Focused transesophageal echocardiography for emergency physicians—description and results from simulation training of a structured four-view examination
Identifieur interne : 000881 ( Main/Merge ); précédent : 000880; suivant : 000882Focused transesophageal echocardiography for emergency physicians—description and results from simulation training of a structured four-view examination
Auteurs : Robert Arntfield ; Jacob Pace ; Shelley Mcleod ; Jeff Granton ; Ahmed Hegazy ; Lorelei LingardSource :
- Critical Ultrasound Journal [ 2036-3176 ] ; 2015.
Abstract
Transesophageal echocardiography (TEE) offers several advantages over
This study aims to develop a focused TEE examination tailored for the ED and to evaluate TEE skill acquisition and retention by TEE-naïve EPs following a focused 4-h curriculum.
Academic EPs were invited to participate in a 4-h didactic and simulation-based workshop. The seminar emphasized TEE principles and views obtained from four vantage points. Following the training, participants engaged in an assessment of their abilities to carry out a focused TEE on a high-fidelity simulator. A 6-week follow-up session assessed skill retention.
Fourteen EPs participated in this study. Immediately following the seminar, 14 (100 %;
This study has illustrated that EPs can successfully perform this focused TEE protocol after a 4-h workshop with retention of these skills at 6 weeks.
The online version of this article (doi:10.1186/s13089-015-0027-3) contains supplementary material, which is available to authorized users.
Url:
DOI: 10.1186/s13089-015-0027-3
PubMed: 26123608
PubMed Central: 4485663
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Focused transesophageal echocardiography for emergency physicians—description and results from simulation training of a structured four-view examination</title><author><name sortKey="Arntfield, Robert" sort="Arntfield, Robert" uniqKey="Arntfield R" first="Robert" last="Arntfield">Robert Arntfield</name><affiliation><nlm:aff id="Aff1">Western University, London, ON Canada</nlm:aff><wicri:noCountry code="subfield">ON Canada</wicri:noCountry></affiliation></author><author><name sortKey="Pace, Jacob" sort="Pace, Jacob" uniqKey="Pace J" first="Jacob" last="Pace">Jacob Pace</name><affiliation><nlm:aff id="Aff1">Western University, London, ON Canada</nlm:aff><wicri:noCountry code="subfield">ON Canada</wicri:noCountry></affiliation></author><author><name sortKey="Mcleod, Shelley" sort="Mcleod, Shelley" uniqKey="Mcleod S" first="Shelley" last="Mcleod">Shelley Mcleod</name><affiliation><nlm:aff id="Aff1">Western University, London, ON Canada</nlm:aff><wicri:noCountry code="subfield">ON Canada</wicri:noCountry></affiliation></author><author><name sortKey="Granton, Jeff" sort="Granton, Jeff" uniqKey="Granton J" first="Jeff" last="Granton">Jeff Granton</name><affiliation><nlm:aff id="Aff1">Western University, London, ON Canada</nlm:aff><wicri:noCountry code="subfield">ON Canada</wicri:noCountry></affiliation></author><author><name sortKey="Hegazy, Ahmed" sort="Hegazy, Ahmed" uniqKey="Hegazy A" first="Ahmed" last="Hegazy">Ahmed Hegazy</name><affiliation><nlm:aff id="Aff1">Western University, London, ON Canada</nlm:aff><wicri:noCountry code="subfield">ON Canada</wicri:noCountry></affiliation></author><author><name sortKey="Lingard, Lorelei" sort="Lingard, Lorelei" uniqKey="Lingard L" first="Lorelei" last="Lingard">Lorelei Lingard</name><affiliation><nlm:aff id="Aff1">Western University, London, ON Canada</nlm:aff><wicri:noCountry code="subfield">ON Canada</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26123608</idno><idno type="pmc">4485663</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4485663</idno><idno type="RBID">PMC:4485663</idno><idno type="doi">10.1186/s13089-015-0027-3</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000782</idno><idno type="wicri:Area/Pmc/Curation">000782</idno><idno type="wicri:Area/Pmc/Checkpoint">000571</idno><idno type="wicri:Area/Ncbi/Merge">003A43</idno><idno type="wicri:Area/Ncbi/Curation">003A43</idno><idno type="wicri:Area/Ncbi/Checkpoint">003A43</idno><idno type="wicri:doubleKey">2036-3176:2015:Arntfield R:focused:transesophageal:echocardiography</idno><idno type="wicri:Area/Main/Merge">000881</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Focused transesophageal echocardiography for emergency physicians—description and results from simulation training