Vetsuisse Faculty, Equine Department, University of Zurich, Zurich, Switzerland.
J Vet Intern Med. 2022 Jul;36(4):1471-1480. doi: 10.1111/jvim.16446. Epub 2022 Jun 3.
Focused cardiac ultrasound examination (FoCUS) is rapidly emerging for point-of-care cardiac assessment using hand-carried ultrasound (HCU) devices. A specific FoCUS protocol for horses and adequate training guidelines currently are not available.
To gain knowledge about the training necessary to become proficient in performing FoCUS using a HCU device.
Three healthy Warmblood horses were used for practical training of veterinarians and veterinary students in equine focused cardiac ultrasound (eFoCUS).
Prospective educational study. An eFoCUS protocol and 1-day training course were developed. Pre- and post-course written tests were administered to participants to evaluate proficiency in knowledge of echocardiography and echocardiographic pathology. A post-course practical examination involved performing eFoCUS and storage of representative images. Images were evaluated using an image quality score and compared between participants with some practical experience and participants with no practical experience.
Participants' knowledge of echocardiography increased significantly. Recognition of echocardiographic pathology pre-course ranged from 40% to 90% (mean score, 65.7%) and post-course from 85% to 100% (mean score, 92%). Eighteen of 21 participants were proficient in performing eFoCUS with a median image quality score of 79% (range, 42%-95%). Image quality did not differ between participants with some practical experience compared to participants with no experience.
Veterinarians and veterinary students independent of previous experience can become proficient in performing eFoCUS after completion of a 1-day training course.
使用手持式超声（HCU）设备进行即时心脏评估的焦点心脏超声检查（FoCUS）正在迅速发展。目前尚无针对马的特定 FoCUS 协议和足够的培训指南。
了解使用 HCU 设备熟练进行 FoCUS 操作所需的培训。
三只健康的温血马被用于兽医和兽医学生的马焦点心脏超声（eFoCUS）的实际培训。
前瞻性教育研究。制定了 eFoCUS 协议和 1 天培训课程。在课程开始前和结束后向参与者进行书面测试，以评估他们对超声心动图和超声心动图病理学知识的熟练程度。课程结束后的实际考试包括进行 eFoCUS 和存储有代表性的图像。使用图像质量评分评估图像，并在具有一些实践经验的参与者和没有实践经验的参与者之间进行比较。
参与者对超声心动图的了解显著增加。课程前对超声心动图病理学的识别率从 40%到 90%（平均分数为 65.7%），课程后从 85%到 100%（平均分数为 92%）。18 名 21 名参与者在进行 eFoCUS 时表现出熟练程度，中位数图像质量评分为 79%（范围为 42%-95%）。具有一些实践经验的参与者与没有经验的参与者的图像质量没有差异。
兽医和兽医学生在完成 1 天的培训课程后，可以独立于以前的经验，熟练掌握 eFoCUS 的操作。
