Chinese Medical Sciences Journal ›› 2023, Vol. 38 ›› Issue (2): 125-129.doi: 10.24920/004174
• Original Article • Previous Articles Next Articles
Wei He1, Xue-Ying Zeng2, Hong-Min Zhang3, *(), Xiao-Ting Wang3, Yan-Gong Chao4, Critical Care Ultrasound Study Group
Received:
2022-10-01
Accepted:
2023-02-14
Published:
2023-06-30
Online:
2023-03-09
Contact:
*Wei He, Xue-Ying Zeng, Hong-Min Zhang, Xiao-Ting Wang, Yan-Gong Chao, Critical Care Ultrasound Study Group . Self-Appraisal of Clinical Competence in Echocardiography of Chinese Intensivists Post Basic Echocardiography Training[J].Chinese Medical Sciences Journal, 2023, 38(2): 125-129.
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Table 1.
General characteristics and self-appraisal on their echocardiography performance of the included intensivists (n=554)"
Items | Results |
---|---|
Age [yrs, median (IQR)] | 37 (34, 41) |
Male [n (%)] | 288 (52.0) |
Professional qualification [n (%)] | |
Attending | 244 (44.0) |
Fellow | 276 (49.8) |
Residents | 34 (6.1) |
Cases from a tertiary hospital [n (%)] | 312 (56.3) |
ICU working experience [yrs, median (IQR)] | 9 (5, 12) |
Echo exams per week [n (%)] | |
< 5 | 78 (14.1) |
5-10 | 207 (37.4) |
﹥ 10 | 269 (48.6) |
Improvement in therapeutic decision making [n (%)] | |
< 30% | 40 (7.2) |
30%-50% | 222 (40.1) |
﹥ 50% | 292 (52.7) |
Misleading physicians to make therapeutic decision [n (%)] | |
< 10% | 335 (60.5) |
10%-30% | 185 (33.4) |
﹥ 30% | 34 (6.1) |
Mentor available [n (%)] | 223 (40.3) |
Table 2.
Factors affecting skill level required to perform echocardiography of intensivists who had completed a basic critical care echocardiography training [score, median (IQR)]"
Groups | Image acquisition | Clinical syndrome | IVCD | LVEF | LVOT-VTI | |
---|---|---|---|---|---|---|
Mentor available | No (n=331) | 5 (4, 6) | 6 (4, 7) | 7 (6, 8) | 6 (5, 7) | 5 (4, 7) |
Yes (n=223) | 6 (5, 7) | 6 (5, 7) | 7 (6, 8) | 6 (5, 7) | 6 (5, 7) | |
Z value | -3.663 | -2.631 | -2.460 | -2.621 | -2.926 | |
P value | <0.001 | 0.009 | 0.014 | 0.009 | 0.003 | |
Echo exams per week | ≤ 10 (n=286) | 5 (4, 6) | 5 (4, 7) | 7 (5, 8) | 6 (4, 7) | 5 (4, 6) |
> 10 (n=268) | 6 (5, 7) | 7 (5, 7) | 7 (6, 8) | 7 (6, 8) | 6 (5, 7) | |
Z value | -6.807 | -8.058 | -5.916 | -7.061 | -7.511 | |
P value | <0.001 | <0.001 | <0.001 | <0.001 | <0.001 |
1 |
McLean AS. Echocardiography in shock management. Crit Care 2016; 20:275. doi: 10.1186/s13054-016-1401-7.
doi: 10.1186/s13054-016-1401-7 |
2 |
Sekiguchi H, Schenck LA, Horie R, et al. Critical care ultrasonography differentiates ARDS, pulmonary edema, and other causes in the early course of acute hypoxemic respiratory failure. Chest 2015; 148(4):912-8. doi: 10.1378/chest.15-0341.
doi: S0012-3692(15)50279-1 pmid: 25996139 |
3 |
Vieillard-Baron A, Millington SJ, Sanfilippo F, et al. A decade of progress in critical care echocardiography: a narrative review. Intensive Care Med 2019 ; 45(6):770-88. doi: 10.1007/s00134-019-05604-2.
doi: 10.1007/s00134-019-05604-2 |
4 |
Kiefer JJ, Gold AK, Feinman JW, et al. Critical care and perioperative echocardiography certification: challenges ahead. J Cardiothorac Vasc Anesth 2021 ; 35(1):248-50. doi: 10.1053/j.jvca.2020.08.016.
doi: 10.1053/j.jvca.2020.08.016 |
5 |
Wong A, Galarza L, Duska F. Critical care ultrasound: a systematic review of international training competencies and program. Crit Care Med 2019 ; 47(3):e256-e62. doi: 10.1097/CCM.0000000000003626.
