International expert statement on training standards for critical care ultrasonography
Authors:
M. Balík
Authors place of work:
KARIM 1. LF UK a VFN
Published in the journal:
Anest. intenziv. Med., 23, 2012, č. 4, s. 203-208
Category:
Consensual statement
Mezinárodní kulatý stůl (Vídeň, 9.–10. října 2009)
Organizující společnost: European Society of Intensive Care Medicine (ESICM)
Summary
Training in ultrasound techniques for intensive care medicine physicians should aim at achieving competencies in three main areas: (1) general critical care ultrasound (GCCUS), (2) ‘‘basic’’ critical care echocardiography (CCE), and (3) advanced CCE. A group of 29 experts representing the European Society of Intensive Care Medicine (ESICM) and 11 other critical care societies worldwide worked on a potential framework for organizing training adapted to each area of competence. This framework is mainly aimed at defining minimal requirements but is by no means rigid or restrictive: each training organization can be adapted according to resources available. There was 100% agreement among the participants that general critical care ultrasound and ‘‘basic’’ critical care echocardiography should be mandatory in the curriculum of intensive care unit (ICU) physicians. It is the role of each critical care society to support the implementation of training in GCCUS and basic CCE in its own country.
Keywords:
ultrasound techniques – echocardiography – training – competence
Zdroje
1. Cholley, B. P., Vieillard-Baron, A., Mebazaa, A. Echocardiography in the ICU: time for widespread use! Inten. Care Med., 2006, 32, p. 9–10.
2. Breitkreutz, R., Walcher, F., Seeger, F. H. Focused echocardiographic evaluation in resuscitation management: concept of an advanced life support-conformed algorithm. Crit. Care Med., 2007, 35, S150–S161.
3. Beaulieu, Y. Bedside echocardiography in the assessment of the critically ill. Crit. Care Med., 2007, 35, S235–S249.
4. Beaulieu, Y. Specific skill set and goals of focused echocardiography for critical care clinicians. Crit. Care Med., 2007, 35, S144–S149.
5. Kaplan, A., Mayo, P. H. Echocardiography performed by the pulmonary/critical care medicine physician. Chest, 2009, 135, p. 529–535.
6. Khoury, A. F., Afridi, I., Quinones, M. A., Zoghbi, W. A. Transesophageal echocardiography in critically ill patients: feasibility, safety, and impact on management. Am. Heart J., 1994, 127, p. 1363–1371.
7. Heidenreich, P. A., Stainback, R. F., Redberg, R. F., Schiller, N. B., Cohen, N. H., Foster, E. Transesophageal echocardiography predicts mortality in critically ill patients with unexplained hypotension. J. Am. Coll. Cardiol., 1995, 26, p. 152–158.
8. Poelaert, J. I., Trouerbach, J., De Buyzere, M., Everaert, J., Colardyn, F. A. Evaluation of transesophageal echocardiography as a diagnostic and therapeutic aid in a critical care setting. Chest, 1995, 107, p. 774–779.
9. Huttemann, E., Schelenz, C., Kara, F., Chatzinikolaou, K., Reinhart, K. The use and safety of transoesophageal echocardiography in the general ICU – a minireview. Acta Anaesthesiol. Scand., 2004, 48, p. 827–836.
10. Beaulieu, Y., Marik, P. E. Bedside ultrasonography in the ICU: part 2. Chest, 2005, 128, p. 1766–1781.
11. Beaulieu, Y., Marik, P. E. Bedside ultrasonography in the ICU: part 1. Chest, 2005, 128, p. 881–895.
12. Stanko, L. K., Jacobsohn, E., Tam, J. W., De Wet, C. J., Avidan, M. Transthoracic echocardiography: impact on diagnosis and management in tertiary care intensive care units. Anaesth. Inten. Care, 2005, 33, p. 492–496.
13. Orme, R. M., Oram, M. P., McKinstry, C. E. Impact of echocardiography on patient management in the intensive care unit: an audit of district general hospital practice. Br. J. Anaesth., 2009, 102, p. 340–344.
14. Mayo, P. H., Beaulieu, Y., Doelken, P., Feller-Kopman, D., Harrod, C., Kaplan, A., Oropello, J., Vieillard-Baron, A., Axler, O., Lichtenstein, D., Maury, E., Slama, M., Vignon, P. American College of Chest Physicians/La Societe de Reanimation de Langue Francaise statement on competence in critical care ultrasonography. Chest, 2009, 135, p. 1050–1060.
