From the Department of Anesthesiology, Virginia Mason Medical Center, Seattle, Washington; Umeå University Anesthesiology and Intensive Care Medicine, Umeå, Sweden; Department of Anesthesiology, Stanford University School of Medicine, Palo Alto, California; Department of Anesthesiology, Mayo Clinic, Rochester, Minnesota; Department of Anesthesiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania; Department of Anesthesiology and Perioperative Medicine, Oregon Health and Science University, Portland, Oregon; Department of Anesthesiology and Critical Care, Johns Hopkins University School of Medicine, Baltimore, Maryland; Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, Washington; Department of Anesthesiology and Critical Care, Vanderbilt University School of Medicine, Nashville, Tennessee; and Department of Anesthesiology, Washington University School of Medicine, St. Louis, Missouri.
Anesth Analg. 2015 May;120(5):1041-1053. doi: 10.1213/ANE.0000000000000652.
In this review, we define learning goals and recommend competencies concerning focused basic critical care ultrasound (CCUS) for critical care specialists in training.
The narrative review is, and the recommendations contained herein are, sponsored by the Society of Critical Care Anesthesiologists. Our recommendations are based on a structured literature review by an expert panel of anesthesiology intensivists and cardiologists with formal training in ultrasound. Published descriptions of learning and training routines from anesthesia-critical care and other specialties were identified and considered. Sections were written by groups with special expertise, with dissent included in the text.
Learning goals and objectives were identified for achieving competence in the use of CCUS at a specialist level (critical care fellowship training) for diagnosis and monitoring of vital organ dysfunction in the critical care environment. The ultrasound examination was divided into vascular, abdominal, thoracic, and cardiac components. For each component, learning goals and specific skills were presented. Suggestions for teaching and training methods were described.
Immediate bedside availability of ultrasound resources can dramatically improve the ability of critical care physicians to care for critically ill patients. Anesthesia--critical care medicine training should have definitive expectations and performance standards for basic CCUS interpretation by anesthesiology--critical care specialists. The learning goals in this review reflect current trends in the multispecialty critical care environment where ultrasound-based diagnostic strategies are already frequently applied. These competencies should be formally taught as part of an established anesthesiology-critical care medicine graduate medical education programs.
在这篇综述中，我们为培训中的重症监护专家定义了有关重点基础重症监护超声（CCUS）的学习目标和推荐能力。
这是一篇叙述性综述，其中包含的建议由重症监护麻醉师协会赞助。我们的建议基于麻醉学重症监护医师和心脏病专家的专家小组对超声的结构化文献回顾。确定并考虑了来自麻醉-重症监护和其他专业的描述学习和培训常规的已发表描述。由具有特殊专业知识的小组撰写章节，并在正文中包含不同意见。
确定了在重症监护环境中使用 CCUS 进行诊断和监测重要器官功能障碍的专家水平（重症监护研究员培训）的学习目标和目标。超声检查分为血管、腹部、胸部和心脏部分。对于每个部分，都提出了学习目标和具体技能。描述了教学和培训方法的建议。
即时床边提供超声资源可以极大地提高重症监护医生照顾重症患者的能力。麻醉-重症监护医学培训应该对麻醉学-重症监护专家进行基本 CCUS 解读有明确的期望和绩效标准。本综述中的学习目标反映了多专业重症监护环境中的当前趋势，其中基于超声的诊断策略已经经常应用。这些能力应该作为既定麻醉学-重症监护医学研究生医学教育计划的一部分进行正式教授。
