FUSIC HD. Comprehensive haemodynamic assessment with ultrasound.
Ashley Miller, Marcus Peck, Tom Clark, Hannah Conway, Segun Olusanya, Nick Fletcher, Nick Coleman, Prashant Parulekar, Jonathan Aron, Justin Kirk-Bayley, Jonathan Nicholas Wilkinson, Adrian Wong, Jennie Stephens, Antonio Rubino, Ben Attwood, Andrew Walden, Andrew Breen, Manprit Waraich, Catherine Nix, Simon Hayward
Author Information
Ashley Miller: Department of Intensive Care, Shrewsbury and Telford Hospital NHS Trust, Shrewsbury, UK. ORCID
Marcus Peck: Department of Intensive Care, Frimley Park Hospital NHS Foundation Trust, Surrey, UK.
Tom Clark: Department of Intensive Care, Royal Devon and Exeter NHS Foundation Trust, Devon, UK.
Hannah Conway: Department of Intensive Care, Glenfield Hospital, Leicester, UK.
Segun Olusanya: Department of Intensive Care, Barts Health NHS Trust, London, UK.
Nick Fletcher: Department of Intensive Care, St George's University Hospitals NHS Foundation Trust, London, UK.
Nick Coleman: Department of Intensive Care, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent, UK.
Prashant Parulekar: Department of Intensive Care, East Kent Hospitals University NHS Foundation Trust, Kent, UK.
Jonathan Aron: Department of Intensive Care, St George's University Hospitals NHS Foundation Trust, London, UK.
Justin Kirk-Bayley: Department of Intensive Care, Royal Surrey County Hospital NHS Foundation Trust, Surrey, UK.
Jonathan Nicholas Wilkinson: Department of Intensive Care, Northampton General Hospital NHS Trust, Northampton, UK. ORCID
Adrian Wong: Department of Intensive Care, Oxford University Hospitals NHS Trust, Oxford, UK. ORCID
Jennie Stephens: Department of Intensive Care, Royal Cornwall Hospitals NHS Trust, Cornwall, UK.
Antonio Rubino: Department of Intensive Care, Royal Papworth Hospital NHS Foundation Trust, Cambridge, UK.
Ben Attwood: Department of Intensive Care, South Warwickshire NHS Foundation Trust, Warwick, UK.
Andrew Walden: Department of Intensive Care, Royal Berkshire NHS Foundation Trust, Reading, UK.
Andrew Breen: Department of Intensive Care, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
Manprit Waraich: Department of Intensive Care, Southampton University Hospitals NHS Trust, Southampton, UK.
Catherine Nix: Department of Intensive Care, University Hospital Limerick, Dooradoyle, Limerick Ireland.
Simon Hayward: Department of Intensive Care, Blackpool Victoria Hospital, Blackpool, UK.
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.