of a structured four-view examination</title><author><name sortKey="Arntfield, Robert" sort="Arntfield, Robert" uniqKey="Arntfield R" first="Robert" last="Arntfield">Robert Arntfield</name><affiliation><nlm:aff id="Aff1">Western University, London, ON Canada</nlm:aff><wicri:noCountry code="subfield">ON Canada</wicri:noCountry></affiliation></author><author><name sortKey="Pace, Jacob" sort="Pace, Jacob" uniqKey="Pace J" first="Jacob" last="Pace">Jacob Pace</name><affiliation><nlm:aff id="Aff1">Western University, London, ON Canada</nlm:aff><wicri:noCountry code="subfield">ON Canada</wicri:noCountry></affiliation></author><author><name sortKey="Mcleod, Shelley" sort="Mcleod, Shelley" uniqKey="Mcleod S" first="Shelley" last="Mcleod">Shelley Mcleod</name><affiliation><nlm:aff id="Aff1">Western University, London, ON Canada</nlm:aff><wicri:noCountry code="subfield">ON Canada</wicri:noCountry></affiliation></author><author><name sortKey="Granton, Jeff" sort="Granton, Jeff" uniqKey="Granton J" first="Jeff" last="Granton">Jeff Granton</name><affiliation><nlm:aff id="Aff1">Western University, London, ON Canada</nlm:aff><wicri:noCountry code="subfield">ON Canada</wicri:noCountry></affiliation></author><author><name sortKey="Hegazy, Ahmed" sort="Hegazy, Ahmed" uniqKey="Hegazy A" first="Ahmed" last="Hegazy">Ahmed Hegazy</name><affiliation><nlm:aff id="Aff1">Western University, London, ON Canada</nlm:aff><wicri:noCountry code="subfield">ON Canada</wicri:noCountry></affiliation></author><author><name sortKey="Lingard, Lorelei" sort="Lingard, Lorelei" uniqKey="Lingard L" first="Lorelei" last="Lingard">Lorelei Lingard</name><affiliation><nlm:aff id="Aff1">Western University, London, ON Canada</nlm:aff><wicri:noCountry code="subfield">ON Canada</wicri:noCountry></affiliation></author></analytic><series><title level="j">Critical Ultrasound Journal</title><idno type="ISSN">2036-3176</idno><idno type="eISSN">2036-7902</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Transesophageal echocardiography (TEE) offers several advantages over <italic>transthoracic</italic> echocardiography (TTE). Despite these advantages, use of TEE by emergency physicians (EPs) remains rare, as no focused TEE protocol for emergency department (ED) use has been defined nor have methods of training been described.</p></sec><sec><title>Objective</title><p>This study aims to develop a focused TEE examination tailored for the ED and to evaluate TEE skill acquisition and retention by TEE-naïve EPs following a focused 4-h curriculum.</p></sec><sec><title>Methods</title><p>Academic EPs were invited to participate in a 4-h didactic and simulation-based workshop. The seminar emphasized TEE principles and views obtained from four vantage points. Following the training, participants engaged in an assessment of their abilities to carry out a focused TEE on a high-fidelity simulator. A 6-week follow-up session assessed skill retention.</p></sec><sec><title>Results</title><p>Fourteen EPs participated in this study. Immediately following the seminar, 14 (100 %; <italic>k</italic> = 1.0) and 10 (71.4 %, <italic>k</italic> = 0.65) successfully obtained an acceptable mid-esophageal four-chamber and mid-esophageal long-axis view. Eleven (78.6 %, <italic>k</italic> = 1.0) participants were able to successfully obtain an acceptable transgastric short-axis view, and 11 (78.6 %, <italic>k</italic> = 1.0) EPs successfully obtained a bicaval view. Twelve participants engaged in a 6-week retention assessment, which revealed acceptable images and inter-rater agreement as follows: mid-esophageal four-chamber, 12 (100 %; <italic>k</italic> = 0.92); mid-esophageal long axis, 12 (100 %, <italic>k</italic> = 0.67); transgastric short-axis, 11 (91.7 %, <italic>k</italic> = 1.0); and bicaval view, 11 (91.7 %, <italic>k</italic> = 1.0).</p></sec><sec><title>Conclusion</title><p>This study has illustrated that EPs can successfully perform this focused TEE protocol after a 4-h workshop with retention of these skills at 6 weeks.</p></sec><sec><title>Electronic supplementary material</title><p>The online version of this article (doi:10.1186/s13089-015-0027-3) contains supplementary material, which is available to authorized users.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Plummer, D" uniqKey="Plummer D">D Plummer</name></author><author><name sortKey="Brunette, D" 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