title: Clinical ultrasound in the ICU: changing a medical paradigm.
abstract: In recent decades there has been an evolution from the traditional paradigm of sporadic ultrasound performed by radiologists and cardiologists in the ICU to clinical ultrasound performed by intensivists as an extension of patient evaluation rather than as a complementary test. Such clinical ultrasound aims to diagnose and treat the patient directly. All ultrasound modalities could be interesting in the ICU, either helping in decision making or guiding procedures. Clinical ultrasound training should include all the possibilities of ultrasound, and the tutelage of other trained intensivists and other specialists with more experience should be available at all times. Training should be phased into basic, advanced and expert levels, with adjustment to the contents of the CoBaTrICE Project and the recommendations of the SEMICYUC.
authors.affiliation: Servicio de Medicina Intensiva y Grandes Quemados, Hospital Universitario de Getafe, Getafe, Madrid, España. Electronic address: jalvarez@ucigetafe.com.
authors.forename: J A
authors.initials: JA
authors.lastname: Álvarez-Fernández
authors.affiliation: Servicio de Medicina Intensiva, Hospital Universitario Clínico San Carlos, Madrid, España.
authors.forename: A
authors.initials: A
authors.lastname: Núñez-Reiz
mesh_terms: D003422:Critical Care / Q000379:methods*; D003479:Curriculum; D004502:Education, Medical, Continuing / Q000592:standards; D005060:Europe; D017408:Guidelines as Topic; D006801:Humans; D007362:Intensive Care Units; D008511:Medicine; D012955:Societies, Medical; D013030:Spain; D014463:Ultrasonography / Q000639:trends; D018084:Ultrasonography, Interventional
keywords: Clinical Ultrasound; Critical care patient; Ecografía clínica; Intensive care units; Paciente crítico; Ultrasonografía; Ultrasonography; Unidad de cuidados intensivos