Béïque François A, Denault André Y, Martineau André, Amir Igal, Côté Dany, Courval Jean-François, Couture Pierre, Hickey Donald, Goyer Caroline, Mayrand Dominic, Mistry Bergez, Robinson Richard, Sheridan Peter, Sidhu Surita, Tremblay Normand, Villeneuve Jacques
Department of Anesthesia, SMBD Jewish General Hospital, Montreal, Quebec, Canada.
Can J Anaesth. 2003 Aug-Sep;50(7):699-706. doi: 10.1007/BF03018713.
Establish an expert consensus for training in perioperative echocardiography in the province of Quebec.
Cardiac anesthesiologists practicing in the province of Quebec with expertise in echocardiography were involved in the development of a multicentre expert consensus on training in perioperative echocardiography. Guidelines for training in adult echocardiography, transesophageal echocardiography and perioperative echocardiography by the American Society of Echocardiography (ASE), the American College of Cardiology (ACC) and/or the Society of Cardiovascular Anesthesiologists (SCA) were reviewed.
A basic, advanced and director level of expertise were identified for training in perioperative echocardiography. The total number of echocardiographic examinations to achieve each of these levels of expertise remains unchanged from the 2002 ASE-SCA guidelines. However, the recommended proportion of examinations performed personally is increased in the Quebec expert consensus for both the basic and the advanced level of training to ensure proficiency in echocardiography while providing anesthesia care to the patient. A level of autonomy in perioperative echocardiography is also identified in the basic level of training as defined in the Quebec expert consensus. Maintenance of competence, certification in the perioperative transesophageal echocardiography (PTE) examination and duration of training are outlined for each of the three levels of training in the Quebec expert consensus but are not part of the recent 2002 ASE-SCA guidelines.
Adequate perioperative echocardiographic training is an important aspect of cardiovascular anesthesia. The ACC, ASE and SCA guidelines for training in echocardiography were modified to reflect the expert consensus of anesthesiologists in the province of Quebec.
建立魁北克省围手术期超声心动图培训的专家共识。
魁北克省从事超声心动图专业的心脏麻醉医生参与了围手术期超声心动图培训多中心专家共识的制定。对美国超声心动图学会（ASE）、美国心脏病学会（ACC）和/或心血管麻醉医师学会（SCA）制定的成人超声心动图、经食管超声心动图和围手术期超声心动图培训指南进行了审查。
确定了围手术期超声心动图培训的基础、高级和主任级别专业水平。达到这些专业水平所需的超声心动图检查总数与2002年ASE-SCA指南一致。然而，在魁北克专家共识中，基础和高级培训水平下个人操作检查的推荐比例有所增加，以确保在为患者提供麻醉护理的同时熟练掌握超声心动图技术。魁北克专家共识定义的基础培训水平中还确定了围手术期超声心动图的自主程度。魁北克专家共识针对三个培训级别分别概述了能力维持、围手术期经食管超声心动图（PTE）检查认证和培训时长，但这些内容并非2002年ASE-SCA最新指南的一部分。
充分的围手术期超声心动图培训是心血管麻醉的重要方面。ACC、ASE和SCA的超声心动图培训指南进行了修改，以反映魁北克省麻醉医生的专家共识。
