Intensive Care Med (2017) 43:1257–1269
The ICM research agenda on critical care
P. M a y o
, R. Arntﬁeld
, M. Balik
, P. Kory
, G. Mathis
, G. Schmidt
, M. Slama
, G. Volpicelli
, N. Xirouchaki
and A. Vieillard‑Baron
© 2017 Springer‑Verlag Berlin Heidelberg and ESICM
Purpose: Critical care ultrasonography has utility for the diagnosis and management of critical illness and is in
widespread use by frontline intensivists. As there is a need for research to validate and extend its utility, the Editor of
Intensive Care Medicine included critical care ultrasonography as a topic in the ICM Research Agenda issue.
Methods: Eleven international experts in the ﬁeld of critical care ultrasonography contributed to the writing project.
With the intention of developing a research agenda for the ﬁeld, they reviewed best standards of care, new advances
in the ﬁeld, common beliefs that have been contradicted by recent trials, and unanswered questions related to critical
Results: The writing group focused on the provision of training in critical care ultrasonography, technological
advances, and some speciﬁc clinical applications.
Conclusions: The writing group identiﬁed several ﬁelds of interest for research and proposed ten research studies
that would address important aspects of critical care ultrasonography.
Keywords: Ultrasonography, Transesophageal Echocardiography, Research, Training
Critical care ultrasonography (CCUS) has utility for the
diagnosis and management of critical illness. In this arti
cle, 11 international experts in the ﬁeld review several
aspects of its application that may be of interest to inten
sivists who use it as a standard frontline imaging modal-
ity. ese include best standards of care, new advances in
the ﬁeld, common beliefs that have been contradicted by
recent trials, and unanswered questions related to CCUS.
All authors agreed on the topic selections and have
approved the ﬁnal content of the manuscript.
Over the past 15 years, the use of CCUS has increased
on a worldwide basis. is increased interest in the ﬁeld
is paralleled by a major increase in published articles on
the subject (Fig. 1). Most current research is descrip
tive and observational, leading to proposals for new
algorithms of management based on ultrasonographic
parameters. Using CCUS, the diagnosis and management
of such entities as pulmonary edema, shock, acute respir
atory distress syndrome (ARDS) and pulmonary embo-
lism (PE) have been described in the literature, this list
not being exhaustive. It is challenging to perform clinical
research on the eﬀect of CCUS on patient-centered out
comes as an isolated variable, as CCUS is often combined
with the other diagnostic modalities available in the ICU.
ese include imaging modalities (e.g., chest-X-ray, CT-
scan), biological markers (e.g., troponin, brain natriuretic
peptide, lactate), and monitoring of cardiopulmonary
function (e.g., blood pressure, pulse oximetry). A major
challenge has been to characterize and deﬁne CCUS
Division of Pulmonary, Critical Care, and Sleep Medicine, Hofstra
Northwell Northshore/Long Island Jewish Medical Centers, New Hyde
Park, NY, USA
Full author information is available at the end of the article
Take-Home Message: This article proposes ten research projects that
will answer important questions related to critical care ultrasonography.