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from Section 5.2 - Practical Cardiovascular System
Published online by Cambridge University Press: 27 July 2023
Key Learning Points
1. Focussed echocardiography in the intensive care unit enables the physician to integrate echocardiographic findings as an extension of the clinical history and examination.
2. Ideally there are five views that should be assessed when performing a focussed intensive care echocardiography (FICE) scan.
3. The aim should be to acquire at least two acceptable views in order to confirm consistency in findings and avoid making judgements based on a single view that may have produced a spurious result.
4. The essence of FICE is for it to be utilised as a dichotomous decision-making tool designed to answer a series of questions in a patient with cardiovascular shock.
5. Common pathologies identified include dilated left ventricle, dilated right ventricle, hypovolaemia, pericardial effusion and pleural effusions.
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