Is a 4 days transoesophageal training course sufficient to diagnose shock related pathologies?
Abstract Introduction Echocardiography is a useful tool in patients suffering from shock of unknown origin to evaluate cardiac function and volume status in order to decide on further treatment. The aim of the study was to evaluate how well participants could identify function, preload and regional...
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| Veröffentlicht in: | Resuscitation 2009-09, Vol.80 (9), p.1019-1024 |
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| creator | Bernhard, Michael Busch, Cornelius J Hainer, Christian Wente, Moritz N Scheuren, Karoline Rauch, Helmut Martin, Eike Weigand, Markus A |
| description | Abstract Introduction Echocardiography is a useful tool in patients suffering from shock of unknown origin to evaluate cardiac function and volume status in order to decide on further treatment. The aim of the study was to evaluate how well participants could identify function, preload and regional wall motion abnormalities after attending a 4-day transoesophageal echocardiography (TOE) seminar. Methods In this prospective educational trial, participants of six TOE seminars from 2005 to 2006 were evaluated. On the basis of seven echocardiographic studies, evaluations by participants concerning cardiac function, preload and regional wall motion were analyzed. Moreover, specific causes of undifferentiated hypotension were to be judged in three cases by the participants. Results A total of 115 participants of the TOE seminars from 2005 to 2006 were evaluated. Correct sectional plane was recognized by more than 76% of the participants. Left ventricular function, preload, and regional wall abnormalities were assessed correctly by the participants in 98%, 96%, and 84%, respectively. Moreover, more than 70% of the participants recognized the correct cause of hemodynamic instability. Conclusion The results of the investigation show that participants of a 4-day TOE seminar can interpret left ventricular function, preload and regional wall motion abnormalities correctly at a very high rate. TOE seminars seem to be effective in teaching basic theoretical knowledge of TOE. |
| doi_str_mv | 10.1016/j.resuscitation.2009.05.004 |
| format | Article |
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The aim of the study was to evaluate how well participants could identify function, preload and regional wall motion abnormalities after attending a 4-day transoesophageal echocardiography (TOE) seminar. Methods In this prospective educational trial, participants of six TOE seminars from 2005 to 2006 were evaluated. On the basis of seven echocardiographic studies, evaluations by participants concerning cardiac function, preload and regional wall motion were analyzed. Moreover, specific causes of undifferentiated hypotension were to be judged in three cases by the participants. Results A total of 115 participants of the TOE seminars from 2005 to 2006 were evaluated. Correct sectional plane was recognized by more than 76% of the participants. Left ventricular function, preload, and regional wall abnormalities were assessed correctly by the participants in 98%, 96%, and 84%, respectively. Moreover, more than 70% of the participants recognized the correct cause of hemodynamic instability. Conclusion The results of the investigation show that participants of a 4-day TOE seminar can interpret left ventricular function, preload and regional wall motion abnormalities correctly at a very high rate. TOE seminars seem to be effective in teaching basic theoretical knowledge of TOE.</description><identifier>ISSN: 0300-9572</identifier><identifier>EISSN: 1873-1570</identifier><identifier>DOI: 10.1016/j.resuscitation.2009.05.004</identifier><identifier>PMID: 19581038</identifier><identifier>CODEN: RSUSBS</identifier><language>eng</language><publisher>Shannon: Elsevier Ireland Ltd</publisher><subject>Adult ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Clinical Competence ; Critically ill patients ; Echocardiography, Transesophageal - methods ; Education, Medical, Continuing - methods ; Emergency ; Emergency and intensive cardiocirculatory care. Cardiogenic shock. Coronary intensive care ; Female ; Heart Diseases - diagnostic imaging ; Heart Diseases - etiology ; Hemodynamic instability ; Humans ; Intensive care medicine ; Male ; Medical sciences ; Middle Aged ; Prospective Studies ; Reproducibility of Results ; Shock ; Shock - complications ; Shock - diagnosis ; Transesophageal echocardiography ; Young Adult</subject><ispartof>Resuscitation, 2009-09, Vol.80 (9), p.1019-1024</ispartof><rights>Elsevier Ireland