Authors
Ashley Miller, Marcus Peck, Hannah Conway, Prashant Parulekar, Antonio Rubino, Jennie Stephens, Jonathan Wilkinson, Justin Kirk-Bayley, Manni Waraich, Michael Griksaitis
Published in
Journal of the Intensive Care Society. Pages 17511437261470613. Jul 31, 2026. Epub Jul 31, 2026.
Abstract
Haemodynamic ultrasound is central to bedside assessment of circulatory failure in critical care. The Focused UltraSound in Intensive Care HaemoDynamics (FUSIC HD) programme was originally designed to provide a structured national framework for physiologically focused ultrasound assessment, distinct from comprehensive diagnostic echocardiography. Since publication of the original framework, experience from training cohorts, logbook review, and centralised summative assessment has shown that a broader range of haemodynamic parameters can be acquired and interpreted in routine practice. This article outlines the rationale, development process, and methodological principles underpinning the recent revision of the FUSIC HD dataset. The updated framework incorporates additional assessment of left ventricular performance, right ventricular function, and pulmonary vascular loading, together with a refined approach to estimating left atrial pressure while maintaining emphasis on physiological coherence, bedside feasibility, and avoidance of unnecessary diagnostic complexity. The aim is not to expand diagnostic echocardiography capability, but to support more integrated haemodynamic interpretation in critically ill patients within an established training and governance structure.
PMID:
42542700
Bibliographic data and abstract were imported from PubMed on 02 Aug 2026.
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