Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Intensive Care Medicine
Published in: Intensive Care Medicine 9/2017

01-09-2017 | Research Agenda

The ICM research agenda on critical care ultrasonography

Authors: P. Mayo, R. Arntfield, M. Balik, P. Kory, G. Mathis, G. Schmidt, M. Slama, G. Volpicelli, N. Xirouchaki, A. McLean, A. Vieillard-Baron

Published in: Intensive Care Medicine | Issue 9/2017

Login to get access

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.
Appendix
Available only for authorised users
Literature
1.
Expert Round Table on Ultrasound in ICU (2011) International expert statement for critical care ultrasonography. Intensive Care Med 37:1077–1083CrossRef
2.
Charron C, Prat G, Caille V, Belliard G, Lefevre M, Aegerter P, Boles JM, Jardin F, Vieillard-Baron A (2007) Validation of a skills assessment scoring system for transesophageal echocardiographic monitoring of hemodynamics. Intensive Care Med 33:1712–1718CrossRefPubMed
3.
Charron C, Vignon P, Prat G, Tonnelier A, Aegerter P, Boles JM, Amiel JB, Vieillard-Baron A (2013) Number of supervised studies required to reach competence in advanced critical care transesophageal echocardiography. Intensive Care Med 39:1019–1024CrossRefPubMed
4.
Prat G, Charron C, Repesse X, Coriat P, Bailly P, L’her E, Vieillard-Baron A (2016) The use of computerized echocardiographic simulation improves the learning curve for transesophageal hemodynamic assessment in critically ill patients. Ann Intensive Care 6:27CrossRefPubMedPubMedCentral
5.
Fletcher N, Geisen M, Meeran H, Spray D, Cecconi M (2015) Initial clinical experience with a miniaturized transesophageal echocardiography probe in a cardiac intensive care unit. J Cardiothorac Vasc Anesth 29:582–587CrossRefPubMed
6.
Arntfield R, Pace J, Mclead S, Granton J, Hegazy A, Lingard L (2015) Focused transesophageal echocardiography for emergency physicians—descriptions and results from simulation training of a structured four-view examination. Crit Ultrasound J 7:10CrossRefPubMedCentral
7.
Blaivas M (2008) Transesophageal echocardiography during cardiopulmonary arrest in the emergency department. Resuscitation 78:135–140CrossRefPubMed
8.
Benjamin E, Griffin K, Leibowitz AB, Manasia A, Oropello JM, Geffroy V, Delguidice R, Hufanda J, Rosen S, Goldman M (1998) Goal-directed transesophageal echocardiography performed by intensivists to assess left ventricular function: comparison with pulmonary artery catheterization. J Cardiothorac Vasc Anesth 12:10–15CrossRefPubMed
9.
Arntfield RT, Millington SJ, Ainsworth CD, Arora RC, Boyd J, Finlayson G, Gallagher W, Gebhardt C, Goffi A, Hockmann E, Kirkpatrick AW (2014) Canadian recommendations for critical care ultrasound training and competency. Can Respir J 21:341–345CrossRefPubMedCentral
10.
McLean AS (2011) International recommendations on competency in critical care ultrasound: pertinence to Australia and New Zealand. Crit Care Resusc 13:56PubMed
11.
Mayo PH, Beaulieu Y, Doelken P, Feller-Kopman D, Harrod C, Kaplan A, Oropello J, Vieillard-Baron A, Axler O, Lichtenstein D, American Maury E, College of Chest Physicians/La Societe de Reanimation de Langue Francaise (2009) Statement on competence in critical care ultrasonography. Chest 135:1050–1060CrossRefPubMed
12.
Millington SJ, Arntfield RT, Hewak M, Hamstra SJ, Beaulieu Y, Hibbert B, Koenig S, Kory P, Mayo P, Schoenherr JR (2016) The rapid assessment of competency in echocardiography scale validation of a tool for point-of-care ultrasound. J Ultrasound Med 35:1457–1463CrossRefPubMed
13.
