POCUS protocol group

It will be submitted to an ultrasound protocol which consists in performing the following ultrasound studies in each patient:

Measurement of the diameter of the optic nerve. Neck. Pulmonary ultrasound (LUS score). Echocardiogram (function and volemia). Abdomen. Femoral vascular package. Eco-guided interventionism. Central venous accesses (controlling positioning with saline injection under ultrasound), arterial, pleural or abdominal drainage and percutaneous tracheotomy will be performed under ultrasound.

The usual handling will be followed. The studies will only be performed if the medical team-treating team considers it, requesting a radiologist specialist the same, as is done routinely.

The findings of multiorgan ultrasound can modify diagnoses and treatments and immediate interventions (eg volume loading with saline solution, pleural or pericardial drainage, initiation of diuretics, increase in positive end expiratory pressure, etc.).

This protocol is performed in the first 24 h of admission to the Intensive Care Unit (ICU) and is repeated at 24 h.

REGISTER OF (In terms of frequency):

IN DIAGNOSIS:

• Does not modify the initial diagnosis but confirms it
• Induces a change in initial diagnosis
• Discover an unknown initial diagnosis
• Does not modify the initial diagnosis, does not discard or confirm anything and does not change the treatment that is done.
• Induces a wrong diagnosis and leads to an error.

IN TREATMENT:

• Determines the performance of an urgent interventional diagnostic maneuver
• Determines the performance of an urgent medical or pharmacological therapeutic maneuver of the ICU.
• Determines the performance of an urgent interventional or surgical therapeutic maneuver

Delay in performing definitive diagnosis (hours)

Requests for imaging studies (Number per patient)