doi: 10.1097/CCM.0000000000003626 |
6 |
Heiberg J, El-Ansary D, Canty DJ, et al. Focused echocardiography: a systematic review of diagnostic and clinical decision-making in anaesthesia and critical care. Anesthesia 2016 ; 71(9):1091-100. doi: 10.1111/anae.13525.
doi: 10.1111/anae.13525 |
7 |
Greenstein YY, Littauer R, Narasimhan M, et al. Effectiveness of a critical care ultrasonography course. Chest 2017 ; 151(1):34-40. doi: 10.1016/j.chest.2016.08.1465.
doi: 10.1016/j.chest.2016.08.1465 |
8 |
Labbé V, Ederhy S, Pasquet B, et al. Can we improve transthoracic echocardiography training in non-cardiologist residents? Experience of two training programs in the intensive care unit. Ann Intensive Care 2016 ; 6(1):44. doi: 10.1186/s13613-016-0150-8.
doi: 10.1186/s13613-016-0150-8 |
9 |
Zhang H, He W, Wang X, et al. Physicians’ ability to visually estimate left ventricular ejection fraction, right ventricular enlargement, and paradoxical septal motion after a 2-day focused cardiac ultrasound training course. J Cardiothorac Vasc Anesth 2019 ; 33(7):1912-8. doi: 10.1053/j.jvca.2018.10.019.
doi: 10.1053/j.jvca.2018.10.019 |
10 |
Rajamani A, Miu M, Huang S, et al. Impact of critical care point-of-care ultrasound short-courses on trainee competence. Crit Care Med 2019 ; 47(9): e782-e4. doi: 10.1097/CCM.0000000000003867.
doi: 10.1097/CCM.0000000000003867 |
11 |
Papolos A, Narula J, Bavishi C, et al. U.S. Hospital use of echocardiography: insights from the nationwide inpatient sample. J Am Coll Cardiol 2016 ; 67(5):502-11. doi: 10.1016/j.jacc.2015.10.090.
doi: 10.1016/j.jacc.2015.10.090 |
12 |
Quiñones MA, Otto CM, Stoddard M, et al. Recommendations for quantification of Doppler echocardiography: a report from the Doppler Quantification Task Force of the Nomenclature and Standards Committee of the American Society of Echocardiography. J Am Soc Echocardiogr 2002 ; 15(2):167-84. doi: 10.1067/mje.2002.120202.
doi: 10.1067/mje.2002.120202 |
13 |
Zieleskiewicz L, Muller L, Lakhal K, et al. Point-of-care ultrasound in intensive care units: assessment of 1073 procedures in a multicentric, prospective, observational study. Intensive Care Med 2015 ; 41(9):1638-47. doi: 10.1007/s00134-015-3952-5.
doi: 10.1007/s00134-015-3952-5 |
14 |
Feissel M, Michard F, Faller JP, et al. The respiratory variation in inferior vena cava diameter as a guide to fluid therapy. Intensive Care Med 2004 ; 30(9):1834-7. doi: 10.1007/s00134-004-2233-5.
doi: 10.1007/s00134-004-2233-5 |
15 |
Cholley B. Echocardiography in the intensive care unit: beyond “eyeballing”. A plea for the broader use of the aortic velocity-time integral measurement. Intensive Care Med 2019 ; 45(6):898-901. doi: 10.1007/s00134-019-05618-w.
doi: 10.1007/s00134-019-05618-w |
16 |
Price S, Nicol E, Gibson DG, et al. Echocardiography in the critically ill: current and potential roles. Intensive Care Med 2006 ; 32(1):48-59. doi: 10.1007/s00134-005-2834-7.
doi: 10.1007/s00134-005-2834-7 |
17 |
Orde S, Slama M, Hilton A, et al. Pearls and pitfalls in comprehensive critical care echocardiography. Crit Care 2017 ; 21(1):279. doi: 10.1186/s13054-017-1866-z.
doi: 10.1186/s13054-017-1866-z |
18 |
Galarza L, Wong A, Malbrain M. The state of critical care ultrasound training in Europe: a survey of trainers and a comparison of available accreditation programmes. Anaesthesiol Intensive Ther 2017 ; 49(5):382-6. doi: 10.5603/AIT.a2017.0075.
doi: 10.5603/AIT.a2017.0075 |
19 |
Arntfield R, Millington S, Ainsworth C, et al. Canadian recommendations for critical care ultrasound training and competency. Can Respir J 2014 ; 21(6):341-5. doi: 10.1155/2014/216591.
doi: 10.1155/2014/216591 |
20 |
Flower L, Dempsey M, White A, et al. Training and accreditation pathways in critical care and perioperative echocardiography. J Cardiothorac Vasc Anesth 2021 ; 35(1):235-47. doi: 10.1053/j.jvca.2020.07.046.
doi: 10.1053/j.jvca.2020.07.046 |
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