Arntfield RT (2015) The utility of remote supervision with feedback as a method to deliver high-volume critical care ultrasound training. J Crit Care 30:441CrossRefPubMed
14.
Chang WT, Lee WH, Lee WT, Chen PS, Su YR, Liu PY, Liu YW, Tsai WC (2015) Left ventricular global longitudinal strain is independently associated with mortality in septic shock patients. Intensive Care Med 41:1791–1799CrossRefPubMed
15.
Orde SR, Behfar A, Stalboerger PG, Barros-Gomes S, Kane GC, Oh JK (2015) Effect of positive end-expiratory pressure on porcine right ventricle function assessed by speckle tracking echocardiography. BMC Anesthesiol. 15:49CrossRefPubMedPubMedCentral
16.
Saleh M, Vieillard-Baron A (2012) On the role of left ventricular diastolic function in the critically ill patient. Intensive Care Med 38:189–191CrossRefPubMed
17.
Sanfilippo F, Corredor C, Fletcher N, Landesberg G, Benedetto U, Foex P, Cecconi M (2015) Diastolic dysfunction and mortality in septic patients: a systematic review and meta-analysis. Intensive Care Med 41:1004–1013CrossRefPubMed
18.
Vieillard-Baron A, Slama M, Mayo P, Charron C, Amiel J-B, Esterez C, Leleu F, Repesse X, Vignon P (2013) A pilot study on safety and clinical utility of a single-use 72-hour indwelling transesophageal echocardiography probe. Intensive Care Med 39:629–635CrossRefPubMed
19.
Geeraerts T, Merceron S, Benhamou D, Vigué B, Duranteau J (2008) Non-invasive assessment of intracranial pressure using ocular sonography in neurocritical care patients. Intensive Care Med 34:2062–2067CrossRefPubMed
20.
Narasimhan M, Koenig SJ, Mayo PH (2016) A whole-body approach to point of care ultrasound. Chest 150:772–776CrossRefPubMed
21.
22.
Volpicelli G, Lamorte A, Tullio M, Giraudo M, Stefanone V, Boero E, Nazerian P, Pozzi R, Frascisco MF (2013) Point-of-care multiorgan ultrasonography for the evaluation of undifferentiated hypotension in the emergency department. Intensive Care Med 39:1290–1298CrossRefPubMed
23.
Shokoohi H, Boniface KS, Pourmand A, Liu YT, Davison DL, Hawkins KD, Buhumaid RE, Salimian M, Yadav K (2015) Bedside ultrasound reduces diagnostic uncertainty and guides resuscitation in patients with undifferentiated hypotension. Crit Care Med 43:2562–2569CrossRefPubMed
24.
Mekontso Dessap A, Boissier F, Charron C, Bégot E, Repessé X, Legras A, Brun-Buisson C, Vignon P, Vieillard-Baron A (2016) Acute cor pulmonale during protective ventilation for acute respiratory distress syndrome: prevalence, predictors, and clinical impact. Intensive Care Med 42:862–870CrossRefPubMed
25.
Bouferrache K, Amiel JB, Chimot L, Caille V, Charron C, Vignon P, Vieillard-Baron A (2012) Initial resuscitation guided by the Surviving Sepsis Campaign recommendations and early echocardiographic assessment of hemodynamics in intensive care unit septic patients: a pilot study. Crit Care Med 40:2821–2827CrossRefPubMed
26.
Nazerian P, Vanni S, Volpicelli G, Gigli C, Zanobetti M, Bartolucci M, Ciavattone A, Lamorte A, Veltri A, Fabbri A, Grifoni S (2014) Accuracy of point-of-care multiorgan ultrasonography for the diagnosis of pulmonary embolism. Chest 145:950–957CrossRefPubMed
27.
Mathis G, Blank W, Reißig A, Lechleitner P, Reuß J, Schuler A, Beckh (2005) Thoracic ultrasound for diagnosing pulmonary embolism. A prospective multicenter study of 352 patients. Chest 128:1531–1538CrossRefPubMed
28.
Niemann T, Egelhof T, Bongratz G (2009) Transthoracic sonography for the Detection of pulmonary embolism—a meta- analysis. Ultraschall Med 30:150–156CrossRefPubMed
29.
Squizzato A, Rancan E, Dentali F, Bonzini M, Guasti L, Steidl L et al (2013) Diagnostic accuracy of lung ultrasound for pulmonary embolism: a systematic review and meta-analysis. J Thromb Haemost 11:1269–1278CrossRefPubMed