Ltd</rights><rights>2009 Elsevier Ireland Ltd</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c466t-8569d12482a27790d7ae3bd38b0650dfffb1dbedf600f49d5d0b7e0af3475a793</citedby><cites>FETCH-LOGICAL-c466t-8569d12482a27790d7ae3bd38b0650dfffb1dbedf600f49d5d0b7e0af3475a793</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.resuscitation.2009.05.004$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21878593$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19581038$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bernhard, Michael</creatorcontrib><creatorcontrib>Busch, Cornelius J</creatorcontrib><creatorcontrib>Hainer, Christian</creatorcontrib><creatorcontrib>Wente, Moritz N</creatorcontrib><creatorcontrib>Scheuren, Karoline</creatorcontrib><creatorcontrib>Rauch, Helmut</creatorcontrib><creatorcontrib>Martin, Eike</creatorcontrib><creatorcontrib>Weigand, Markus A</creatorcontrib><title>Is a 4 days transoesophageal training course sufficient to diagnose shock related pathologies?</title><title>Resuscitation</title><addtitle>Resuscitation</addtitle><description>Abstract Introduction Echocardiography is a useful tool in patients suffering from shock of unknown origin to evaluate cardiac function and volume status in order to decide on further treatment. The aim of the study was to evaluate how well participants could identify function, preload and regional wall motion abnormalities after attending a 4-day transoesophageal echocardiography (TOE) seminar. Methods In this prospective educational trial, participants of six TOE seminars from 2005 to 2006 were evaluated. On the basis of seven echocardiographic studies, evaluations by participants concerning cardiac function, preload and regional wall motion were analyzed. Moreover, specific causes of undifferentiated hypotension were to be judged in three cases by the participants. Results A total of 115 participants of the TOE seminars from 2005 to 2006 were evaluated. Correct sectional plane was recognized by more than 76% of the participants. Left ventricular function, preload, and regional wall abnormalities were assessed correctly by the participants in 98%, 96%, and 84%, respectively. Moreover, more than 70% of the participants recognized the correct cause of hemodynamic instability. Conclusion The results of the investigation show that participants of a 4-day TOE seminar can interpret left ventricular function, preload and regional wall motion abnormalities correctly at a very high rate. TOE seminars seem to be effective in teaching basic theoretical knowledge of TOE.</description><subject>Adult</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Clinical Competence</subject><subject>Critically ill patients</subject><subject>Echocardiography, Transesophageal - methods</subject><subject>Education, Medical, Continuing - methods</subject><subject>Emergency</subject><subject>Emergency and intensive cardiocirculatory care. Cardiogenic shock. Coronary intensive care</subject><subject>Female</subject><subject>Heart Diseases - diagnostic imaging</subject><subject>Heart Diseases - etiology</subject><subject>Hemodynamic instability</subject><subject>Humans</subject><subject>Intensive care medicine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Prospective Studies</subject><subject>Reproducibility of Results</subject><subject>Shock</subject><subject>Shock - complications</subject><subject>Shock - diagnosis</subject><subject>Transesophageal echocardiography</subject><subject>Young Adult</subject><issn>0300-9572</issn><issn>1873-1570</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkt-L1DAQgIso3nr6L0hB9K3rpGmaFkGR404PDnxQXw1pMtnNXrdZM6mw_70pu5zok08Dwzc_-GaK4hWDNQPWvt2tI9JMxiedfJjWNUC_BrEGaB4VK9ZJXjEh4XGxAg5Q9ULWF8Uzoh0AcNHLp8UF60XHgHer4sctlbpsSquPVKaoJwpI4bDVG9TjkvCTnzalCXMkLGl2zhuPUypTKK3Xmyks6W0w92XEUSe05UGnbRjDxiN9eF48cXokfHGOl8X3m-tvV5-ruy-fbq8-3lWmadtUdaLtLaubrta1lD1YqZEPlncDtAKsc25gdkDrWgDX9FZYGCSCdryRQsueXxZvTn0PMfyckZLaezI4jnrCMJNqpehaXvMMvjuBJgaiiE4dot_reFQM1KJX7dRfetWiV4FQWW-ufnkeMw97tH9qzz4z8PoMaDJ6dFmo8fTA1fk6neiXNa5PHGYpvzxGRYtWg9ZHNEnZ4P9zoff_9DFjvlgefY9HpF0-25S9K6aoVqC-Lh-xPAT0ALWoG_4bC2K3Rg</recordid><startdate>20090901</startdate><enddate>20090901</enddate><creator>Bernhard, Michael</creator><creator>Busch, Cornelius J</creator><creator>Hainer, Christian</creator><creator>Wente, Moritz N</creator><creator>Scheuren, Karoline</creator><creator>Rauch, Helmut</creator><creator>Martin, Eike</creator><creator>Weigand, Markus A</creator><general>Elsevier Ireland Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20090901</creationdate><title>Is a 4 days transoesophageal training course sufficient to diagnose shock related pathologies?