiple organ systems was assessed including abdominal, pulmonary, vascular, and cardiac systems...
2015: Critical Care Research and Practice
R Eliot Fagley, Michael F Haney, Anne-Sophie Beraud, Thomas Comfere, Benjamin Adam Kohl, Matthias Johannes Merkel, Aliaksei Pustavoitau, Peter von Homeyer, Chad Edward Wagner, Michael H Wall
OBJECTIVE: In this review, we define learning goals and recommend competencies concerning focused basic critical care ultrasound (CCUS) for critical care specialists in training. DESIGN: The narrative review is, and the recommendations contained herein are, sponsored by the Society of Critical Care Anesthesiologists. Our recommendations are based on a structured literature review by an expert panel of anesthesiology intensivists and cardiologists with formal training in ultrasound...
May 2015: Anesthesia and Analgesia
Robert T Arntfield
OBJECTIVE: Despite international agreement that critical care ultrasound (CCUS) is an essential skill for intensive care providers, CCUS training and dissemination is complicated by a shortage of educators. Newer technology now permits remote, offline supervision as a method of overseeing trainees undergoing CCUS instruction. DESIGN: This was a retrospective, descriptive report of a CCUS curriculum and its output of clinical ultrasound examinations at an academic critical care training program over a 1-year period...
April 2015: Journal of Critical Care
Cyril Charron, Xavier Repessé, Laurent Bodson, Siu-Ming Au, Antoine Vieillard-Baron
Critical care ultrasonography (CCUS) has been defined as an ultrasound evaluation of the heart, abdomen, pleura and lungs at the bedside by the intensivist, 24/7. Within CCUS, critical care echocardiography (CCE) is used to assess cardiac function and more generally haemodynamics. Experts in haemodynamics have published a 'consensus of 16' regarding an update on haemodynamic monitoring. They reported the ten key properties of an 'ideal' haemodynamic monitoring system, which perfectly match the ten good reasons we describe here for performing CCE in critically ill patients...
November 2014: Anaesthesiology Intensive Therapy
Cidney Hulett, Jason Katz, Sean Mongomery, Lydia Chang
SESSION TYPE: Teaching of ProceduresPRESENTED ON: Tuesday, October 23, 2012 at 04:30 PM - 05:45 PMPURPOSE: The focused ultrasound examination has become increasingly recognized as a valuable tool for the assessment of the critically ill patient. It offers a number of advantages: it can be performed promptly by the treating physician, it does not involve patient transport, and there is no associated radiation exposure. National critical care organizations have advocated for its utilization in patient care. There remain significant barriers to integration of training into fellowship as most programs do not offer focused training thereby leaving these skills to be acquired informally...
October 1, 2012: Chest
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