30.
Meyer G, Vieillard-Baron A, Planquette B (2016) Recent advances in the management of pulmonary embolism: focus on the critically ill patients. Ann Intensive Care 6:19CrossRefPubMedPubMedCentral
31.
32.
Johnson SA, Stevens SM, Woller SC, Lake E, Donadini M, Cheng J et al (2010) Risk of deep vein thrombosis following a single negative whole-leg compression ultrasound: a systematic review and meta-analysis. JAMA 303:438–445CrossRefPubMed
33.
34.
Silva S, Biendel C, Ruiz J, Olivier M, Bataille B, Geeraerts T et al (2013) Usefulness of cardiothoracic chest ultrasound in the management of acute respiratory failure in critical care practice. Chest 144:859–865CrossRefPubMed
35.
Kajimoto K, Madeen K, Nakayama T, Tsudo H, Kuroda T, Abe T (2012) Rapid evaluation by lung-cardiac-inferior vena cava (LCI) integrated ultrasound for differentiating heart failure from pulmonary disease as the cause of acute dyspnea in the emergency setting. Cardiovasc Ultrasound 10:49CrossRefPubMedPubMedCentral
36.
Anderson KL, Jenq KY, Fields JM, Panebianco NL, Dean AJ (2013) Diagnosing heart failure among acutely dyspneic patients with cardiac, inferior vena cava, and lung ultrasonography. Am J Emerg Med 31:1208–1214CrossRefPubMed
37.
Bataille B, Riu B, Ferre F, Moussot PE, Mari A, Brunel E, Ruiz J, Mora M, Fourcade O, Genestal M, Silva S (2014) Integrated use of bedside lung ultrasound and echocardiography in acute respiratory failure: a prospective observational study in ICU. Chest 146:1586–1593CrossRefPubMed
38.
Frankel HL, Kirkpatrick AW, Elbarbary M, Blaivas M, Desai H, Evans D, Summerfield DT, Slonim A, Breitkreutz R, Price S, Marik PE, Talmor D, Levitov A (2015) Guidelines for the appropriate use of bedside general and cardiac ultrasonography in the evaluation of critically ill patients-part i: general ultrasonography. Crit Care Med 43:2479–2502CrossRefPubMed
39.
Slama M, Novara A, Safavian A, Ossart M, Safar M, Fagon JY (1997) Improvement of internal jugular vein cannulation using an ultrasound-guided technique. Intensive Care Med 23:916–919CrossRefPubMed
40.
Airapetian N, Maizel J, Langelle F, Modeliar SS, Karakitsos D, Dupont H, Slama M (2013) Ultrasound-guided central venous cannulation is superior to quick-look ultrasound and landmark methods among inexperienced operators: a prospective randomized study. Intensive Care Med 39:1938–1944CrossRefPubMed
41.
Brass P, Hellmich M, Kolodziej L, Schick G, Smith AF (2015) Ultrasound guidance versus anatomical landmarks for internal jugular vein catheterization. Cochrane Database Syst Rev 1:CD006962PubMed
42.
Brass P, Hellmich M, Kolodziej L, Schick G, Smith AF (2015) Ultrasound guidance versus anatomical landmarks for subclavian or femoral vein catheterization. Cochrane Database Syst Rev 1:CD011447 (Review) PubMed
43.
Hourmozdi JJ, Markin A, Johnson B, Fleming PR, Miller JB (2016) Routine chest radiography is not necessary after ultrasound-guided right internal jugular vein catheterization. Crit Care Med 44:e804–e808CrossRefPubMed
44.
Lamperti M, Bodenham AR, Pittiruti M, Blaivas M, Augoustides JG, Elbarbary M et al (2012) International evidence-based recommendations on ultrasound-guided vascular access. Intensive Care Med 38:1105–1117CrossRefPubMed
45.
Maizel J, Ammirati C, Slama M (2010) Posterior vessel wall penetration by needles during internal jugular vein central catheter placement using ultrasound guidance: is that a real danger? Crit Care Med 38:735–736CrossRefPubMed
46.
Gao YB, Yan JH, Ma JM, Liu XN, Dong JY, Sun F, Tang LW, Li J (2016) Effects of long axis in-plane vs short axis out-of-plane techniques during ultrasound-guided vascular access. Am J Emerg Med 34:778–783CrossRefPubMed
