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中华诊断学电子杂志 ›› 2018, Vol. 06 ›› Issue (02) : 104 -107. doi: 10.3877/cma.j.issn.2095-655X.2018.02.010

所属专题: 文献

超声诊断

重症床旁即时超声检查的医生培训与教育
余愿1, 尚游1,()   
  1. 1. 430022 武汉,华中科技大学同济医学院附属协和医院ICU
  • 收稿日期:2018-02-20 出版日期:2018-05-26
  • 通信作者: 尚游

Training and education of point-of-care ultrasound for critical care

Yuan Yu1, You Shang1,()   

  1. 1. Department of Intensive Care Unite, Union Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan 430022, China
  • Received:2018-02-20 Published:2018-05-26
  • Corresponding author: You Shang
  • About author:
    Corresponding author: Shang You, Email:
引用本文:

余愿, 尚游. 重症床旁即时超声检查的医生培训与教育[J/OL]. 中华诊断学电子杂志, 2018, 06(02): 104-107.

Yuan Yu, You Shang. Training and education of point-of-care ultrasound for critical care[J/OL]. Chinese Journal of Diagnostics(Electronic Edition), 2018, 06(02): 104-107.

重症床旁即时超声凭借其简便实用、快速直观等优势在诊断和评估重症患者病情中得到了广泛的应用和普及,为了确保该技术安全、有效的运用,重症床旁即时超声需要良好的培训、教育和资格认证体系,并有必要将此培训纳入急诊、麻醉和重症医生的常规培训项目。其培训和教育应当把握重点,突出特色,分级、持续深入地培训,同时采用多样化的教学方法,培养医护人员良好的临床实践能力。当前,在培训和教育中仍存在一些困难,需要努力克服。

The point-of-care ultrasound for critical care has been widely used in the diagnosis and assessment of critically ill patients for its advantages of convenience and rapidness. In order to ensure this technique to be applied safely and effectively, the point-of-care ultrasound for critical care requires a well-structured and competent training and education program, and also a formal certification system. It is necessary to include this training in regular training programs for emergency, anesthetic and critical physicians. The certification system should be special designed for the point-of-care ultrasound for critical care, and should be a standardized system. The training and education should be focused, graded, and developed diversified teaching methods. At present, there are still some difficulties in training and education, which will need to be overcome.

