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Rivista di Anestesia, Rianimazione, Terapia Antalgica e Terapia Intensiva
Minerva Anestesiologica 2009 Maggio;75(5):285-92
Focused echocardiography entry level: new concept of a 1-day training course
Breitkreutz R. 1, Uddin S. 2, Steiger H. 3, Ilper H. 1, Steche M. 1, Walcher F. 4, Via G. 5, Price S. 6
1 Clinics of Anesthesiology, Intensive Care Medicine and Pain Therapy, Hospital of the Johann Wolfgang Goethe-University, Frankfurt am Main, Germany;
2 Intensive Care Unit, Bart's & the London NHS Trust, London, UK;
3 Kerckhoff Heart Centre, Bad Nauheim, Germany;
4 Trauma Surgery, Hospital of the Johann Wolfgang Goethe-University, Frankfurt am Main, Germany;
5 1st Department of Anesthesia and Intensive Care, IRCCS Foundation, San Matteo Polyclinic, Pavia, Italy;
6 Adult Intensive Care Unit, Royal Brompton Hospital, London, UK
Aim. We describe a training programme for non-specialists in focused echocardiography in the periresuscitation setting which represents an entry level in echocardiography training (FEEL) for emergency and critical care medicine physicians.
Methods. A prospective observational study based upon the development of a periresuscitation echocardiography training programme developed for novice practitioners (N=15 courses).
Results. The programme enables novice echocardiographers to be able to perform a focused echocardiogram in an ALS-compliant manner, and interpret the findings in the context of the clinical scenario. It is based on the concept of blended learning, incorporating a combination of e-learning, web-based teaching and reading selected literature, and attendance at a course. The course comprises 4-hours of theory and 4-hours of hands-on training.
Conclusion. Periresuscitation echocardiography, performed safely, within the competence of practitioners in an ALS-compliant manner is a potentially valuable skill to be acquired by physicians caring for the critically ill, regardless of the environment in which they work, or their level of seniority. This newly-developed blended learning periresuscitation echocardiography programme (FEEL) may serve as entry level in peri-resuscitation echocardiography for both emergency physicians and critical care practitioners.