47.
Baidya DK, Chandralekha Darlong V, Pandey R, Goswami D, Maitra S (2015) Comparative sonoanatomy of classic “short axis” probe position with a novel “medial-oblique” probe position for ultrasound-guided internal jugular vein cannulation: a crossover study. J Emerg Med 48:590–596CrossRefPubMed
48.
Zieleskiewicz L, Muller L, Lakhal K, Meresse Z, Arbelot C, Bertrand PM et al (2015) Point-of-care ultrasound in intensive care units: assessment of 1073 procedures in a multicentric, prospective, observational study. Intensive Care Med 41:1638–1647CrossRefPubMed
49.
Maizel J, Bastide MA, Richecoeur J, Frenoy E, Lemaire C, Sauneuf B, Dupont H, Tamion F, Nseir S, Cheyron D, BoReal Study group (2016) Practice of ultrasound-guided central venous catheter technique by the French intensivists: a survey from the BoReal study group. Ann Intensive Care 6:76CrossRefPubMedPubMedCentral
50.
McGraw R, Chaplin T, McKaigney C, Rang L, Jaeger M, Redfearn D, Davison C, Ungi T, Holden M, Yeo C, Keri Z, Fichtinger G (2016) Development and evaluation of a simulation-based curriculum for ultrasound-guided central venous catheterization. CJEM 18:405–413CrossRefPubMed
51.
Maizel J, Guyomarc’h L, Henon P, Modeliar SS, de Cagny B, Choukroun G et al (2014) Residents learning ultrasound-guided catheterization are not sufficiently skilled to use landmarks. Crit Care 18:R36CrossRefPubMedPubMedCentral
52.
Lichtenstein D, Goldstein I, Mourgeon E, Cluzel P, Grenier P, Rouby JJ (2004) Comparative diagnostic performances of auscultation, chest radiography, and lung ultrasonography in acute respiratory distress syndrome. Anesthesiology 100:9–15CrossRefPubMed
53.
Xirouchaki N, Magkanas E, Vaporidi K, Kondili E, Plataki M, Patrianakos A, Akoumianaki E, Georgopoulos D (2011) Lung ultrasound in critically ill patients: comparison with bedside chest radiography. Intensive Care Med 37:1488–1493CrossRefPubMed
54.
International Consensus statement on training standards for advanced critical care echocardiography (2014) Intensive Care Med 40:654-666
55.
Huttemann E, Schelenz C, Kara F, Chatzinikolaou K, Rein-hart K (2004) The use and safety of transesophageal echocardiography in the general ICU—a minireview. Acta Anaesthesiol Scand 48:827–836CrossRefPubMed
56.
Vieillard-Baron A, Prin S, Chergui K, Dubourg O, Jardin F (2003) Hemodynamic instability in sepsis: bedside assessment by Doppler echocardiography. Am J Respir Crit Care Med 168:1270–1276CrossRefPubMed
57.
Vieillard-Baron A, Prin S, Chergui K, Dubourg O, Jardin F (2002) Echo-Doppler demonstration of acute cor pulmonale at the bedside in the medical intensive care unit. Am J Respir Crit Care Med 166:1310–1319CrossRefPubMed
58.
59.
Chacho J, Brar G (2014) Bedside ultrasonography—application in critical care: part II. Indian J Crit Care Med 18:376–381CrossRef
60.
Dias FS, Rezende EAC, Siva JM, Sanches JL (2014) Hemodynamic monitoring in the intensive Care unit: a Brazilian perspective. Rev Bras Ter Intensive 26:360–366
61.
Report of a WHO Scientific Group (1985) Future use of new imaging technologies in developing countries. World Health Organ Tech Rep Ser 723:1985
62.
Dietrich CF, Goudie A, Chiorean L, Cui Win Wu, Gilja OH, Dong YI, Abramowicz, Vinayak S, Westerway SC, Nolsoe CP, Chou Y-H, Blaivas M (2017) Point of Care Ultrasound: a WFUMB Position Paper. Ultrasound Med Biol 43:49–58CrossRefPubMed
63.
McBeth PB, Crawford I, Blaivas M, Hamilton T, Musselwhite K, Panebianco N, Melniker L, Ball CG, Gargani L, Gherdovich C, Kirkpatrick AW (2011) Simple, almost anywhere with almost anyone: remote low-cost telementored resuscitative lung ultrasound. J Trauma 71:P1528–P1535CrossRef
