Recommendations for core critical care ultrasound competencies as a part of specialist training in multidisciplinary intensive care: a framework proposed by the European Society of Intensive Care Medicine (ESICM)
Por:
Wong A, Galarza L, Forni L, De Backer D, Slama M, Cholley B, Mayo P, McLean A, Vieillard-Baron A, Lichtenstein D, Volpicelli G, Arntfield R, Martin-Loeches I, Istrate GM, Duška F and ESICM Critical Care Ultrasound Group
Publicada:
3 jul 2020
Ahead of Print:
3 jul 2020
Categoría:
Critical care and intensive care medicine
Resumen:
Critical care ultrasound (CCUS) is an essential component of intensive care practice. Although existing international guidelines have focused on training principles and determining competency in CCUS, few countries have managed to operationalize this guidance into an accessible, well-structured programme for clinicians training in multidisciplinary intensive care. We seek to update and reaffirm appropriate CCUS scope so that it may be integrated into the international Competency-based Training in Intensive Care Medicine. The resulting recommendations offer the most contemporary and evolved set of core CCUS competencies for an intensive care clinician yet described. Importantly, we discuss the rationale for inclusion but also exclusion of competencies listed. Background/aim Critical care ultrasound (CCUS) is an essential component of intensive care practice. The purpose of this consensus document is to determine those CCUS competencies that should be a mandatory part of training in multidisciplinary intensive care. Methods A three-round Delphi method followed by face-to-face meeting among 32 CCUS experts nominated by the European Society of Intensive Care Medicine. Agreement of at least 90% of experts was needed in order to enlist a competency as mandatory. Results The final list of competencies includes 15 echocardiographic, 5 thoracic, 4 abdominal, deep vein thrombosis diagnosis and central venous access aid. Conclusion The resulting recommendations offer the most contemporary and evolved set of core CCUS competencies for an intensive care clinician yet described.
Filiaciones:
Wong A:
European Society of Intensive Care Medicine, Brussels, Belgium.
Department of Critical Care, King's College Hospital, London, UK.
:
European Society of Intensive Care Medicine, Brussels, Belgium
Department of Intensive Care, Hospital General Universitario de Castellon, Castellon de la Plana, Spain
Forni L:
European Society of Intensive Care Medicine, Brussels, Belgium
Department of Intensive Care, Royal Surrey County Hospital, Guildford, UK
De Backer D:
Department of Intensive Care, CHIREC Hospitals, Université Libre de Bruxelles, Brussels, Belgium
Slama M:
Medical Intensive Care, DRIME department in University Hospital of Amiens, Amiens, France
Cholley B:
Service d'Anesthésie-Réanimation, Hôspital Européen Georges Pompidou, AP-HP, Paris, France
Mayo P:
Division of Pulmonary, Critical Care, and Sleep Medicine, Northshore/Long Island Jewish Medical Centers, Northwell Health, New Hyde Park, NY, USA
McLean A:
Department of Intensive Care Medicine, Nepean Hospital, University of Sydney, Sydney, Australia
Vieillard-Baron A:
Unit of Medical-Surgical Intensive Care, Ambroise Paré University Hospital, Assistance Publique-Hôpitaux de Paris, Boulogne-Billancourt, France
Lichtenstein D:
Medical Intensive Care Unit, Hospital Ambroise-Paré (AP-HP), Boulogne (Paris-Ouest university), Boulogne-Billancourt, France
Volpicelli G:
Department of Emergency Medicine, San Luigi Gonzaga University Hospital, Orbassano, Torino, Italy
Arntfield R:
Division of Critical Care, Department of Medicine, Western University London, Ontario, Canada
Martin-Loeches I:
European Society of Intensive Care Medicine, Brussels, Belgium
St James's Hospital, Multidisciplinary Intensive Care Research Organization (MICRO), Dublin, Ireland
Istrate GM:
European Society of Intensive Care Medicine, Brussels, Belgium
Duška F:
European Society of Intensive Care Medicine, Brussels, Belgium
Department of Anaesthesia and Intensive Care, Charles University, Third Faculty of Medicine and FNKV University Hospital in Prague, Prague, Czech Republic
Green Published, gold
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