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Review
. 2015 Sep;34(9):1691-700.
doi: 10.7863/ultra.15.14.08059. Epub 2015 Aug 17.

Rapid Ultrasound in Shock (RUSH) Velocity-Time Integral: A Proposal to Expand the RUSH Protocol

Pablo Blanco  1 , Francisco Miralles Aguiar  2 , Michael Blaivas  3
Affiliations
Review

Rapid Ultrasound in Shock (RUSH) Velocity-Time Integral: A Proposal to Expand the RUSH Protocol

Pablo Blanco et al. J Ultrasound Med. 2015 Sep.

Abstract

Ultrasound assessment of patients in shock is becoming the standard of care in emergency and critical care settings worldwide. One of the most common protocols used for this assessment is the rapid ultrasound in shock (RUSH) examination. The RUSH protocol is a rapid evaluation of cardiac function, key vascular structures, and likely sources of hypotension. Stroke volume is an established important value to assess in the setting of shock, allowing the provider to predict the patient's response to treatment. However, the calculation of stroke volume or its surrogates is not part of any protocol, including RUSH. We propose the addition of ultrasound calculation of stroke volume or surrogates to the RUSH protocol and provide support for its utility and relative ease of calculation. The resulting product would be the RUSH velocity-time integral protocol.

Keywords: point-of-care ultrasound; rapid ultrasound in shock; shock; stroke volume; ultrasound; velocity-time integral.

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Comment in

  • Defining Fluid Responsiveness by the Velocity-Time Integral Alone?
    Pare JR, Moore CL. Pare JR, et al. J Ultrasound Med. 2016 Feb;35(2):459-60. doi: 10.7863/ultra.15.09047. J Ultrasound Med. 2016. PMID: 26795050 No abstract available.
  • Reply.
    Blanco P, Aguiar FM, Blaivas M. Blanco P, et al. J Ultrasound Med. 2016 Feb;35(2):460-1. doi: 10.7863/ultra.15.10059. J Ultrasound Med. 2016. PMID: 26795051 No abstract available.
  • Point-of-Care Ultrasound Examinations Bring More to the Table Than Implied.
    Glaser J, Murthi S. Glaser J, et al. J Ultrasound Med. 2016 Feb;35(2):461-2. doi: 10.7863/ultra.15.09077. J Ultrasound Med. 2016. PMID: 26795052 No abstract available.
  • Reply.
    Blanco P, Aguiar FM, Blaivas M. Blanco P, et al. J Ultrasound Med. 2016 Feb;35(2):462. doi: 10.7863/ultra.15.11095. J Ultrasound Med. 2016. PMID: 26795053 No abstract available.

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