Application of echocardiography simulator in intensive care echocardiography training for internists

  • Li Dan ,
  • Chen Shaomin ,
  • Han Jiangli ,
  • Feng Xinheng
Expand
  • Department of Cardiology and Institute of Vascular Medicine, Peking University Third Hospital & State Key Laboratory of Vascular Homeostasis and Remodeling, Peking University & NHC Key Laboratory of Cardiovascular Molecular Biology and Regulatory Peptides, Peking University & Beijing Key Laboratory of Cardiovascular Receptors Research, Beijing 100191, China

Received date: 2024-02-04

  Online published: 2024-10-29

Supported by

Teaching and Research Project of Peking University Third Hospital (2021bysyzxkt24)

Abstract

Critical care echocardiography (CCE) plays a vital role in assessing the hemodynamic status of critically ill patients, but there is still a significant deficiency in its clinical application. This study explores the application of echocardiography simulators in CCE training among internists. From May to June 2023, CCE training was conducted for 35 internists in Peking University Third Hospital, which included 1 hour of knowledge teaching and 3 hours of simulated training. The results showed that 33(94.3%) trainees were able to obtain all 5 echocardiography views; the accuracy rate in identifying low blood volume was 100.0%. A simple random sampling method was used to select 16 trainees, who performed echocardiographic on standardized patients one week after the training. The results indicated that all trainees successfully completed the acquisition of echocardiography views on the standardized patients. The training practice demonstrated that the echocardiographiy simulator achieved favorable outcomes in the training of CCE for internists. Trainees could basically master the acquisition of echocardiography views and identification of the echocardiography images within a short period.

Cite this article

Li Dan , Chen Shaomin , Han Jiangli , Feng Xinheng . Application of echocardiography simulator in intensive care echocardiography training for internists[J]. Chinese Journal of Medical Education, 2024 , 44(11) : 817 -820 . DOI: 10.3760/cma.j.cn115259-20240204-00129

References

[1] Vieillard-Baron A, Millington SJ, Sanfilippo F, et al. A decade of progress in critical care echocardiography: a narrative review[J]. Intensive Care Med, 2019,45(6):770-788. DOI: 10.1007/s00134-019-05604-2.
[2] Levitov A, Frankel HL, Blaivas M, et al. Guidelines for the appropriate use of bedside general and cardiac ultrasonography in the evaluation of critically ill patients-part II: cardiac ultrasonography[J]. Crit Care Med, 2016,44(6):1206-1227. DOI: 10.1097/CCM.0000000000001847.
[3] Papolos A, Narula J, Bavishi C, et al. US Hospital use of echocardiography: insights from the nationwide inpatient sample[J]. J Am Coll Cardiol, 2016,67(5):502-511. DOI: 10.1016/j.jacc.2015.10.090.
[4] Teran F, Prats MI, Nelson BP, et al. Focused transesophageal echocardiography during cardiac arrest resuscitation: JACC review topic of the week[J]. J Am Coll Cardiol, 2020,76(6):745-754. DOI: 10.1016/j.jacc.2020.05.074.
[5] Simard RD, Unger AG, Betz M, et al. The POCUS pulse check: a case series on a novel method for determining the presence of a pulse using point-of-care ultrasound[J]. J Emerg Med, 2019,56(6):674-679. DOI: 10.1016/j.jemermed.2019.02.013.
[6] Robba C, Wong A, Poole D, et al. Basic ultrasound head-to-toe skills for intensivists in the general and neuro intensive care unit population: consensus and expert recommendations of the European Society of Intensive Care Medicine[J]. Intensive Care Med, 2021,47(12):1347-1367. DOI: 10.1007/s00134-021-06486-z.
[7] Zhao Y, Yuan ZY, Zhang HY, et al. Simulation-based training following a theoretical lecture enhances the performance of medical students in the interpretation and short-term retention of 20 cross-sectional transesophageal echocardiographic views: a prospective, randomized, controlled trial[J]. BMC Med Educ, 2021,21(1):336. DOI: 10.1186/s12909-021-02753-1.
[8] Jujo S, Nakahira A, Kataoka Y, et al. Transesophageal echocardiography simulator training: a systematic review and meta-analysis of randomized controlled trials[J]. Simul Healthc, 2021,16(5):341-352. DOI: 10.1097/SIH.0000000000000537.
[9] Vignon P, Pegot B, Dalmay F, et al. Acceleration of the learning curve for mastering basic critical care echocardiography using computerized simulation[J]. Intensive Care Med, 2018,44(7):1097-1105. DOI: 10.1007/s00134-018-5248-z.
[10] Bloch A, von Arx R, Etter R, et al. Impact of simulator-based training in focused transesophageal echocardiography: a randomized controlled trial[J]. Anesth Analg, 2017,125(4):1140-1148. DOI: 10.1213/ANE.0000000000002351.
[11] Prat G, Charron C, Repesse X, et al. The use of computerized echocardiographic simulation improves the learning curve for transesophageal hemodynamic assessment in critically ill patients[J]. Ann Intensive Care, 2016,6(1):27. DOI: 10.1186/s13613-016-0132-x.
Outlines

/