</title><author>Bernhard, Michael ; Busch, Cornelius J ; Hainer, Christian ; Wente, Moritz N ; Scheuren, Karoline ; Rauch, Helmut ; Martin, Eike ; Weigand, Markus A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c466t-8569d12482a27790d7ae3bd38b0650dfffb1dbedf600f49d5d0b7e0af3475a793</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Clinical Competence</topic><topic>Critically ill patients</topic><topic>Echocardiography, Transesophageal - methods</topic><topic>Education, Medical, Continuing - methods</topic><topic>Emergency</topic><topic>Emergency and intensive cardiocirculatory care. Cardiogenic shock. Coronary intensive care</topic><topic>Female</topic><topic>Heart Diseases - diagnostic imaging</topic><topic>Heart Diseases - etiology</topic><topic>Hemodynamic instability</topic><topic>Humans</topic><topic>Intensive care medicine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Prospective Studies</topic><topic>Reproducibility of Results</topic><topic>Shock</topic><topic>Shock - complications</topic><topic>Shock - diagnosis</topic><topic>Transesophageal echocardiography</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bernhard, Michael</creatorcontrib><creatorcontrib>Busch, Cornelius J</creatorcontrib><creatorcontrib>Hainer, Christian</creatorcontrib><creatorcontrib>Wente, Moritz N</creatorcontrib><creatorcontrib>Scheuren, Karoline</creatorcontrib><creatorcontrib>Rauch, Helmut</creatorcontrib><creatorcontrib>Martin, Eike</creatorcontrib><creatorcontrib>Weigand, Markus A</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Resuscitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bernhard, Michael</au><au>Busch, Cornelius J</au><au>Hainer, Christian</au><au>Wente, Moritz N</au><au>Scheuren, Karoline</au><au>Rauch, Helmut</au><au>Martin, Eike</au><au>Weigand, Markus A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Is a 4 days transoesophageal training course sufficient to diagnose shock related pathologies?</atitle><jtitle>Resuscitation</jtitle><addtitle>Resuscitation</addtitle><date>2009-09-01</date><risdate>2009</risdate><volume>80</volume><issue>9</issue><spage>1019</spage><epage>1024</epage><pages>1019-1024</pages><issn>0300-9572</issn><eissn>1873-1570</eissn><coden>RSUSBS</coden><abstract>Abstract Introduction Echocardiography is a useful tool in patients suffering from shock of unknown origin to evaluate cardiac function and volume status in order to decide on further treatment. The aim of the study was to evaluate how well participants could identify function, preload and regional wall motion abnormalities after attending a 4-day transoesophageal echocardiography (TOE) seminar. Methods In this prospective educational trial, participants of six TOE seminars from 2005 to 2006 were evaluated. On the basis of seven echocardiographic studies, evaluations by participants concerning cardiac function, preload and regional wall motion were analyzed. Moreover, specific causes of undifferentiated hypotension were to be judged in three cases by the participants. Results A total of 115 participants of the TOE seminars from 2005 to 2006 were evaluated. Correct sectional plane was recognized by more than 76% of the participants. Left ventricular function, preload, and regional wall abnormalities were assessed correctly by the participants in 98%, 96%, and 84%, respectively. Moreover, more than 70% of the participants recognized the correct cause of hemodynamic instability. Conclusion The results of the investigation show that participants of a 4-day TOE seminar can interpret left ventricular function, preload and regional wall motion abnormalities correctly at a very high rate. TOE seminars seem to be effective in teaching basic theoretical knowledge of TOE.</abstract><cop>Shannon</cop><pub>Elsevier Ireland Ltd</pub><pmid>19581038</pmid><doi>10.1016/j.resuscitation.2009.05.004</doi><tpages>6</tpages></addata></record> |
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| subjects | Adult Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Clinical Competence Critically ill patients Echocardiography, Transesophageal - methods Education, Medical, Continuing - methods Emergency Emergency and intensive cardiocirculatory care. Cardiogenic shock. Coronary intensive care Female Heart Diseases - diagnostic imaging Heart Diseases - etiology Hemodynamic instability Humans Intensive care medicine Male Medical sciences Middle Aged Prospective Studies Reproducibility of Results Shock Shock - complications Shock - diagnosis Transesophageal echocardiography Young Adult |
| title | Is a 4 days transoesophageal training course sufficient to diagnose shock related pathologies? |
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