Skip to main content

Training in focused echocardiography for intensive care specialists: can delivery meet perceived need?

Introduction

There is increasing recognition of the utility of focused echocardiography in critically ill patients and a need for suitable training programmes to be developed to meet the specific needs of critical care. Critical care communities across Europe have struggled to implement focused echocardiography into everyday clinical practice. We aim to determine whether a training programme could be implemented during a year of advanced intensive care training in a region where none of the critical care consultant body had accreditation in echocardiography, and to establish the perceived training requirements in critical care echocardiography in our region and to evaluate what information clinicians wished to obtain from a focused echocardiography examination.

Methods

Trainees attended a course designed for echocardiography in a peri-arrest situation. Local cardiac anaesthetists with experience in transthoracic echocardiography were recruited as mentors. Data archiving protocols were established. Trainees performed an initial 10 scans directly supervised on the cardiac ICU. A further 40 scans were completed independently on the general ICU. A logbook was maintained and the scans reviewed with a mentor prior to final sign off. This process was supported by a regional educational meeting where personnel interested in echocardiography reviewed the types of training provided and how this matched local needs and resources. This included trainees and trainers in intensive care medicine, anaesthesia and acute medicine.

Results

Although 91% of doctors wished to incorporate focused echocardiography into their clinical practice, only 36% had undergone any focused echocardiography training and only 5% had focused echocardiography accreditation. The majority of respondents wished only to incorporate eyeball assessments of ventricular function but did not wish to perform more complex examinations such as Doppler assessment.

Conclusions

It is possible to implement a simple training programme in echocardiography in an intensive care medicine department with no prior experience in critical care echocardiography. Within our region there is strong demand for simple training in focused echocardiography rather than a higher level of accreditation currently offered by many courses.

References

  1. 1.

    Price S: Critical care echocardiography training. JICS 2010, 11: 86-87.

    Google Scholar 

  2. 2.

    Vieillard-Baron A, et al.: Echocardiography in the intensive care unit: from evolution to revolution? Intensive Care Med 2008, 34: 243-249. 10.1007/s00134-007-0923-5

    Article  PubMed  Google Scholar 

Download references

Author information

Affiliations

Authors

Corresponding author

Correspondence to G McNeill.

Rights and permissions

This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

Reprints and Permissions

About this article

Cite this article

McNeill, G., Whiteside, A., Tridente, A. et al. Training in focused echocardiography for intensive care specialists: can delivery meet perceived need?. Crit Care 15, P29 (2011). https://doi.org/10.1186/cc9449

Download citation

Keywords

  • Critical Care
  • Intensive Care Medicine
  • Everyday Clinical Practice
  • Educational Meeting
  • Acute Medicine