The Introduction of Intensive Care-Led Echocardiography into a Tertiary Care Unit-Reference-Cited by-同舟云学术

The Introduction of Intensive Care-Led Echocardiography into a Tertiary Care Unit

Published:2013-01 Issue:1 Volume:14 Page:15-19
ISSN:1751-1437
Container-title:Journal of the Intensive Care Society
language:en
Short-container-title:Journal of the Intensive Care Society

Author:

Alam Shirjel¹,Docherty Annemarie²,Mackle Ian³,Gillies Michael⁴

Affiliation:

1. Clinical Research Fellow, Cardiovascular Science, Edinburgh University and Royal Infirmary of Edinburgh, Study performed in the Critical Care Department, Royal Infirmary of Edinburgh

2. Registrar in Anaesthesia and Critical Care, Anaesthesia Department, Royal Infirmary of Edinbugh, Study performed in the Critical Care Department, Royal Infirmary of Edinburgh

3. Consultant in Anaesthesia and Critical Care, Critical Care Department, Royal Infirmary of Edinburgh, Study performed in the Critical Care Department, Royal Infirmary of Edinburgh

4. Consultant in Critical Care, Critical Care Department, Royal Infirmary of Edinburgh, Study performed in the Critical Care Department, Royal Infirmary of Edinburgh

Abstract

The objective of this study was to evaluate the feasibility and impact of an intensive care-led trans-thoracic echocardiography (TTE) service replacing a cardiology-led service. Three intensivists were trained and accredited with the British Society of Echocardiography, and between 1st February and 1st August 2010 intensive care implemented a 24-hour scanning service. A prospective observational study was performed to examine the impact in our tertiary referral general intensive care unit. ECG, echocardiographic findings, technical difficulties and any changes in management made as a result of a TTE were recorded. Of 125 attempted scans, 120 patients had full studies (96%), four had limited studies (3%) and one was not possible. TTE changed management in 61 (49%) cases. This compares to only 57 scans performed in total in the preceding six months with a cardiology-led service. We conclude that intensive care-led TTE is feasible when carried out by trained staff, led to greater use of echocardiography and a change in management in almost half the patients studied.

Publisher

SAGE Publications

Subject

Critical Care and Intensive Care Medicine,Critical Care Nursing

Link

http://journals.sagepub.com/doi/pdf/10.1177/175114371301400105

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