Echocardiography practice, training and accreditation in the intensive care: document for the World Interactive Network Focused on Critical Ultrasound (WINFOCUS).
Echocardiography practice, training and accreditation in the intensive care: document for the World Interactive Network Focused on Critical Ultrasound (WINFOCUS).
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重症监护的超声心动图实践，培训和认证：世界互动网络的文档，重点是关键超声（WINFOCUS）。
DOI：
10.1186/1476-7120-6-49
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发表时间：
2008-10-06
影响因子：
1.9
通讯作者：
Talmor, Daniel
中科院分区：
文献类型：
--
作者：
Price, Susanna;Via, Gabriele;Sloth, Erik;Guarracino, Fabio;Breitkreutz, Raoul;Catena, Emanuele;Talmor, Daniel
超声心动图作为一种非侵入性诊断和监测工具越来越多地用于重症患者的治疗。虽然少数国家已经制定了针对重症监护病房 (ICU) 超声心动图的专门国家培训计划，但缺乏针对希望将超声心动图纳入临床实践的 ICU 医生的具体指南。此外，现有的超声心动图认证并不能反映 ICU 从业人员的要求。 WINFOCUS（专注于关键超声的世界互动网络）ECHO-ICU 小组起草了一份文件，旨在为个体医生、培训师和相关协会提供有关 ICU 环境中超声心动图技能发展要求的指导。该文件基于英国皇家放射科医生学会、英国超声心动图协会、欧洲超声心动图协会和美国超声心动图协会发布的建议，以及 ICU 超声心动图知名从业者的国际意见。本文件中包含的建议涉及超声检查的理论基础、建立基于 ICU 的超声心动图服务的实际方面以及在 ICU 上进行的标准成人 TTE 和 TEE 研究的关键组成部分。然后描述不同 ICU 临床情况下超声心动图的具体问题。获得 ICU 超声心动图的能力可以通过不同的方式来实现——要么通过完成适当的奖学金/培训计划，要么在没有可用的情况下，通过旨在培训从业人员达到认证水平的分阶段方法。在这里，以围复苏为重点的超声心动图代表了入门水平——可以通过既定课程和指导实践来获得。接下来，提出了基于能力的模块化培训计划：通过混合学习提供理论要素，并通过监督实践并行获得实践要素。这些都与现有的国家/国际超声心动图课程相关。完成后，预计从业者将完成必要数量的学习，并通过公认的国家或欧洲考试获得进行认证（获得 2 级能力）的能力，并提供适当的所需能力证据（日志）。因此，即使没有适当的奖学金，在相关超声心动图机构的支持下，在当前重症监护和心脏病学实践的现有框架内也可以实现 ICU 超声心动图的培训和随后的认证，并且可以适应每个国家的需求。
Echocardiography is increasingly used in the management of the critically ill patient as a non-invasive diagnostic and monitoring tool. Whilst in few countries specialized national training schemes for intensive care unit (ICU) echocardiography have been developed, specific guidelines for ICU physicians wishing to incorporate echocardiography into their clinical practice are lacking. Further, existing echocardiography accreditation does not reflect the requirements of the ICU practitioner. The WINFOCUS (World Interactive Network Focused On Critical UltraSound) ECHO-ICU Group drew up a document aimed at providing guidance to individual physicians, trainers and the relevant societies of the requirements for the development of skills in echocardiography in the ICU setting. The document is based on recommendations published by the Royal College of Radiologists, British Society of Echocardiography, European Association of Echocardiography and American Society of Echocardiography, together with international input from established practitioners of ICU echocardiography. The recommendations contained in this document are concerned with theoretical basis of ultrasonography, the practical aspects of building an ICU-based echocardiography service as well as the key components of standard adult TTE and TEE studies to be performed on the ICU. Specific issues regarding echocardiography in different ICU clinical scenarios are then described. Obtaining competence in ICU echocardiography may be achieved in different ways – either through completion of an appropriate fellowship/training scheme, or, where not available, via a staged approach designed to train the practitioner to a level at which they can achieve accreditation. Here, peri-resuscitation focused echocardiography represents the entry level – obtainable through established courses followed by mentored practice. Next, a competence-based modular training programme is proposed: theoretical elements delivered through blended-learning and practical elements acquired in parallel through proctored practice. These all linked with existing national/international echocardiography courses. When completed, it is anticipated that the practitioner will have performed the prerequisite number of studies, and achieved the competency to undertake accreditation (leading to Level 2 competence) via a recognized National or European examination and provide the appropriate required evidence of competency (logbook). Thus, even where appropriate fellowships are not available, with support from the relevant echocardiography bodies, training and subsequently accreditation in ICU echocardiography becomes achievable within the existing framework of current critical care and cardiological practice, and is adaptable to each countrie's needs.
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影响因子：
120.7
作者：
BRUNBUISSON, C;DOYON, F;REGNIER, B
通讯作者：
REGNIER, B
影响因子：
5.7
作者：
Chirillo, F;Totis, O;Stritoni, P
通讯作者：
Stritoni, P
影响因子：
38.9
作者：
Caille, Vincent;Jabot, Julien;Vieillard-Baron, Antoine
通讯作者：
Vieillard-Baron, Antoine
影响因子：
8.8
作者：
Angus, D C;Linde-Zwirble, W T;Pinsky, M R
通讯作者：
Pinsky, M R
影响因子：
8.8
作者：
CHEUNG, AT;SAVINO, JS;BERLIN, JA
通讯作者：
BERLIN, JA