64.
Mongodi S, Via G, Girard M, Rouquette I, Misset B, Braschi A, Mojoli F, Bouhemad B (2016) Lung ultrasound for early diagnosis of ventilator-associated pneumonia. Chest 149:969–980CrossRefPubMed
65.
Bourcier JE, Braga S, Garnier D (2016) Lung ultrasound will soon replace chest radiography in the diagnosis of acute community-acquired pneumonia. Curr Infect Dis Rep 18:43CrossRefPubMed
66.
Haddam M, Zieleskiewicz L, Perbet S et al (2016) Lung ultrasonography for assessment of oxygenation response to prone position ventilation in ARDS. Intensive Care Med 42:1546–1556CrossRefPubMed
67.
Bouhemad B, Brisson H, Le-Guen M, Arbelot C, Lu Q, Rouby JJ (2011) Bedside ultrasound assessment of positive end-expiratory pressure-induced lung recruitment. Am J Respir Crit Care Med 183:341–347CrossRefPubMed
68.
Soummer A, Perbet S, Brisson H, Arbelot C, Constantin JM, Lu Q, Rouby JJ, Lung Ultrasound Study Group (2012) Ultrasound assessment of lung aeration loss during a successful weaning trial predicts postextubation distress. Crit Care Med 40:2064–2072CrossRefPubMed
69.
Mayo P, Volpicelli G, Lerolle N, Schreiber A, Doelken P, Vieillard-Baron A (2016) Ultrasonography evaluation during the weaning process: the heart, the diaphragm, the pleura and the lung. Intensive Care Med 42:1107–1117CrossRefPubMed
70.
Hjortrup PB, Haase N, Bundgaard H, Thomsen SL, Winding R, Pettilä V et al (2016) Restricting volumes of resuscitation fluid in adults with septic shock after initial management: the CLASSIC randomized, parallel-group, multicenter feasibility trial. Intensive Care Med 42:1695–1705CrossRefPubMed
71.
Chen C, Kollef MH (2015) Targeted fluid minimization following initial resuscitation in septic shock. A pilot study. Chest 148:1462–1469CrossRefPubMed
72.
Biais M, Ehrmann S, Mari A, Conte B, Mahjoub Y, Desebbe O et al (2014) Clinical relevance of pulse pressure variations for predicting fluid responsiveness in mechanically ventilated intensive care unit patients: the grey zone approach. Crit Care 18:587CrossRefPubMedPubMedCentral
73.
Vignon P, Repessé X, Bégot E, Léger J, Jacob C, Bouferrache K, Slama M, Prat G, Vieillard-Baron A (2016) Comparison of Echocardiographic Indices Used to Predict Fluid Responsiveness in Ventilated Patients. Am J Respir Crit Care Med. [Epub ahead of print]
Metadata
Title
The ICM research agenda on critical care ultrasonography
Authors
P. Mayo
R. Arntfield
M. Balik
P. Kory
G. Mathis
G. Schmidt
M. Slama
G. Volpicelli
N. Xirouchaki
A. McLean
A. Vieillard-Baron
Publication date
01-09-2017
Publisher
Springer Berlin Heidelberg
Published in
Intensive Care Medicine / Issue 9/2017
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-017-4734-z

Other articles of this Issue 9/2017

Intensive Care Medicine 9/2017 Go to the issue

Letter

Glycemic control, mortality, secondary infection, and hypoglycemia in critically ill pediatric patients: a systematic review and network meta-analysis of randomized controlled trials

Research Agenda

The intensive care medicine research agenda in nutrition and metabolism

Review

The status of intensive care medicine research and a future agenda for very old patients in the ICU

Imaging in Intensive Care Medicine

Trichosporon inkin disseminated infection

What's New in Intensive Care

Intensive care medicine in 2050: statistical tools for development of prognostic models (why clinicians should not be ignored)

Research Agenda

The Intensive Care Medicine research agenda on critically ill oncology and hematology patients