The use of computerized echocardiographic simulation improves the learning curve for transesophageal hemodynamic assessment in critically ill patients
Identifieur interne : 004157 ( Ncbi/Checkpoint ); précédent : 004156; suivant : 004158The use of computerized echocardiographic simulation improves the learning curve for transesophageal hemodynamic assessment in critically ill patients
Auteurs : Gwénaël Prat [France] ; Cyril Charron [France] ; Xavier Repesse [France] ; Pierre Coriat [France] ; Pierre Bailly [France] ; Erwan L Er [France] ; Antoine Vieillard-Baron [France]Source :
- Annals of Intensive Care [ 2110-5820 ] ; 2016.
Abstract
Our aim was to evaluate the impact of a computerized echocardiographic simulator on the learning curve for transesophageal echocardiography (TEE) hemodynamic assessment of ventilated patients in the ICU.
We performed a prospective study in two university hospital medical ICUs. Using our previously validated skill assessment scoring system (/40 points), we compared learning curves obtained with (interventional group,
Competency was achieved after an average of 32.5 ± 10 supervised studies in the control group compared with only 13.6 ± 8.5 in the interventional group (
Inclusion of echocardiographic simulator sessions in a standardized curriculum may improve the learning curve for hemodynamic evaluation of ventilated ICU patients.
The online version of this article (doi:10.1186/s13613-016-0132-x) contains supplementary material, which is available to authorized users.
Url:
DOI: 10.1186/s13613-016-0132-x
PubMed: 27055668
PubMed Central: 4824699
Affiliations:
- France
- Région Bretagne, Île-de-France
- Boulogne-Billancourt, Brest, Paris, Rennes, Villejuif
- Université de Bretagne Occidentale
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<author><name sortKey="Vieillard Baron, Antoine" sort="Vieillard Baron, Antoine" uniqKey="Vieillard Baron A" first="Antoine" last="Vieillard-Baron">Antoine Vieillard-Baron</name>
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<series><title level="j">Annals of Intensive Care</title>
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<imprint><date when="2016">2016</date>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Our aim was to evaluate the impact of a computerized echocardiographic simulator on the learning curve for transesophageal echocardiography (TEE) hemodynamic assessment of ventilated patients in the ICU.</p>
</sec>
<sec><title>Methods</title>
<p>We performed a prospective study in two university hospital medical ICUs. Using our previously validated skill assessment scoring system (/40 points), we compared learning curves obtained with (interventional group, <italic>n</italic>
= 25 trainees) and without (control group, <italic>n</italic>
= 31 trainees) use of a simulator in the training. Three evaluations were performed after 1 (M1), 3 (M3) and 6 months (M6) while performing two TEE examinations graded by an expert. Competency was defined as a score >35/40.</p>
</sec>
<sec><title>Results</title>
<p>Competency was achieved after an average of 32.5 ± 10 supervised studies in the control group compared with only 13.6 ± 8.5 in the interventional group (<italic>p</italic>
< 0.0001). At M6, a significant between-group difference in number of supervised TEE was observed (17 [14–28] in the control group vs. 30.5 [21.5–39.5] in the interventional group, <italic>p</italic>
= 0.001). The score was significantly higher in the interventional group at M1 (32.5 [29.25–35.5] vs. 24.75 [20–30.25]; <italic>p</italic>
= 0.0001), M3 (37 [33.5–38.5] vs. 32 [30.37–34.5]; <italic>p</italic>
= 0.0004), but not at M6 (37.5 [33–39] vs. 36 [33.5–37.5] <italic>p</italic>
= 0.24).</p>
</sec>
<sec><title>Conclusion</title>
<p>Inclusion of echocardiographic simulator sessions in a standardized curriculum may improve the learning curve for hemodynamic evaluation of ventilated ICU patients.</p>
</sec>
<sec><title>Electronic supplementary material</title>
<p>The online version of this article (doi:10.1186/s13613-016-0132-x) contains supplementary material, which is available to authorized users.</p>
</sec>
</div>
</front>
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<region><li>Région Bretagne</li>
<li>Île-de-France</li>
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