重症超音波工作坊 (CCUS Workshop – Basic level)參考資料(高雄)

Lectures:

Ultrasound physics, knobs & probes

How to start CCUS in my ICU ?

Essential echocardiography need to know in ICU

How to assess dyspnea using pleural ultrasound ?

How to assess volume status and fluid responsiveness ?

How to enhance trauma management with ultrasound ?

Establish central vascular access with great success

Simulator empowers skills and pathologies recognition (Demo on US simulator)

Hands-on training checklists:
(Essential skills: red color ; Optional skills: black color)

Parasternal view 

LA/MV/LV/AV/LOVT
Pericardium
Descending thoracic aorta
PSSA on papillary muscle, MV, AV

M mode
Color Doppler
Territory of coronary artery

Apical view

Apical 4 & 5 view (LA/MV/LV; RA/TV/RV; LVOT/AV)
Apical 2 chamber view
Eyeballing on RV:LV ratio & WMA

Color Doppler for MR, TR, AR
Simpson/Modified Simpson’s method for LVEF
PW at AV to calculate SV (LVOT method)

Subcostal view

LV/LA/RV/RA
Pericardium

IVC & Hepatic veins
Aorta with celiac trunk and SMA

Lung scan

Bat sign
Lung sliding & seashore sign
Lung pulse
Diaphragm
Spine sign

B line
Rib
Airway

LV function assessment

Eyeballing on WMA and possible coronary artery territory 
M-mode application 
Semi-quantitative: EPSS, FS, MAPSE

LVOT method
Simpson’s method

Volume assessment

IVC & M mode measurement
Pleural B line survey
LVEDA

LVOT VTI
Carotid artery Doppler
Passive leg raising test

EFAST

Bilateral anterior pleural scan
RUQ: diaphragm & hepatorenal fossa
Pericardial view: PSLA & Subcostal view
LUQ: diphragm & splenorenal fossa
Pelvis: sagittal and transverse view

Rib fracture
Pubic symphysis
Sternal fracture
Psoas muscle for retroperitoneal injury

Vascular access

Needling on phantom (in-plane & off-plane)
IJV

Brachial artery & vein
Radial artery
Ulnar artery
Subclavian vein
Basilic vein

References:

Guidelines for the Appropriate Use of Bedside General and Cardiac Ultrasonography in the Evaluation of Critically Ill Patients—Part I: General Ultrasonography

Guidelines for the Appropriate Use of Bedside General and Cardiac Ultrasonography in the Evaluation of Critically Ill Patients—Part II: Cardiac Ultrasonography

ACEP Ultrasound Policy Statement(2016)

ACEP Emergency Ultrasound Imaging Criteria Compendium (2014)

ACEP Trauma Ultrasound eBook

International evidence-based recommendations for point-of-care lung ultrasound

International Evidence-Based Recommendations for Focused Cardiac Ultrasound

AIUM/ACEP Practice Parameter for the Performance of the Focused Assessment With Sonography for Trauma (FAST) Examination

Focused Assessment with Sonography in Trauma (FAST) in 2017
(official website includes video clips)

POINT OF CARE ULTRASOUND: A WFUMB POSITION PAPER

Ten good reasons to practice ultrasound in critical care

US-guided vascular cannulation in critical care

Chest US in ARDS

Lung ultrasound in the critically ill

Teaching whole body POC