European Society of Intensive Care Medicine, Brussels, Belgium.
Department of Critical Care, King's College Hospital, London, UK.
Crit Care. 2020 Jul 3;24(1):393. doi: 10.1186/s13054-020-03099-8.
Critical care ultrasound (CCUS) is an essential component of intensive care practice. Although existing international guidelines have focused on training principles and determining competency in CCUS, few countries have managed to operationalize this guidance into an accessible, well-structured programme for clinicians training in multidisciplinary intensive care. We seek to update and reaffirm appropriate CCUS scope so that it may be integrated into the international Competency-based Training in Intensive Care Medicine. The resulting recommendations offer the most contemporary and evolved set of core CCUS competencies for an intensive care clinician yet described. Importantly, we discuss the rationale for inclusion but also exclusion of competencies listed.
BACKGROUND/AIM: Critical care ultrasound (CCUS) is an essential component of intensive care practice. The purpose of this consensus document is to determine those CCUS competencies that should be a mandatory part of training in multidisciplinary intensive care.
A three-round Delphi method followed by face-to-face meeting among 32 CCUS experts nominated by the European Society of Intensive Care Medicine. Agreement of at least 90% of experts was needed in order to enlist a competency as mandatory.
The final list of competencies includes 15 echocardiographic, 5 thoracic, 4 abdominal, deep vein thrombosis diagnosis and central venous access aid.
The resulting recommendations offer the most contemporary and evolved set of core CCUS competencies for an intensive care clinician yet described.
重症监护超声（CCUS）是重症监护实践的重要组成部分。尽管现有的国际指南侧重于培训原则和确定 CCUS 的能力，但很少有国家能够将这一指导意见转化为多学科重症监护临床医生可获得的、结构良好的培训计划。我们旨在更新和重申适当的 CCUS 范围，以便将其纳入基于能力的国际重症监护医学培训中。由此产生的建议为重症监护临床医生提供了迄今为止描述的最具现代性和发展性的核心 CCUS 能力集。重要的是，我们讨论了列入和排除列出的能力的理由。
背景/目的：重症监护超声（CCUS）是重症监护实践的重要组成部分。本共识文件的目的是确定应成为多学科重症监护培训强制性部分的 CCUS 能力。
由欧洲重症监护医学学会提名的 32 名 CCUS 专家进行三轮 Delphi 法，随后进行面对面会议。为了将一项能力列为强制性，需要至少 90%的专家达成一致。
最终的能力清单包括 15 项超声心动图、5 项胸部、4 项腹部、深静脉血栓形成诊断和中心静脉通路辅助。
由此产生的建议为重症监护临床医生提供了迄今为止描述的最具现代性和发展性的核心 CCUS 能力集。
