Expanding role of perioperative transesophageal echocardiography in the general anesthesia practice and residency training in the USA

Smith, W. Brit; Robinson, Albert R.; Janelle, Gregory M.

doi:10.1097/aco.0000000000000146

Cited by 13 publications

(13 citation statements)

References 26 publications

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“…5,11,46,47,69,73 Despite the numerous applications, great potential for patient care, and recent growth in the use of POCUS in anesthesia, there are still barriers that prevent it from being a current standard practice and challenges in establishing anesthesia-specific guidelines. Ultrasound-assisted physical examination [4][5][6] Regional anesthesia 7,8 Transthoracic echocardiography [9][10][11][12][13][14] Vascular access [15][16][17][18][19] Transesophageal echocardiography [20][21][22][23] Arterial access [24][25][26] Lung ultrasound 5,[27][28][29][30][31] Airway management [32][33][34][35][36] Volume assessment 3,5,10,37-39 Thoracentesis 15,[40][41][42][43][44] Abdominal ultrasound 37,…”

Section: Résumémentioning

confidence: 99%

Acquiring and maintaining point-of-care ultrasound (POCUS) competence for anesthesiologists

McCormick

Miller

Chen

et al. 2018

Can J Anesth/J Can Anesth

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Presently, our specialty requires consensus by expert stakeholders to address issues of competence, certification, development of standards and terminology, and the management of unexpected diagnoses. To promote POCUS competency in our discipline, we support its incorporation into anesthesiology curricula and training programs and the continuing professional development of POCUS-related activities at a national level.

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Section: Résumémentioning

confidence: 99%

Acquiring and maintaining point-of-care ultrasound (POCUS) competence for anesthesiologists

McCormick

Miller

Chen

et al. 2018

Can J Anesth/J Can Anesth

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“…The integration of basic TEE training into the residency curriculum [33] should be considered to offer the full potential of this tool to the next generation of providers [23, 34]. …”

Section: Where Are We?mentioning

confidence: 99%

POCUS in perioperative medicine: a North American perspective

Marchi

Meineri

2017

Crit Ultrasound J

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Ultrasound (US) performed at the point of care has found fertile ground in perioperative medicine. In the hands of anesthesiologists, transesophageal echocardiography (TEE) has become established as a powerful diagnostic and monitoring tool in the perioperative care of cardiac and non-cardiac patients. A number of point-of-care US (POCUS) applications are relevant to perioperative care, including airway, cardiac, lung and gastric US. Although guidelines exist to define the scope of practice for basic and advanced TEE, there remains a lack of such guidelines for perioperative point-of-care ultrasound (POCUS), despite a number of recent calls for action in the academic anesthesia community. POCUS training has been integrated into anesthesia residency curricula in Canada and the United States of America (USA). However, a nation-wide curriculum is still lacking. Many limitations to the development of perioperative POCUS curricula exist, including the need to define the scope of practice and design integrated longitudinal learning approaches. The main anesthesiologist societies in both the USA and Canada are promoting the development of guidelines and have introduced POCUS courses into their national conferences. Although bedside US imaging has been integrated into the curricula of many medical schools in North America, the need for specific national guidelines for the training and practice of POCUS in the perioperative setting by anesthesiologists is crucial to the further development of POCUS in perioperative medicine.

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“…Secondly, a hemodynamic control team would also be of value in complex hemodynamic situations. From determining the aetiology of acute hemodynamic instability with more complex tools (such as echocardiography techniques), 10 this dedicated team could also assess the best treatment in each situation (inotropic agent, red blood cell transfusion and/or fluid loading in accordance with central venous oxygen saturation or lactate clearance, beta-blocker therapeutics according to the heart's energy balance, or norepinephrine infusion). Optimizing veno-ventricular-arterial coupling is a complex task.…”

Section: Sirmentioning

confidence: 99%

Do we need a dedicated hemodynamic control team?

Fischer

Guinot

Mahjoub

et al. 2016

Acta Anaesthesiol Scand

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Expanding role of perioperative transesophageal echocardiography in the general anesthesia practice and residency training in the USA

Abstract: Transesophageal echocardiography can have many helpful uses in perioperative patient care. This study summarizes many noncardiac uses, certification, and echocardiography education for anesthesiologists.

Cited by 13 publications

References 26 publications

Acquiring and maintaining point-of-care ultrasound (POCUS) competence for anesthesiologists

Acquiring and maintaining point-of-care ultrasound (POCUS) competence for anesthesiologists

POCUS in perioperative medicine: a North American perspective

Do we need a dedicated hemodynamic control team?

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