Guidelines on Adult Critical Care Ultrasonography: Focused Update 2024

Society of Critical Care Medicine在2024年,
針對2015/2016提出的重症超音波指引進行重點更新,
主要有五大情境的應用:
1-Cardiac arrest
2-Septic shock
3-Acute dyspnea or respiratory failure
4-Targeted volume management
5-Cardiogenic shock
其中cardiac arrest的部份,雖然有部份情境CCUS會有幫助,
但目前的証據力並不夠強,因此立場是中立的。
其他四種臨床應用,都建議使用超音波來輔助臨床治療。

We suggest either using CCUS or usual care without CCUS to guide management of adult patients in cardiac arrest.
Quality of evidence: Very low

Conditional For or Against Cardiac arrest

We suggest using CCUS in the management of adults with septic shock to improve clinical outcomes.
Quality of evidence: Low

Conditional For Septic shock

We suggest using CCUS to aid with diagnoses and to guide the management of adults with acute dyspnea or acute respiratory failure to improve clinical outcomes.
Quality of evidence: Low

Conditional For Acute dyspnea or Acute respiratory failure

We suggest the use of CCUS for targeted volume management compared with usual care without CCUS in acutely ill adult patients to improve clinical outcomes.
Quality of evidence: Low

Conditional For Targeted volume management

We suggest the use of CCUS compared with usual care without CCUS in adults with cardiogenic shock to improve clinical outcomes.
Quality of evidence: Very low

Conditional For Cardiogenic shock

Executive Summary: Guidelines on Adult Critical Care Ultrasonography: Focused Update 2024 (2025)

Society of Critical Care Medicine Guidelines on Adult Critical Care Ultrasonography: Focused Update 2024 (2025)

Guidelines for the Appropriate Use of Bedside General and Cardiac Ultrasonography in the Evaluation of Critically Ill Patients—Part I General Ultrasonography (2015)

Guidelines for the Appropriate Use of Bedside General and Cardiac Ultrasonography in the Evaluation of Critically Ill Patients—Part II: Cardiac Ultrasonography (2016)

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