Institutional and Individual Learning Curves for Focused Abdominal Ultrasound for Trauma

McCarter, Freda D; Luchette, Fred A.; Molloy, Mark P.; Hurst, James Willard; Davis, Kenneth; Johannigman, Jay A.; Frame, Scott B.; Fischer, Josef E.

doi:10.1097/00000658-200005000-00009

Cited by 76 publications

(63 citation statements)

References 24 publications

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“…No traumatismo abdominal verificou-se, nesta amostragem, grande predominância do sexo masculino (82,4%), à semelhança dos resultados encontrados na literatura (Riveros et al, 2003). O mesmo ocorreu com a distribuição etária dos acidentados (Cuff et al, 2000;Ribas Filho et al, 2002); outros autores apontam a quarta década como a mais frequente (McCarter et al, 2000;Kemmeter et al, 2001).…”

Section: Discussão Discussão Discussão Discussãounclassified

Caracterização dos traumas abdominais em pacientes atendidos no Hospital Universitário Regional de Maringá, 2006

Filho¹,

Pazello²,

Colferal³

et al. 2008

Acta Sci Health Sci

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Section: Discussão Discussão Discussão Discussãounclassified

Caracterização dos traumas abdominais em pacientes atendidos no Hospital Universitário Regional de Maringá, 2006

Filho¹,

Pazello²,

Colferal³

et al. 2008

Acta Sci Health Sci

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“…Training level 1 is the lowest; in this study the trained in general abdominal ultrasound were radiologists at least at EFSUMB level 2 with more than two years of experience. The learning curve for FAST has been determined in several studies and the recommended number of supervised examinations has varied between ten and one hundred (14)(15)(16)(17). To our knowledge there is no European training requirements for the FAST procedure.…”

Section: Discussionmentioning

confidence: 99%

Focused Assessment with Sonography for Trauma in Patients with Confirmed Liver Lesions

et al. 2012

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Background and Aims: the objective was to determine the sensitivity and specificity of Focused Assessment with sonography for trauma (FAst) in patients with confirmed liver lesions and also to compare results from surgeons trained in FAst with results from radiologists trained in general abdominal ultrasound as part of the specialist training. explorative laparotomy or ct served as gold standard.Materials and Methods: this retrospective study included all patients admitted to our institution from 2003 to 2010 registered with the diagnosis "injury of the liver or gallbladder". of 405 patients, 135 patients were eligible for analysis. seventy-two patients were examined by radiologists and 63 by surgeons.Results: we found FAst to have a sensitivity, specificity, ppv, and npv of 79.6%, 100%, 100%, and 68.9%. there was no statistically significant difference between FAst performed by radiologists and surgeons trained in FAst.Conclusion: FAst remains an important screening tool in abdominal trauma including liver lesions, and can be performed at a satisfactory level by surgeons trained in the FAst procedure only.

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“…CUSUM analysis was obtained for each intrapulmonary artery Doppler parameter according to elsewhere-published standard methodology [12,13,14,15,16,23,24,25] and using Excel for Windows 2010 (Microsoft Corp., Redmond, Wash., USA) statistical software. In brief, the CUSUM values are plotted on the y-axis and the number of examinations on the x-axis.…”

Section: Methodsmentioning

confidence: 99%

Learning Curve for Intrapulmonary Artery Doppler in Fetuses with Congenital Diaphragmatic Hernia

et al. 2015

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Objective: To assess the learning curve for intrapulmonary artery Doppler in fetuses with congenital diaphragmatic hernia (CDH). Methods: Three fetal medicine fellows with the theoretic knowledge, but without prior experience, in the evaluation of intrapulmonary artery Doppler in CDH fetuses were selected. Each trainee and 1 experienced explorer assessed the intrapulmonary artery in the contralateral lung to the side of the hernia for calculation of 2 Doppler parameters - pulsatility index (PI) and peak early diastolic reversed flow (PEDRF) - in a cohort of 90 consecutive CDH fetuses. The average difference between the 3 trainees and the expert was calculated. A difference below 15% was considered as accurate measurement. The average learning curve was delineated using the cumulative sum analysis (CUSUM). Results: Among the total 270 intrapulmonary artery Doppler measurements performed by the 3 trainees, the number of failed examinations was 14 (15.6%) and 16 (17.8%) for PI and PEDRF, respectively. The CUSUM plots demonstrate that the learning curve was achieved by 53 and 63 tests performed for calculations of the intrapulmonary artery PI and PEDRF, respectively. Conclusion: Competence in Doppler evaluation of the intrapulmonary artery in CDH fetuses is achieved only after intensive continuous training.

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Institutional and Individual Learning Curves for Focused Abdominal Ultrasound for Trauma

Cited by 76 publications

References 24 publications

Caracterização dos traumas abdominais em pacientes atendidos no Hospital Universitário Regional de Maringá, 2006

Caracterização dos traumas abdominais em pacientes atendidos no Hospital Universitário Regional de Maringá, 2006

Focused Assessment with Sonography for Trauma in Patients with Confirmed Liver Lesions

Learning Curve for Intrapulmonary Artery Doppler in Fetuses with Congenital Diaphragmatic Hernia

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