DGAI-zertifizierte Seminarreihe Anästhesie Fokussierte Sonografie – Modul 5: Thorakoabdominelle Sonografie (E-FAST plus)

Röhrig, S.; Seibel, Armin; Zechner, Peter; Steigerwald, M.; Kummer, Tobias; Groesdonk, Heinrich V.; Armbruster, W; Breitkreutz, Raoul

doi:10.1055/s-0031-1297187

Cited by 20 publications

(9 citation statements)

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“…In this respect, the THOLUUSE concept proposed in this study was certified by the German Society of Ultrasound in Medicine (DEGUM) and incorporated substantially into a modular blended learning programme of the German Society of Anesthesiology and Intensive Care Medicine (DGAI) for official training in emergency and critical care medicine [31]. …”

Section: Discussionmentioning

confidence: 99%

Thorax, Trachea, and Lung Ultrasonography in Emergency and Critical Care Medicine: Assessment of an Objective Structured Training Concept

Breitkreutz

Dutiné

Scheiermann

et al. 2013

Emergency Medicine International

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Background and Study objective. Focused lung ultrasound (LUS) examinations are important tools in critical care medicine. There is evidence that LUS can be used for the detection of acute thoracic lesions. However, no validated training method is available. The goal of this study was to develop and assess an objective structured clinical examination (OSCE) curriculum for focused thorax, trachea, and lung ultrasound in emergency and critical care medicine (THOLUUSE). Methods. 39 trainees underwent a one-day training course in a prospective educational study, including lectures in sonoanatomy and -pathology of the thorax, case presentations, and hands-on training. Trainees' pre- and posttest performances were assessed by multiple choice questionnaires, visual perception tests by interpretation video clips, practical performance of LUS, and identification of specific ultrasound findings. Results. Trainees postcourse scores of correct MCQ answers increased from 56 ± 4% to 82 ± 2% (mean± SD; P < 0.001); visual perception skills increased from 54 ± 5% to 78 ± 3% (P < 0.001); practical ultrasound skills improved, and correct LUS was performed in 94%. Subgroup analysis revealed that learning success was independent from the trainees' previous ultrasound experience. Conclusions. THOLUUSE significantly improves theoretical and practical skills for the diagnosis of acute thoracic lesions. We propose to implement THOLUUSE in emergency medicine training.

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Section: Discussionmentioning

confidence: 99%

Thorax, Trachea, and Lung Ultrasonography in Emergency and Critical Care Medicine: Assessment of an Objective Structured Training Concept

Breitkreutz

Dutiné

Scheiermann

et al. 2013

Emergency Medicine International

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“…E-FAST combines teaching of free intraabdominal fluid recognition with ultrasonographic assessment of the thorax and trachea [5-7]. FEEL courses focus on the basics of focused emergency echocardiography [8,9].…”

Section: Introductionmentioning

confidence: 99%

Analysis of trainees' memory after classroom presentations of didactical ultrasound courses

Hempel

Stenger²,

Orto

et al. 2014

Crit Ultrasound J

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BackgroundEmergency ultrasound is gaining importance in medical education. Widespread teaching methods are frontal presentations and hands-on training. The primary goal of our study was to evaluate the impact of frontal presentations (PS) by analysis of retained knowledge rate (RKR) and learning load (LL).MethodsOur study was conducted during four introductory courses in emergency ultrasound covering Extended Focused Assessment with Sonography for Trauma (E-FAST) and Focused Echocardiography Evaluation in Life Support (FEEL). Standardized PS (length of 10 to 50 min) were presented by experienced trainers, who were asked to provide keywords, key messages, and images and assign a score to each. Group 1 consisted of 11 medical students with no prior ultrasound experience, and group 2 consisted of 80 physicians. Each group was audience to seven to eight standard PS and requested to answer a free text questionnaire after 0 h, 2.5 h, 24 h, and 14 days.ResultsIn group 1, 168/176 questionnaires were analyzed, and 161/202 were analyzed in group 2. RKR in group 1 was 32.5%, 15%, 16%, and 12% at 0 h, 2.5 h, 24 h, and 2 weeks. The physicians' RKR were 23%, 20.5%, and 22.4% after 0, 2.5, and 24 h of a respective PS. The LL was 1.6/min for students and 1.2/min for physicians. There was no difference in RKR when comparing PS with higher and lower LL for both groups; shorter or case-based PS were associated with a higher RKR (p < 0.01).ConclusionsOur study provides evidence that only a limited amount of information can be processed at a time. Only 12% of knowledge is retained after 2 weeks. Presentations of short duration can increase the retained knowledge rate. Therefore, frontal presentations and classroom-based ultrasound training and teaching should be adapted.

