Recommendations for Echocardiography Laboratories Participating in Cardiac Point of Care Cardiac Ultrasound (POCUS) and Critical Care Echocardiography Training: Report from the American Society of Echocardiography

Echocardiography is being increasingly deployed as a diagnostic and monitoring tool in the critically ill. This rise in popularity has led to its recommendation as a core competence in intensive care, with several training routes available. In the peri-arrest and cardiac arrest population, point of care focused echocardiography has the potential to transform patient care and improve outcomes. Be it via diagnosis of shock aetiology and reversibility or assessing response to treatment and prognostication. This narrative review discusses current and future applications of echocardiography in this patient group and provides a structure with which one can approach such patients.

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Impact of a 2-Day Critical Care Ultrasound Course during Fellowship Training: A Pilot Study

Critical Care Research and Practice ◽

10.1155/2015/675041 ◽

2015 ◽

Vol 2015 ◽

pp. 1-8 ◽

Cited By ~ 5

Author(s):

Vi Am Dinh ◽

Paresh C. Giri ◽

Inimai Rathinavel ◽

Emilie Nguyen ◽

David Hecht ◽

...

Keyword(s):

Critical Care ◽

Point Of Care ◽

Image Interpretation ◽

Fellowship Training ◽

Multiple Organ ◽

Critical Care Echocardiography ◽

Organ Systems ◽

Critical Care Ultrasound ◽

Written Test ◽

The Impact

Objectives. Despite the increasing utilization of point-of-care critical care ultrasonography (CCUS), standards establishing competency for its use are lacking. The purpose of this study was to evaluate the effectiveness of a 2-day CCUS course implementation on ultrasound-naïve critical care medicine (CCM) fellows.Methods. Prospective evaluation of the impact of a two-day CCUS course on eight CCM fellows’ attitudes, proficiency, and use of CCUS. Ultrasound competency on multiple organ systems was assessed including abdominal, pulmonary, vascular, and cardiac systems. Subjects served as self-controls and were assessed just prior to, within 1 week after, and 3 months after the course.Results. There was a significant improvement in CCM fellows’ written test scores, image acquisition ability, and pathologic image interpretation 1 week after the course and it was retained 3 months after the course. Fellows also had self-reported increased confidence and usage of CCUS applications after the course.Conclusions. Implementation of a 2-day critical care ultrasound course covering general CCUS and basic critical care echocardiography using a combination of didactics, live models, and ultrasound simulators is effective in improving critical care fellows’ proficiency and confidence with ultrasound use in both the short- and long-term settings.

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Case Report: When all claims that it is necrotizing fasciitis but Point of care ultrasound (POCUS) proves the opposite!

POCUS Journal ◽

10.24908/pocus.v3i1.13310 ◽

2018 ◽

Vol 3 (1) ◽

pp. 13-14

Author(s):

Hadiel Kaiyasah, MD, MRCS (Glasgow), ABHS-GS ◽

Maryam Al Ali, MBBS

Keyword(s):

Emergency Department ◽

Critical Care ◽

Case Report ◽

Soft Tissue ◽

Necrotizing Fasciitis ◽

Soft Tissue Infection ◽

Critical Care Unit ◽

Point Of Care ◽

Point Of Care Ultrasound ◽

Soft Tissue Infections

Soft tissue ultrasound (ST-USS) has been shown to be of utmost importance in assessing patients with soft tissue infections in the emergency department or critical care unit. It aids in guiding the management of soft tissue infection based on the sonographic findings.

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Basic Critical Care Echocardiography by Pulmonary Fellows

Critical Care Medicine ◽

10.1097/ccm.0000000000000413 ◽

2014 ◽

Vol 42 (10) ◽

pp. 2169-2177 ◽

Cited By ~ 36

Author(s):

Kay Choong See ◽

Venetia Ong ◽

Jeffrey Ng ◽

Rou An Tan ◽

Jason Phua

Keyword(s):

Critical Care ◽

Critical Care Echocardiography

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SMARTPHONE TELEGUIDANCE IN LEARNING TO OBTAIN POINT-OF-CARE CARDIAC ULTRASOUND IMAGES FROM WITHIN THE HOSPITAL: A PILOT STUDY USING NOVICE LEARNERS

Journal of the American College of Cardiology ◽

10.1016/s0735-1097(18)32206-x ◽

2018 ◽

Vol 71 (11) ◽

pp. A1665

Author(s):

David J. Leung ◽

Stanley Amundson ◽

James Phan ◽

Bruce Kimura

Keyword(s):

Pilot Study ◽

Point Of Care ◽

Ultrasound Images ◽

Cardiac Ultrasound ◽

Novice Learners

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Prevalence of left ventricular systolic dysfunction by single echocardiographic view: towards an evidence-based point of care cardiac ultrasound scanning protocol

The International Journal of Cardiovascular Imaging ◽

10.1007/s10554-021-02460-4 ◽

2021 ◽

Author(s):

Christina Luong ◽

Shekoofeh Saboktakin Rizi ◽

Kenneth Gin ◽

John Jue ◽

Darwin F. Yeung ◽

...

Keyword(s):

Left Ventricular Systolic Dysfunction ◽

Point Of Care ◽

Systolic Dysfunction ◽

Left Ventricular ◽

Evidence Based ◽

Cardiac Ultrasound ◽

Ultrasound Scanning ◽

Ventricular Systolic Dysfunction ◽

Scanning Protocol

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Diagnostic challenges in critical care management of fluid and electrolyte disturbances in a poor-resource setting: a survey of critical care doctors

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20175427 ◽

2017 ◽

Vol 5 (12) ◽

pp. 5099

Author(s):

Lucius C. Imoh ◽

Onyedika G. Okoye ◽

Audu C. Abimiku ◽

Alex O. Abu ◽

Solomon A. Asorose ◽

...

Keyword(s):

Critical Care ◽

Point Of Care ◽

Blood Gases ◽

Biochemical Tests ◽

Cross Sectional Survey ◽

Related Factors ◽

Cross Sectional ◽

Urine Dipstick ◽

Resource Setting ◽

Emergency Units

Background: To determine the challenges in diagnostic support for adequate fluid and electrolyte (F/E) management in a poor-resource critical care setting.Methods: This cross-sectional survey was conducted between March and May 2017 in one hundred and four (104) doctors practicing in four tertiary hospitals in North-central Nigeria. These doctors were currently working in Accidents and Emergency Units (A/E), Intensive care Units (ICU) and Children Emergency Units and have worked for at least two months prior to the study. They were given a structured questionnaire to fill and return. The questionnaire among other things, addressed laboratory-related factors that affect management of F/E disturbances.Results: Unavailability of some laboratory tests, inaccuracy of laboratory results, incomplete test results and delay in obtaining results, hampered F/E management in critical care according to more than 75% of the surveyed doctors. About sixty percent of the doctors reported a turnaround time (TAT) of ≥3 hours for electrolytes and most emergency biochemical tests (except urine dipstick and Blood gases). Also ≤25% of doctors responded that electrolytes and most emergency biochemical tests (except urine dipstick and Blood gases) were offered in the ICU/Emergency unit laboratories. Ten percent or less of doctors reported that electrolytes and the emergency biochemical test were available by Point of care testing (POCT).Conclusions: There is an urgent need for the managers of healthcare in LMICs to establish functional laboratories in ICUs, explore the use of POCT and build capacity for diagnostic critical care.

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