Consensus document on ultrasound training in Intensive Care Medicine. Care process, use of the technique and acquisition of professional skills

Azcárate, J.M. Ayuela; Clau-Terré, Fernando; Pereira, R. Vicho; Mier, Milagros; López, A. Carrillo; Ochagavía, A.; Pérez, Joaquín; Álvarez, Jorge; Pérez, Lidia Sanz; Llompart-Pou, J.A.; Molina, Florencia; Fojón, S.; Salgado, A. Rodríguez; Díaz, M.C. Martínez; Villa, Christophe; Bermejo, Fernando; Bailén, Manuel Ruiz; Díez, M. Arroyo; Argueso, Mónica; Fernández, José Luis Fernández

doi:10.1016/j.medine.2013.07.002

Cited by 8 publications

(5 citation statements)

References 42 publications

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“…La ecografía podría ser una herramienta muy útil en la pandemia COVID-19 debido a que permite obtener imágenes en tiempo real, a pie de cama, y de manera no invasiva en pacientes ingresados en Unidades de Cuidados Intensivos (UCI) [2][3][4] .…”

Section: Introductionunclassified

Ecografía en el manejo del paciente crítico con infección por SARS-CoV-2 (COVID-19): una revisión narrativa

et al. 2020

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Section: Introductionunclassified

Ecografía en el manejo del paciente crítico con infección por SARS-CoV-2 (COVID-19): una revisión narrativa

et al. 2020

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“…The use of simulation models to train on diagnostic or therapeutic procedures: (a) enhances the quality of the provided health care, especially when using techniques that are not devoid of risks and complications; (b) reduces the stress derived from applying a novel technique directly to actual patients; and (c) can be used as many times as the model is replicated, additionally helping to solve potential problems that could emerge while using the technique “ in vivo .”[ 19 20 ]…”

Section: Discussionmentioning

confidence: 99%

Evaluation of training in pediatric ultrasound-guided vascular cannulation using a model

et al. 2021

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Background: The study objective was to evaluate a training program and a training model for pediatric ultrasound-guided vascular cannulation (USGVC) by inexperienced operators. Methods: An observational descriptive study was conducted at the pediatric intensive care unit of a level-III hospital. The study protocol comprised the following parts: (1) pretraining test; (2) theory and practice training session consisting of an explanation of basic vascular ultrasound concepts plus performing vascular cannulation in a model; (3) posttraining test; and (4) evaluation of the training model. Results: A total of 25 health-care professionals participated in the study. All of them possessed the skills to locate vessels and ultrasound planes, and they performed USGVC using the training model. On a 1–5 scale, the model was rated to have 87.6% fidelity with real pediatric patients; the best regarded aspect of it was utility (93%). Differences were found between pre- and post-training scores: 2.72 ± 0.84 versus 4.60 ± 0.50; P < 0.001 (95% confidence interval: −2.28, −1.47). Altogether, 300 ultrasound-guided cannulation procedures were carried out (12 per participant) distributed along the longitudinal axis in plane and the transverse axis out of plane, with 150 punctures in each of them. The success rate for USGVC in the training model was 79.7%, the mean time for the procedure was 115.6 ± 114.9 s, and the mean time for achieving successful cannulation was 87.69 ± 82.81 s. The mean number of trials needed for successful USGVC was 1.49 ± 0.86. Conclusion: After undergoing the theory–practice training, participants: (a) improved their knowledge of ultrasound-guided vascular access; (b) positively evaluated the USGVC training model, in particular its utility and fidelity as compared with cannulation in pediatric patients; and (c) achieved a high USGVC success rate in a relatively short time.

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“…Previously, several documents from international associations proposed stratification of competence levels in bedside echocardiography. 4,23,24 Questions 7 to 19 concern basic competence in echocardiography of critically ill patients. In questions 7 to 17, there was consensus (agreement or disagreement), while questions 18 and 19 remained without consensus at the end of the process.…”

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confidence: 99%

Uso da ecocardiografia à beira do leito no cuidado do paciente grave - Parte 1

Santos Pellegrini,

Leite Mendes,

César Gottardo

et al. 2023

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O emprego da ecocardiografia por médicos não ecocardiografistas tem se tornado comum em todo o mundo nos mais diversos ambientes em que se dá o cuidado do paciente agudamente doente. A avaliação ecocardiográfica realizada de forma point-of-care pode fornecer informações pertinentes em relação ao mecanismo das causas de choque, por exemplo, incrementando as taxas de diagnóstico correto e possibilitando a tomada de decisão fundamentada de forma mais rápida do que por meio dos métodos tradicionais de avaliação. Considerando que o diagnóstico preciso de situações ameaçadoras à vida é indispensável a profissionais atuando junto a pacientes agudamente enfermos, diversas entidades associativas internacionais recomendam que médicos responsáveis por pacientes gravemente doentes devam adquirir e desenvolver a habilidade para realizar exames ultrassonográficos à beira do leito, inclusive ecocardiográficos. Entretanto, não há consenso na literatura acerca de quais aplicações específicas devam compor o rol de habilidades do médico não ecocardiografista. Levando-se em consideração a multiplicidade de aplicações da ecocardiografia em diversos cenários relativos ao paciente agudamente enfermo; as diferenças nos protocolos publicados, tanto no que diz respeito à metodologia de ensino como de verificação de competências, bem como a heterogeneidade da formação entre as mais diversas especialidades responsáveis pelo seu cuidado em diferentes níveis, este documento de consenso teve o objetivo de refletir o posicionamento de representantes de sociedades médicas brasileiras afins acerca do tema, podendo, assim, servir de ponto de partida para a uniformização entre diferentes especialidades, bem como para a transmissão de conhecimento e a verificação das competências correspondentes.

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Consensus document on ultrasound training in Intensive Care Medicine. Care process, use of the technique and acquisition of professional skills

Cited by 8 publications

References 42 publications

Ecografía en el manejo del paciente crítico con infección por SARS-CoV-2 (COVID-19): una revisión narrativa

Ecografía en el manejo del paciente crítico con infección por SARS-CoV-2 (COVID-19): una revisión narrativa

Evaluation of training in pediatric ultrasound-guided vascular cannulation using a model

Uso da ecocardiografia à beira do leito no cuidado do paciente grave - Parte 1

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