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Critical and Acute Care Ultrasound

A Comprehensive Book on Critical and Acute Care Ultrasound (CACU)

This CACU Book summarizes the reviews published during the previous International Fluid Academy Days. The papers are published under the Open Access CC BY Licence 4.0.

Critical and Acute Care Ultrasound together with point of care ultrasound (POCUS) is becoming a holistic and translational discipline and is considered as the modern stethoscope for the critical care and emergency care physician.

Dr Roy Filly, Professor Emeritus of Radiology, and chief of the department of diagnostic sonography in Stanford predicted in 1988 that ultrasound would likely become the new stethoscope: “As we look at the proliferation of ultrasound instruments in the hands of untrained physicians, we can only come to the unfortunate realisation that diagnostic sonography truly is the next stethoscope: poorly utilized by many but understood by few”

This book is edited by Manu Malbrain, Internist-Intensivist, Director of the Intensive Care Department at the University Hospital in Brussels (UZB), Belgium, he is Professor at the Vrije Universiteit Brussel (VUB) and one of the chairmen of the iFAD meeting.

Highlights and Table of Contents

The book is written by 31 key opinion leaders in the field of POCUS (point of care ultrasound) like Daniel Lichtenstein from Paris, Adrian Wong from Oxford, Michael Slama from Amiens, Antoine Viellard Baron from Paris, Paul Elbers from Amsterdam, Jan Poelaert and Manu Malbrain from Brussels and many more. The CACU book contains 11 chapters, 154 pages, 73 figures, 13 Tables and 12 protocols (BLUE, SESAME, FALLS, GUTS,...).

Chapter 1. Executive summary on critical and acute care ultrasound use
Manu L. N. G. Malbrain, Brecht De Tavernier, Sandrine Haverals, Michel Slama, Antoine Vieillard- Baron, Adrian Wong, Jan Poelaert, Xavier Monnet, Willem Stockman, Paul Elbers, Daniel Lichten- stein (1)

Chapter 2. The Role of Point-of-Care Ultrasound in Intra-Abdominal Hyper- tension management
Bruno M Pereira, Renato G Pereira, Robert Wise, Gavin Sugrue, Tanya L Zachrison, Alcir E Dorigatti, Rossano K Fiorelli, Manu L.N.G. Malbrain (23)

Chapter 3. Ten good reasons to practice ultrasound in critical care
Daniel Lichtenstein, Simon van Hooland, Paul Elbers, Manu L.N.G. Malbrain (33)

Chapter 4. Ten good reasons why everybody can and should perform cardi- ac ultrasound in the ICU
Cyril Charron, Xavier Repessé, Laurent Bodson, Siu-Ming Au, Antoine Vieillard-Baron (49)

Chapter 5. Lung ultrasound in critically ill (LUCI): A translational discipline
Daniel Lichtenstein, Manu L.N.G. Malbrain (55)

Chapter 6. Cardiac Ultrasound: A True Haemodynamic Monitor?
Jan Poelaert, Manu L.N.G. Malbrain (65)

Chapter 7. Critical care ultrasound in cardiac arrest: Technological requirements for performing the SESAME-protocol, a holistic approach
Daniel Lichtenstein, Manu L.N.G. Malbrain (85)

Chapter 8. Assessment of Loading Conditions with Cardiac Ultrasound
Jan Poelaert (99)

Chapter 9. Cardiac Ultrasonography in the critical care setting: a practical approach to assess the cardiac function and preloadfor the “non – cardiologist
Guy L.J. Vermeiren, Manu L.N.G. Malbrain, Jeroen M.J.B. Walpot (109)

Chapter 10. Point-of-care Gastrointestinal and Urinary Tract Sonography in daily evaluation of Gastrointestinal Dysfunction in Critically Ill Patients (GUTS Protocol)
Angel Augusto Perez-Calatayud, Raul Carillo-Esper, Eduard Daniel Anica-Malagon, Jesus Carlos Bri- ones-Garduno, Emilio Arch-Tirado, Robert Wise, Manu L.N.G. Malbrain (129)

Chapter 11. The state of critical care ultrasound training in Europe: A survey of trainers and a comparison of available accreditation programmes
Laura Galarza, Adrian Wong, Manu L.N.G. Malbrain (141)

Figure samples

Below are some screenshots from figures. There are practical pictures on how to hold your ultrasound probe, different views, calculations. It covers wholistic ultrasound covering vascular access, lung ultrasound, cardiac ultrasound, abdominal ultrasound.





Table samples


Protocol samples

FALLS protocol

Blue protocol

GUTS protocol

Edited by Manu L.N.G.  Malbrain
Intensive Care Department, University Hospital Brussels (UZB)
Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel (VUB)
Laarbeeklaan 101
1090 Jette
Contact: This email address is being protected from spambots. You need JavaScript enabled to view it.

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