Recommendations for core critical care ultrasound competencies as a part of specialist training in multidisciplinary intensive care: a framework proposed by the European Society of Intensive Care Medicine (ESICM)

Wong, Adrian; Galarza, Laura; Forni, Lui; De Backer, Daniel; Slama, Michael; Cholley, Bernard; Mayo, Paul; McLean, Anthony; Vieillard-Baron, Antoine; Lichtenstein, Daniel; Volpicelli, Giovanni; Arntfield, Robert; Martin-Loeches, Ignacio; Istrate, Gizella Melania; Duška, František

doi:10.1186/s13054-020-03099-8

Critical Care

Table 2 Results of the Delphi process with the full competencies explored

From: Recommendations for core critical care ultrasound competencies as a part of specialist training in multidisciplinary intensive care: a framework proposed by the European Society of Intensive Care Medicine (ESICM)

	Agreement		No agreement
	Include	Not to include
Echocardiography
Syndromes	Severe hypovolemia LV failure RV failure Tamponade Acute cor pulmonale Severe valvular abnormalities	Post-cardiac arrest management*
Left ventricle	Size (qualitative) Systolic function (qualitative) Contraction pattern (qualitative) Valvular disease (qualitative: colour doppler)	Systolic function (quantitative: Simpson, Teicholz) Diastolic function (quantitative) Contraction pattern (quantitative) Valvular disease (quantitative)	Size (quantitative: diameter and wall thickness) Systolic function (quantitative: MAPSE, aortic VTI)
Right ventricle	Size (qualitative) Systolic function (quantitative: TAPSE, RV/LV ratio) Valvular disease (qualitative: colour doppler)	Size (quantitative) Valvular disease (quantitative)
Inferior vena cava	Size (quantitative) Respiratory variation (quantitative)
Procedures			Pericardiocentesis
Thoracic ultrasound
Syndromes	Consolidation Pleural effusion Interstitial syndrome* Pneumothorax
Procedures	Pleural effusion drainage (thoracentesis and/or intercostal drain insertion)		Tracheostomy
Diaphragm ultrasound
		Thickness Thickening fraction	Excursion
Abdominal ultrasound
	Free fluid Bladder volume (qualitative) Hydronephrosis (qualitative)****	Liver and biliary tree (cholecystitis) Renal resistive index Hydronephrosis (quantitative)	Aorta
Procedures	Ascites drainage
Vascular ultrasound
Syndromes	DVT (proximal 3-point compression)*****	DVT (Doppler)
Vascular access	Femoral vein Jugular vein Radial artery Femoral artery		Subclavian vein
Other modalities
		Nerve block Muscle Skin and soft tissue Optic nerve sheath diameter Airway management	Transcranial Doppler

LV left ventricle, RV right ventricle, MAPSE mitral annulus plane systolic excursion, VTI velocity time integral, TAPSE tricuspid annulus plane systolic excursion, DVT deep vein thrombosis
*Post-cardiac arrest care was perceived to have no specificities; most of the features are covered by assessment of hypovolemia/right ventricle/left ventricle/tamponade/severe valvular dysfunction as reported in the left column
**Consolidation refers to different pulmonary conditions characterized by different degrees of loss of aeration and increase in density, such as infection, contusion, infarction or atelectasis [8]
***Interstitial syndrome refers to a collection of conditions affecting the lung interstitium characterized by increased B-lines generated by juxtaposition of alveolar air and septal thickening (from fluid or fibrosis) [8]
****Qualitative measurement refers to yes/no answer
*****Three-point compression method involves compression at (1) common femoral vein and saphenofemoral junction, (2) popliteal vein and (3) mid-thigh level

Back to article page

ISSN: 1364-8535

Contact us

Submission enquiries: journalsubmissions@springernature.com