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. 2022 Aug;23(3):325-333.
doi: 10.1177/17511437211010032. Epub 2021 Apr 23.

FUSIC HD. Comprehensive haemodynamic assessment with ultrasound

Ashley Miller  1 , Marcus Peck  2 , Tom Clark  3 , Hannah Conway  4 , Segun Olusanya  5 , Nick Fletcher  6 , Nick Coleman  7 , Prashant Parulekar  8 , Jonathan Aron  6 , Justin Kirk-Bayley  9 , Jonathan Nicholas Wilkinson  10 , Adrian Wong  11 , Jennie Stephens  12 , Antonio Rubino  13 , Ben Attwood  14 , Andrew Walden  15 , Andrew Breen  16 , Manprit Waraich  17 , Catherine Nix  18 , Simon Hayward  19
Affiliations

FUSIC HD. Comprehensive haemodynamic assessment with ultrasound

Ashley Miller et al. J Intensive Care Soc. 2022 Aug.

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.

Keywords: FUSIC; Ultrasound; echocardiography; guidelines; haemodynamics.

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Conflict of interest statement

Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
A pragmatic algorithm for estimating LAP, adapted and simplified from ASE guidelines.
Figure 2.
Figure 2.
Normal and abnormal venous waveforms in VExUS scoring.
See this image and copyright information in PMC

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