[1]
Galarza L, Wong A, Malbrain MLNG. The state of critical care ultrasound training in Europe:A survey of trainers and a comparison of available accreditation programmes[J].Anaesthesiol Intensive Ther,2017,49(5):382-386.
[2]
Díaz-Gómez JL,Frankel HL,Hernandez A.National certification in critical care echocardiography:its time has come[J].Crit Care Med,2017,45(11):1801-1804.
[3]
Huang SJ,Mclean AS.Do we need a critical care ultrasound certification program? Implications from an Australian medical-legal perspective[J].Crit Care,2010,14(3):313.
[4]
Lau G,Swanevelder J.Echocardiography in intensive care-where we are heading?[J].Anaesthesia,2011,66(8):649-652.
[5]
Bennett S.Training guidelines for ultrasound:worldwide trends[J].Best Pract Res Clin Anaesthesiol,2009,23(3):363-373.
[6]
Marik PE,Mayo P.Certification and training in critical care ultrasound[J].Intensive Care Med,2008,34(2):215-217.
[7]
Beaulieu Y.Specific skill set and goals of focused echocardiography for critical care clinicians[J].Crit Care Med,2007,35(5 Suppl):S144-S149.
[8]
Vieillard-Baron A,Slama M,Cholley B,et al.Echocardiography in the intensive care unit:from evolution to revolution?[J].Intensive Care Med,2008,34(2):243-249.
[9]
Price S,Via G,Sloth E,et al.Echocardiography practice,training and accreditation in the intensive care: document for the World Interactive Network Focused on Critical Ultrasound (WINFOCUS)[J].Cardiovascular Ultrasound,2008(6):49.
[10]
Expert Round Table on Ultrasound in ICU.International expert statement on training standards for critical care ultrasonography[J].Intensive Care Med,2011,37(7):1077-1083.
[11]
Mayo PH,Beaulieu Y,Doelken P,et al.American college of chest physicians/la Société de Réanimation de langue Française statement on competence in critical care ultrasonography[J].Chest,2009,135(4):1050-1060.
[12]
Mebazaa A.Echocardiography training for the intensive care unit in Europe[J].Crit Care Resusc,2007,9(3):247.
[13]
Neri L,Storti E,Lichtenstein D.Toward an ultrasound curriculum for critical care medicine[J].Crit Care Med,2007,35(5 Suppl):S290-S304.
[14]
Jang TB,Ruggeri W,Dyne P,et al.Learning curve of emergency physicians using emergency bedside sonography for symptomatic first-trimester pregnancy[J].J Ultrasound Med,2010,29(10):1423-1428.
[15]
Gaspari RJ,Dickman E,Blehar D.Learning curve of bedside ultrasound of the gallbladder[J].J Emerg Med,2009,37(1):51-56.
[16]
Kory PD,Pellecchia CM,Shiloh AL,et al.Accuracy of ultrasonography performed by critical care physicians for the diagnosis of DVT[J].Chest,2011,139(3):538-542.
[17]
Crisp JG,Lovato LM,Jang TB.Compression ultrasonography of the lower extremity with portable vascular ultrasonography can accurately detect deep venous thrombosis in the emergency department[J].Ann Emerg Med,2010,56(6):601-610.
[18]
Davis DP,Campbell CJ,Poste JC,et al.The association between operator confidence and accuracy of ultrasonography performed by novice emergency physicians[J].J Emerg Med,2005,29(3):259-264.
[19]
Mahler SA, Swoboda TK, Wang H, et al. Dedicated emergency department ultrasound rotation improves residents′ ultrasound knowledge and interpretation skills[J].J Emerg Med,2012,43(1):129-133.
[20]
Sekiguchi H, Bhagra A, Gajic O, et al. A general Critical Care Ultrasonography workshop:results of a novel Web-based learning program combined with simulation-based hands-on training[J].J Crit Care,2013,28(2):217,e7-e12.
[21]
Bose RR,Matyal R,Warraich HJ,et al.Utility of a transesophageal echocardiographic simulator as a teaching tool[J].J Cardiothoracic Vasc Anesthesia,2011,25(2):212-215.
[22]
Sekiguchi H,Tokita JE,Minami T,et al.A prerotational,simulation-based workshop improves the safety of central venous catheter insertion:results of a successful internal medicine house staff training program[J].Chest,2011,140(3):652-658.
[23]
Shakil O,Mahmood F,Matyal R.Simulation in echocardiography:an ever-expanding frontier[J].J Cardiothoracic Vasc Anesth,2012,26(3):476-485.
[24]
Lamperti M, Bodenham AR, Pittiruti M, et al. International evidence-based recommendations on ultrasound-guided vascular access[J].Intensive Care Med,2012,38(7):1105-1117.
[25]
Noble VE,Lamhaut L,Capp R,et al.Evaluation of a thoracic ultrasound training module for the detection of pneumothorax and pulmonary edema by prehospital physician care providers[J].BMC Med Educ,2009(9):3.
[26]
Melamed R, Sprenkle MD, Ulstad VK, et al. Assessment of left ventricular function by intensivists using hand-held echocardiography[J].Chest,2009,135(6):1416-1420.
[27]
Vignon P,Dugard A,Abraham J,et al.Focused training for goal-oriented hand-held echocardiography performed by noncardiologist residents in the intensive care unit[J].Intensive Care Med,2007,33(10):1795-1799.
[28]
Vignon P,Mücke F,Bellec F,et al.Basic critical care echocardiography:validation of a curriculum dedicated to noncardiologist residents[J].Crit Care Med,2011,39(4):636-642.
[29]
Jones AE,Tayal VS,Kline JA.Focused Training of Emergency Medicine Residents in Goal-directed Echocardiography: a prospective study[J].Acad Emerg Med,2003,10(10):1054-1058.
[30]
Royse CF,Haji DL,Faris JG,et al.Evaluation of the interpretative skills of participants of a limited transthoracic echocardiography training course (H.A.R.T.scan course)[J].Anaesth Intensive Care,2012,40(3):498-504.
[31]
Peng YG,Janelle GM.Emergent limited perioperative transesophageal echocardiography: should new guidelines exist for limited echocardiography training for anesthesiologists?[J].Front Med,2012,6(3):332-337.
[32]
Eisen LA,Leung S,Gallagher AE,et al.Barriers to ultrasound training in critical care medicine fellowships: a survey of program directors[J].Crit Care Med,2010,38(10):1978-1983.
[33]
Poelaert J,Mayo P.Education and evaluation of knowledge and skills in echocardiography:how should we organize?[J].Intensive Care Med,2007,33(10):1684-1686.
[34]
Kaplan A,Mayo PH.Echocardiography performed by the pulmonary/critical care medicine physician[J].Chest,2009,135(2):529-535.
[35]
Moore CL,Gregg S, Lambert M. Performance, training, quality assurance,and reimbursement of emergency physician-performed ultrasonography at academic medical centers[J].J Ultrasound Med,2004,23(4):459-466.
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