Rapid Ultrasound in Shock (RUSH) Velocity‐Time Integral: A Proposal to Expand the RUSH Protocol. (17th August 2015)

• Record Type: Journal Article
• Authors: Blanco, Pablo; Aguiar, Francisco Miralles; Blaivas, Michael
• Is Part Of: Journal of ultrasound in medicine. Volume 34:Number 9(2015)
• Page Start: 1691
• Page End: 1700
• Publication Date: 2015-08-17
• Subjects: point-of-care ultrasound -- rapid ultrasound in shock -- shock -- stroke volume -- ultrasound -- velocity-time integral; Ultrasonics in medicine -- Periodicals; Ultrasonics; Ultrasonography; Ultrasonics in medicine; Electronic journals; Periodicals; Periodicals; 616.07543
• DOI: 10.7863/ultra.15.14.08059
• Languages: English
• ISSNs: 0278-4297

Abstract

Abstract : Ultrasound assessment of patients in shock is becoming the standard of care in emergency and critical care settings worldwide. One of the most common protocols used for this assessment is the rapid ultrasound in shock (RUSH) examination. The RUSH protocol is a rapid evaluation of cardiac function, key vascular structures, and likely sources of hypotension. Stroke volume is an established important value to assess in the setting of shock, allowing the provider to predict the patient's response to treatment. However, the calculation of stroke volume or its surrogates is not part of any protocol, including RUSH. We propose the addition of ultrasound calculation of stroke volume or surrogates to the RUSH protocol and provide support for its utility and relative ease of calculation. The resulting product would be the RUSH velocity‐time integral protocol.