<p>Global Ultrasound Check for the Critically lll (GUCCI)—a new systematized protocol unifying point-of-care ultrasound in critically ill patients based on clinical presentation</p>

Abstract

Ultrasound technology is an essential tool in the management of critically ill patients. Point-of-care ultrasonography (POCUS) enables data collection from different anatomic areas to achieve the most probable diagnosis and administer the right therapy at the right time. Despite the increasing utilization of POCUS, there is still a lack of standards to establish how to use different bedside ultrasound protocols, and it is imperative to develop a unifying protocol. Thus, the aim of this paper is to establish a new systematized approach that can be adopted by all physicians to implement POCUS for critically ill patient management. To achieve this, we propose a new systematized approach—Global Ultrasound Check for the Critically Ill (GUCCI)—that integrates multiple protocols. This protocol is organized based on three syndromes (acute respiratory failure, shock, and cardiac arrest) and includes ultrasound-guided procedures.

Thirteen dogs and a cat with ultrasonographically detected gallbladder wall edema associated with cardiac disease

“…On the other hand, a small attenuated CVC and absence of hepatic venous distension support a higher likelihood of AX in acutely ill patients 3‐5 . Similar integrative ultrasound approaches have been advocated in human medicine 18,23‐26 …”

“…Thus, the combination of AFAST, TFAST, and Vet BLUE as an extension of the initial physical examination helps achieve an unbiased set of data imaging points to prevent such image interpretation errors 3,5,11,15 . A similar proposal for point‐of‐care and FAST ultrasound examination as an integrative approach has occurred in human medicine 18,23‐26 …”

“…[3][4][5] Similar integrative ultrasound approaches have been advocated in human medicine. 18,[23][24][25][26] Additional limitations of our case series include the fact that enrolled were patients were limited to animals presented to an emergency service. Additional prospective studies are warranted to confirm the true prevalence of GBWE in patients with cardiac disease in a larger cohort of cardiac disease patients including those with PCE, right-sided congestive heart failure, and other diseases.…”

“…3,5,11,15 A similar proposal for point-of-care and FAST ultrasound examination as an integrative approach has occurred in human medicine. 18,[23][24][25][26]…”

L’area critica di Medicina Interna

“…Figura 3. Algoritmo ecografico per la corretta interpretazione di un quadro di insufficienza respiratoria acuta (modificato daTavares et al, 2019).26 …”