Evaluation of the Interpretative Skills of Participants of a Limited Transthoracic Echocardiography Training Course (H.A.R.T.scan® course)-Reference-Cited by-同舟云学术

Evaluation of the Interpretative Skills of Participants of a Limited Transthoracic Echocardiography Training Course (H.A.R.T.scan® course)

Published:2012-05 Issue:3 Volume:40 Page:498-504
ISSN:0310-057X
Container-title:Anaesthesia and Intensive Care
language:en
Short-container-title:Anaesth Intensive Care

Author:

Royse C. F.¹,Haji D. L.²,Faris J. G.³,Veltman M. G.⁴,Kumar A.⁵,Royse A. G.⁶

Affiliation:

1. Anaesthesia and Pain Management Unit, Department of Pharmacology, Ultrasound Education Group, University of Melbourne.

2. Emergency Department, Frankston Hospital, Peninsula Health, Frankston and Ultrasound Education Group, Department of Pharmacology, University of Melbourne.

3. Sir Charles Gairdner and Joondalup Hospitals, Perth and Professor and Discipline Leader in Anaesthesia, School of Medicine Fremantle, University of Notre Dame Australia, Fremantle, Western Australia; Ultrasound Education Group, Department of Pharmacology, University of Melbourne.

4. Joondalup Hospital and Specialist Anaesthetist, Sir Charles Gairdner Hospital and Royal Perth Hospital, Perth; Professor, School of Medicine Fremantle, University of Notre Dame Australia, Fremantle, Western Australia and Ultrasound Education Group, Department of Pharmacology, University of Melbourne.

5. Northern Specialist Anaesthetics, Sydney Adventist Hospital, Sydney, New South Wales and Ultrasound Education Group, Department of Pharmacology, University of Melbourne.

6. Department of Surgery, University of Melbourne, Royal Melbourne Hospital, Ultrasound Education Group.

Abstract

Limited transthoracic echocardiography performed by treating physicians may facilitate assessment of haemodynamic abnormalities in perioperative and critical care patients. The interpretative skills of one hundred participants who completed an education program in limited transthoracic echocardiography were assessed by reporting five pre-recorded case studies. A high level of agreement was observed in ventricular volume assessment (left 95%, right 96%), systolic function (left 99%, right 96%), left atrial pressure (96%) and haemodynamic state (97%). The highest failure to report answers (that is, no answer given) was for right ventricular volume and function. For moderate or severe valve lesions, agreement ranged from 90 to 98%, with failure to report <5% in all cases except for mitral stenosis (18%). For mild valve lesions, the range of agreement was lower (53 to 100%) due to overestimation of severity. Medical practitioners who completed the structured educational program showed good agreement with experts in interpretation of valve and ventricular function.

Publisher

SAGE Publications

Subject

Anesthesiology and Pain Medicine,Critical Care and Intensive Care Medicine

Link

http://journals.sagepub.com/doi/pdf/10.1177/0310057X1204000316

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