scholarly journals Learning Curve for the Acquisition of 20 Standard Two-Dimensional Images in Advanced Perioperative Transesophageal Echocardiography: A Prospective Observational Study

2021 ◽  
Author(s):  
Prasert Sawasdiwipachai ◽  
Sasithorn Thanasriphakdeekul ◽  
Vithaya Chithiraphan ◽  
Kasana Raksamani ◽  
Kamheang Vacharaksa
Keyword(s):  
Observational Study ◽  
Learning Curve ◽  
Transesophageal Echocardiography ◽  
Success Rate ◽  
Prospective Observational Study ◽  
Two Dimensional ◽  
Trainee Group ◽  
Short Course ◽  
Thoracic Anesthesia ◽  
Intraoperative Transesophageal Echocardiography

Abstract Background Learning to perform intraoperative transesophageal echocardiography takes time and practice. We aimed to determine the cumulative success rate in the first 20 intraoperative transesophageal echocardiography cases performed by trainee anesthesiologists with no transesophageal echocardiography experience. Methods This prospective observational study included nine anesthesiologists (four cardiovascular and thoracic anesthesia fellows and five short-course perioperative intraoperative transesophageal echocardiography trainees). Overall, 180 studies self-performed by the trainees were reviewed by certified reviewers. A study was considered successful when at least 15 qualified images were collected within 30 minutes. The cumulative success of each trainee was used as a surrogate of a basic two-dimensional intraoperative transesophageal echocardiography learning curve. Results The participants comprised three male and six female anesthesiologists aged 29–43 years with 2–13 years of work experience. Most studies (146/180, 81.11%) were completed within 30 minutes, and the cumulative success rate was 70–90% (average 82.78 ± 6.71%). The average cumulative success rate in the short-course group (85 ± 7.07%) was higher than that in the official cardiovascular and thoracic fellow trainee group (80 ± 7.07%). The recommended caseload for a 75–80% success rate was 14–18 cases (95% confidence interval, 0.675–0.969). Conclusions We recommended a 14–18 caseload for a target success rate of 75–80% in studies performed by trainees with no previous experience. Our findings will enable the development of programs to train anesthesiologists in intraoperative transesophageal echocardiography.

scholarly journals Evaluation of transmitted glow point at a priori chosen depth (1 cm below vocal cords) for lightwand intubation: a prospective observational study

2020 ◽  
Vol 48 (12) ◽  
pp. 030006052097424
Author(s):  
Eunyoung Cho ◽  
Hyun-Chang Kim ◽  
Jung-Man Lee ◽  
Ji-Hoon Park ◽  
Najeong Ha ◽  
...  
Keyword(s):  
Observational Study ◽  
Confidence Interval ◽  
Success Rate ◽  
Prospective Observational Study ◽  
Cricoid Cartilage ◽  
A Priori ◽  
Thyroid Cartilage ◽  
Suprasternal Notch ◽  
Vocal Cords ◽  
Laryngeal Injury

Objective When performing lightwand intubation, an improper transmitted glow position before tube advancement can cause intubation failure or laryngeal injury. This study was performed to explore the transmitted glow point corresponding to a priori chosen depth for lightwand intubation. Methods Before lightwand intubation, we marked the transmitted glow point from a bronchoscope on the neck when it reached 1 cm below the vocal cords. Lightwand intubation was then performed using this marking point. The distances from the mark to the upper border of the thyroid cartilage, upper border of the cricoid cartilage, and suprasternal notch were measured. Results In total, 107 patients were enrolled. The success rate of lightwand intubation using the mark was 93.5% (95% confidence interval, 88.7%–99.2%) at the first attempt. The marking point was placed 12.0 mm (95% confidence interval, 10.6–13.4 mm) below the upper border of the cricoid cartilage. Conclusion Anaesthesiologists should be aware of the appropriate point of the transmitted glow on the patient’s neck when performing lightwand intubation. We suggest that this point is approximately 1 cm below the upper border of the cricoid cartilage. Trial registration: ClinicalTrials.gov NCT03480035

Two-dimensional-strain echocardiography in intensive care unit patients: A prospective, observational study

2016 ◽  
Vol 44 (6) ◽  
pp. 368-374 ◽  
Author(s):  
Cyril Nafati ◽  
Victor Lançon ◽  
Valery Blasco ◽  
Laurent Zieleskiewicz ◽  
Karim Harti ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Observational Study ◽  
Prospective Observational Study ◽  
Two Dimensional ◽  
Strain Echocardiography

scholarly journals OUTCOMES OF CIRCUMFERENTIAL V/S ANTERIOR TUCKING TYMPANOPLASTY TECHNIQUE IN INACTIVE MUCOSAL CHRONIC OTITIS MEDIA WITH SUBTOTAL PERFORATIONS: A PROSPECTIVE OBSERVATIONAL STUDY

2021 ◽  
pp. 95-98
Author(s):  
Sultan Singh Rulania ◽  
Sushma Mahich ◽  
Rekha Harshvardhan
Keyword(s):  
Observational Study ◽  
Success Rate ◽  
Otitis Media ◽  
Uptake Rate ◽  
Prospective Observational Study ◽  
Chronic Otitis Media ◽  
Hearing Gain ◽  
Group I ◽  
The Mean ◽  
Group Ii

Objective: The objective of the study is to compare circumferential versus anterior tucking underlay tympanoplasty technique. Methods: In this prospective observational study, 100 patients with chronic otitis media (Inactive mucosal type) were included, who were randomly allocated in two groups; Group I which comprised of 50 patients in which tympanoplasty with anterior tucking was done, and Group II comprised of 50 patients in which circumferential flap tympanoplasty was done. Improvement in the hearing gain and graft uptake success rate was compared. Results: The mean air-bone gap (ABG) changed from 28.74 dB to 11.52 dB after anterior tucking with a mean change of 17.22 dB and this change was found to be statistically significant (p<0.001). Similarly, the mean ABG changed from 28.92 dB to 11.86 dB after a circumferential flap with a mean change of 17.06 dB and this change was also found to be statistically significant (p<0.001). There was a slightly better improvement (17.22 dB) in the anterior tucking group as compared to the circumferential flap (17.06 dB). This difference was, however, not found to be statistically significant (p=0.830). Three-month graft uptake rate in the anterior tucking group was found 92% and in the circumferential group was 94%. (p>0.05). Conclusions: Our study concluded that both techniques have almost the same results with good graft uptake. Results of hearing improvements in both techniques were also comparable.

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