Therapeutic impact of basic critical care echocardiography performed by residents after limited training
Authors' conclusion
A limited training program aiming at acquiring the basic level in critical care echocardiography enables ICU residents novice in ultrasonography to propose therapeutic interventions with a good-to-excellent agreement with experienced operators.
Study context
- Population
- Adults with acute circulatory and/or respiratory failure requiring TTE in a medical-surgical ICU3-year period
- Participants
- 244 adults
- Exposure
- Residents vs Experts
- Outcome
- Agreement between therapeutic proposals of residents and experts
Methodological detailssingle-centre, independent paired examinations in random order
- Single-centre
- Independent paired examinations in random order
Main finding
As reported in the abstract
Fluid loading, inotrope or vasopressor support: Kappa (all)
> 0.80
Negative fluid balance indication: Kappa (95% CI 0.50-0.80), moderate
0.65
Diuretics proposed, Residents: 23 patients
9.5%
Diuretics proposed, Experts: 35 patients
14.4%
Observational data: associations, not effects.
Secondary outcomes
Agreement of responses to simple clinical questions
- Good-to-excellent
Ventricular and inferior vena cava size measurements
- Intraclass correlation coefficient exceeded
- 0.75
Original publication
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