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Intensive Care Medicine

, Volume 43, Issue 9, pp 1257–1269 | Cite as

The ICM research agenda on critical care ultrasonography

  • P. MayoEmail author
  • R. Arntfield
  • M. Balik
  • P. Kory
  • G. Mathis
  • G. Schmidt
  • M. Slama
  • G. Volpicelli
  • N. Xirouchaki
  • A. McLean
  • A. Vieillard-Baron
Research Agenda

Abstract

Purpose

Critical care ultrasonography has utility for the diagnosis and management of critical illness and is in widespread use by frontline intensivists. As there is a need for research to validate and extend its utility, the Editor of Intensive Care Medicine included critical care ultrasonography as a topic in the ICM Research Agenda issue.

Methods

Eleven international experts in the field of critical care ultrasonography contributed to the writing project. With the intention of developing a research agenda for the field, they reviewed best standards of care, new advances in the field, common beliefs that have been contradicted by recent trials, and unanswered questions related to critical care ultrasonography.

Results

The writing group focused on the provision of training in critical care ultrasonography, technological advances, and some specific clinical applications.

Conclusions

The writing group identified several fields of interest for research and proposed ten research studies that would address important aspects of critical care ultrasonography.

Keywords

Ultrasonography Transesophageal Echocardiography Research Training 

Notes

Compliance with ethical standards

Conflicts of interest

The authors declare that they have no conflict of interest for this article.

Supplementary material

Video 1: Severe acute cor pulmonale by TTE in a patient ventilated for ARDS. The apical 4-chamber view demonstrates a major dilatation of the right ventricle; the short axis view demonstrates a paradoxical septal motion. The left ventricle is hyperkinetic (MPG 4150 kb)

134_2017_4734_MOESM2_ESM.wmv (328 kb)
Video 2: Image taken with a 3.5 MHz ultrasonography probe orientated perpendicular to the chest wall with the tomographic plane adjusted to examine through the rib interspace. Lung sliding is present, indicating that the visceral and parietal pleura are apposed at the site of the examination i.e. there is no pneumothorax (WMV 328 kb)
134_2017_4734_MOESM3_ESM.mp4 (5.4 mb)
Video 3: Session of tele-medicine using the REACTS® platform (Innovative Imaging Technologies, Montreal, Canada) between Paris (Dr Vieillard-Baron, upper) and Montreal (Dr Beaulieu, lower part). Dr Beaulieu is performing an ultrasonography evaluation of his left internal jugular vein, also using color-Doppler. This is visualized and interpreted by Dr Vieillard-Baron in Paris with real-time transmission of the video and audio data (MP4 5521 kb)
134_2017_4734_MOESM4_ESM.wmv (580 kb)
Video 4: Another session of tele-medicine using the REACTS® platform. A TEE is performed in Paris (lower and right corner) visualizing the upper and right pulmonary vein with a recording of the pulmonary venous flow by color Doppler and pulsed wave Doppler. The examination is interpreted real-time in Montreal (Dr Beaulieu, upper and right corner) (WMV 580 kb)

Video 5: Long axis view of the superior vena cava from the upper esophageal view combining 2D-imaging (right image) and time-motion study (left image) in a patient in shock under volume-controlled ventilation with hypovolemia. There is collapse of the vessel during tidal ventilation, indicating a high probability of fluid responsiveness. The airway pressure trace is visualized in green on the screen of the echo machineb (MPG 1889 kb)

Video 6: Long axis view of the inferior vena cava from the subcostal view using transthoracic echocardiography combining 2D-imaging (lower image) and time-motion study (upper image) in a patient in shock under volume-controlled ventilation with hypovolemia. There is significant dilatation of the vessel during tidal ventilation, suggesting fluid-responsiveness. The airway pressure trace is visualized in white on the screen of the echo machine (MPG 2596 kb)

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Copyright information

© Springer-Verlag Berlin Heidelberg and ESICM 2017

Authors and Affiliations

  • P. Mayo
    • 1
    Email author
  • R. Arntfield
    • 2
  • M. Balik
    • 3
  • P. Kory
    • 4
  • G. Mathis
    • 5
  • G. Schmidt
    • 6
  • M. Slama
    • 7
    • 8
  • G. Volpicelli
    • 9
  • N. Xirouchaki
    • 10
  • A. McLean
    • 11
  • A. Vieillard-Baron
    • 12
    • 13
  1. 1.Division of Pulmonary, Critical Care, and Sleep MedicineHofstra Northwell Northshore/Long Island Jewish Medical CentersNew Hyde ParkUSA
  2. 2.Division of Critical Care MedicineWestern UniversityLondonCanada
  3. 3.Department on Anesthesiology and Intensive Care, 1st Faculty of MedicineCharles University and General University HospitalPrague 2Czech Republic
  4. 4.Division of Allergy, Pulmonary, and Critical CareUniversity of Wisconsin School of Medicine and Public HealthMadisonUSA
  5. 5.Praxis for Internal MedicineRankweilAustria
  6. 6.Division of Pulmonary Diseases, Critical Care, and Occupational MedicineUniversity of IowaIowa CityUSA
  7. 7.Service de Réanimation Médical. CHU SudAmiensFrance
  8. 8.Unité INSERM 1088UPJVAmiensFrance
  9. 9.Department of Emergency MedicineSan Luigi Gonzaga University HospitalTurinItaly
  10. 10.N. Xirouchaki Intensive Care UnitHeraklion University HospitalCreteGreece
  11. 11.Department of Intensive Care Medicine, Nepean Hospital, Sydney Medical SchoolUniversity of SydneySydneyAustralia
  12. 12.Medical-surgical Intensive Care UnitUniversity Hospital Ambroise Paré, Assistance Publique-Hôpitaux de ParisBoulogne-BillancourtFrance
  13. 13.INSERM U-1018, CESP, Team 5University of Versailles Saint-Quentin en YvelinesVillejuifFrance

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