15. Chalumeau-Lemoine, L., Baudel, J. L., Das, V., Arrive, L., Noblinski, B., Guidet, B., Offenstadt, G., Maury, E., Maury, E., Guglielminotti, J., Alzieu, M., Guidet, B., Offenstadt, G. Results of short-term training of naive physicians in focused general ultrasonography in an intensive-care unit. Inten. Care Med., 2009, 35, p. 1767–1771.
16. Manasia, A. R., Nagaraj, H. M., Kodali, R. B., Croft, L. B., Oropello, J. M., Kohli-Seth, R., Leibowitz, A. B., DelGiudice, R., Hufanda, J. F., Benjamin, E., Goldman, M. E. Feasibility and potential clinical utility of goal-directed transthoracic echocardiography performed by noncardiologist intensivists using a small hand-carried device (SonoHeart) in critically ill patients. J. Cardiothorac. Vasc. Anesth., 2005, 19, p. 155–159.
17. Vignon, P., Dugard, A., Abraham, J., Belcour, D., Gondran, G., Pepino, F., Marin, B., Francois, B., Gastinne, H. Focused training for goal-oriented hand-held echocardiography performed by noncardiologist residents in the intensive care unit. Inten. Care Med., 2007, 33, p. 1795–1799.
18. Price, S., Via, G., Sloth, E., Guarracino, F., Breitkreutz, R., Catena, E., Talmor, D. Echocardiography practice, training and accreditation in the intensive care: document for the World Interactive Network Focused on Critical Ultrasound (WINFOCUS). Cardiovasc. Ultrasound., 2008, 6, p. 49.
19. Breitkreutz, R., Uddin, S., Steiger, H., Ilper, H., Steche, M., Walcher, F., Via, G., Price, S. Focused echocardiography entry level: new concept of a 1-day training course. Minerva Anestesiol., 2009, 75, p. 285–292.
20. Benjamin, E., Griffin, K., Leibowitz, A. B., Manasia, A., Oropello, J. M., Geffroy, V., DelGiudice, R., Hufanda, J., Rosen, S., Goldman, M. Goal-directed transesophageal echocardiography performed by intensivists to assess left ventricular function: comparison with pulmonary artery catheterization. J. Cardiothorac. Vasc. Anesth., 1998, 12, p. 10–15.
21. Melamed, R., Sprenkle, M. D., Ulstad, V. K., Herzog, C. A., Leatherman, J. W. Assessment of left ventricular function by intensivists using hand-held echocardiography. Chest, 2009, 135, p. 1416–1420.
22. Charron, C., Prat, G., Caille, V., Belliard, G., Lefevre, M., Aegerter, P., Boles, J. M., Jardin, F., Vieillard-Baron, A. Validation of a skills assessment scoring system for transesophageal echocardiographic monitoring of hemodynamics. Inten. Care Med., 2007, 33, p. 1712–1718.
23. Ryan, T., Armstrong, W. F., Khandheria, B. K. Task force 4: training in echocardiography endorsed by the American Society of Echocardiography. J. Am. Coll. Cardiol., 2008, 51, p. 361–367.
24. Quinones, M. A., Douglas, P. S., Foster, E., Gorcsan, J., Lewis, J. F., Pearlman, A. S., Rychik, J., Salcedo, E. E., Seward, J. B., Stevenson, J. G., Thys, D. M., Weitz, H. H., Zoghbi, W. A. ACC/AHA clinical competence statement on echocardiography: a report of the American College of Cardiology/American Heart Association/American College of Physicians-American Society of Internal Medicine Task Force on Clinical Competence. J. Am. Coll. Cardiol., 2003, 41, p. 687–708.
25. Huang, S. J., McLean, A. S. Do we need a critical care ultrasound certification program? Implications from an Australian medical-legal perspective. Crit. Care, 2010, 14, p. 313, [Epub ahead of print].
Štítky
Anaesthesiology, Resuscitation and Inten Intensive Care MedicineČlánok vyšiel v časopise
Anaesthesiology and Intensive Care Medicine
2012 Číslo 4
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