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“…Diese Arbeiten stellen die Grundlage für die erste internationale Konsensuskonferenz zur Lungensonographie dar, deren Ergebnisse kürzlich publiziert wurden [25]. Im neuen modularen Training "Anästhesie Fokussierte Sonografie" (AFS) der Deutschen Gesellschaft für Anästhesie und Intensivmedizin (DGAI) ist die Lungensonographie Bestandteil als AFS-Modul 5 für die Fortund Weiterbildung geworden [24]. Der vorliegende Beitrag vermittelt die Grundlagen der Lungensonographie, erklärt typische sonographische Befunde der wichtigsten Krankheitsbilder und zeigt Einsatzgebiete sowie Limitationen auf.…”

Section: Lungensonographie In Der Akut- Und Intensivmedizinunclassified

“…"Extended-FAST plus" (FAST-Untersuchung einschließlich Pneumothoraxdiagnostik und Lungensonographie bei kritisch Kranken; "E-FAST plus") liegt mit einem "blended learning" (Kombination aus Präsenzlehre und E-Learning) entlang eines definierten Curriculums als Ausbildungssystem über die Thorax-, Trachea-und Lungensonographie für die Akut-und Intensivmedizin vor [24].…”

Section: Hinweis Zur Ausbildungunclassified

“…Weiterhin können so Diagnose-und Therapieintervalle verkürzt werden. Daher sollten diese Kenntnisse zum Ausbildungsstandard jedes Akut-und Intensivmediziners gehören [24]. Unter der Internetadresse http://www.ak-ultraschall.dgai.de finden sich weitere Informationen über das neue modulare Kurssystem "Anästhesie Fokussierte Sonografie" der DGAI.…”

Section: Hinweis Zur Ausbildungunclassified

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Lungensonographie in der Akut- und Intensivmedizin

et al. 2012

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The development of modern critical care lung ultrasound is based on the classical representation of anatomical structures and the need for the assessment of specific sonography artefacts and phenomena. The air and fluid content of the lungs is interpreted using few typical artefacts and phenomena, with which the most important differential diagnoses can be made. According to a recent international consensus conference these include lung sliding, lung pulse, B-lines, lung point, reverberation artefacts, subpleural consolidations and intrapleural fluid collections. An increased number of B-lines is an unspecific sign for an increased quantity of fluid in the lungs resembling interstitial syndromes, for example in the case of cardiogenic pulmonary edema or lung contusion. In the diagnosis of interstitial syndromes lung ultrasound provides higher diagnostic accuracy (95%) than auscultation (55%) and chest radiography (72%). Diagnosis of pneumonia and pulmonary embolism can be achieved at the bedside by evaluating subpleural lung consolidations. Detection of lung sliding can help to detect asymmetrical ventilation and allows the exclusion of a pneumothorax. Ultrasound-based diagnosis of pneumothorax is superior to supine anterior chest radiography: for ultrasound the sensitivity is 92-100% and the specificity 91-100%. For the diagnosis of pneumothorax a simple algorithm was therefore designed: in the presence of lung sliding, lung pulse or B-lines, pneumothorax can be ruled out, in contrast a positive lung point is a highly specific sign of the presence of pneumothorax. Furthermore, lung ultrasound allows not only diagnosis of pleural effusion with significantly higher sensitivity than chest x-ray but also visual control in ultrasound-guided thoracocentesis.

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DGAI-zertifizierte Seminarreihe Anästhesie Fokussierte Sonografie – Modul 5: Thorakoabdominelle Sonografie (E-FAST plus)

Cited by 20 publications

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Thorax, Trachea, and Lung Ultrasonography in Emergency and Critical Care Medicine: Assessment of an Objective Structured Training Concept

Thorax, Trachea, and Lung Ultrasonography in Emergency and Critical Care Medicine: Assessment of an Objective Structured Training Concept

Analysis of trainees' memory after classroom presentations of didactical ultrasound courses

Lungensonographie in der Akut- und Intensivmedizin

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