Thread by @iceman_ex

Soon to be published in @yourICM:

A consensus statement on head to toe ultrasound skills in the general and neuro ICU population

Massive piece of work led by @AVBmir @chiara_robba and @avkwong

Building on stuff published here ccforum.biomedcentral.com/articles/10.11…

#lives2021

@yourICM @AVBmir @chiara_robba @avkwong After Delphi a decent consensus was reached- here are some summaries
1. Cranial ultrasound- TCCD guided PI is weakly recommended as a BASIC skill (over ONSD)
2. Lung US- strong recommendations for PTX, Effusion, and consolidation

#LIVES2021

@yourICM @AVBmir @chiara_robba @avkwong Airway ultrasound for intubation is weakly recommended AGAINST
Diaphragmatic excursion is weakly recommended FOR, with no consensus on diaphragmatic thickening
Lots of strong recommendations for LV assessment to be basic (including RWMA) with no consensus on TOE

#lives2021

@yourICM @AVBmir @chiara_robba @avkwong RV function, pericardial effusion, and severe hypovolaemia achieved strong consensus

Basic left sided valve disease also achieved strong consensus (including colour!)

#LIVES2021

@yourICM @AVBmir @chiara_robba @avkwong Abdomen:
Strong consensus- AAA, hydronephrosis, free fluid
No consensus- RRI
Advanced skills- intramural gas

#LIVES2021

@yourICM @AVBmir @chiara_robba @avkwong Vascular!

Lots of strong consensus:
Venous/arterial access
Continuous needle visualisation (yes!)
DVT scanning

@yourICM @AVBmir @chiara_robba @avkwong Conclusions

I think there is lots here that we should reflect on internationally

Ping @zedunow @icmteaching @ICUltrasonica @Buchanan_MD @ThinkingCC @echonepean

#LIVES2021