Evaluation of Postgraduates Following Implementation of a Focus Assessed Transthoracic Echocardiography (FATE) Training Course-A Pilot Study

Haskins, Stephen C.; Zhao, Jinhui; Nejim, Jemiel; Fields, Kara G.; Garvin, Sean; Dehipawala, Sumudu; Beckman, James D.; Zhang, Angie; Osorio, James; Tanaka, Christopher Y.

doi:10.4172/2155-6148.1000763

Cited by 5 publications

(4 citation statements)

References 17 publications

(24 reference statements)

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“…Uma história abrangente e exame físico continuam a ser a base da avaliação, assim como o uso da ecocardiografia no período perioperatório entre os anestesistas 59 . Nos últimos anos, a ecocardiografia transtorácica pré-operatória está mais disponível para os anestesistas 60 . O exame não é invasivo e pode ser concluído em 10 minutos em ambiente ambulatorial.…”

Section: Sopros Cardíacosunclassified

A Importância Da Avaliação Dos Riscos Cardiovasculares No Período Pré-Operatório

Frias,

Lima,

Goldner

et al. 2023

Cardiologia Em Foco: Prevenção, Diagnóstico E Tratamentos Atuais

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Section: Sopros Cardíacosunclassified

A Importância Da Avaliação Dos Riscos Cardiovasculares No Período Pré-Operatório

Frias,

Lima,

Goldner

et al. 2023

Cardiologia Em Foco: Prevenção, Diagnóstico E Tratamentos Atuais

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“…In a patient presenting with an otherwise asymptomatic cardiac murmur, although it would be useful to have transthoracic echocardiography to exclude cardiac pathology, such expertise may not always be readily accessible. Fortunately, training in, and utilisation of, pre‐operative focused transthoracic echocardiography is becoming more available to anaesthetists . The examination is non‐invasive and can be completed within 10 min in an outpatient setting.…”

Section: Cardiac Murmursmentioning

confidence: 99%

Pre‐operative cardiac optimisation: a directed review

Lee

Tsai

et al. 2019

Anaesthesia

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Cardiac events remain the leading cause of peri-operative morbidity and mortality, and patients undergoing major surgery are exposed to significant risks which may be preventable and modifiable. Proper assessment and management of various cardiac conditions in the peri-operative period by anaesthetists can markedly improve patient safety, especially in high-risk patient populations. This involves understanding and applying current evidence-based practice and international guidelines on the main aspects of cardiac optimisation, including management of patients with hypertension, chronic heart failure, valvular heart diseases and cardiac implantable electronic devices. Peri-operative management of antihypertensive drugs in keeping with the current best evidence is discussed. Pre-operative cardiac risk assessment and cardiac biomarkers can be used to help predict and quantify peri-operative adverse cardiac events. There is an increasing need for anaesthetist-led services, including focused transthoracic echocardiography and management of implantable cardiac electronic devices. Anaesthetists should be encouraged to play a proactive role in pre-operative risk stratification and make timely multidisciplinary referrals if necessary. A personalised approach to pre-operative cardiac optimisation enables a safer peri-operative journey for at-risk patients undergoing major surgery.

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“…The assessment of an anesthesia run peri-FOCUS service showed a significant alteration in the management of most patients regarding the guidance of fluid and vasoactive drugs administration and interventional percutaneous cardiac procedures 14 . Additionally, studies have shown that the implementation of training courses resulted in quick and effective training for residents 15,16 and that medical students who complete formal training courses perceive point-of-care ultrasound training as beneficial 17 .…”

Section: Introductionmentioning

confidence: 99%

Evaluation of a Point-of-Care Ultrasound (POCUS) training course for Regional Anesthesiologists – A Single Institution’s Experience

Saltzman¹,

Luu²,

Brunetti³

et al. 2020

J Anesthesiol & Pain Therapy

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Background and Objectives: Point-of-care ultrasound (POCUS) in the form of focused cardiac ultrasound (FOCUS) is a powerful clinical tool for anesthesiologists to supplement bedside evaluation and optimize cardiopulmonary resuscitation in the perioperative setting. However, few courses are available to train physicians. At Hospital for Special Surgery (HSS), from March of 2013 to May of 2016, nine basic Focused Assessed Transthoracic Echocardiography (FATE) training courses were held. A large percentage of the participants were practicing regional anesthesiologists or trainees in fellowship for regional anesthesia and acute pain. In this study, a survey was used to assess clinical utilization as well as potential barriers to use for regional anesthesiologists. Methods: Following IRB approval, 183 past participants of the basic FATE training course were contacted weekly from November 22nd, 2016, through January 3rd, 2017, via email and sent a maximum 40-item electronic survey hosted on REDCap. Responses were analyzed by a blinded statistician. Results: 92 participants responded (50%), and 65 of the 92 (70.7%) indicated they had regional anesthesiology training or practice regional anesthesia regularly. Of the total number of respondents, 50% (95% CI: 40.3%, 59.8%; P-value = 0.001) have used FOCUS to guide clinical decision making. Of the regional anesthesiologists, 27 (45.8%) have used FOCUS to guide clinical decision making with left ventricular function assessment (40.7%) and hypovolemia (39.0%) being the most common reasons. Regional anesthesiologists utilized FOCUS in the following settings: preoperatively (44.6%), intraoperatively (41.5%), postoperatively (41.5%), and in the Intensive Care Unit (40.0%). Limitations were due to lack of opportunities (52.3%), resources (36.9%), and comfort with performance (30.8%). 84.4% agreed that basic FOCUS training should be a required part of anesthesia residents or fellows’ curriculum. Conclusions: This study is the first formal evaluation of the impact of the implementation of a FOCUS training course on regional anesthesiologists’ current practice. Nearly 50% of regional anesthesiologists used FOCUS to guide clinical decision-making following formal training. The limitations to the use of FOCUS were a lack of relevant opportunities and resources. This evaluation of clinical use following training provides insight into how FOCUS is used by regional anesthesiologists and the limitations to implementation in the perioperative setting.

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Evaluation of Postgraduates Following Implementation of a Focus Assessed Transthoracic Echocardiography (FATE) Training Course-A Pilot Study

Cited by 5 publications

References 17 publications

A Importância Da Avaliação Dos Riscos Cardiovasculares No Período Pré-Operatório

A Importância Da Avaliação Dos Riscos Cardiovasculares No Período Pré-Operatório

Pre‐operative cardiac optimisation: a directed review

Evaluation of a Point-of-Care Ultrasound (POCUS) training course for Regional Anesthesiologists – A Single Institution’s Experience

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