Training Surgical Residents for Ultrasound-Guided Assessment and Management of Unstable Patients

Mahmood, Faraz; Bortman, Jeffrey; Amir, Rabia; Mitchell, John D.; Wong, Vanessa; Feng, Ruby; Gao, Zhifeng; Amador, Yannis; Montealegre-Gallegos, Mario; Kent, Tara S.; Matyal, Robina

doi:10.1016/j.jsurg.2018.09.005

Cited by 5 publications

(7 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A multimodal education program on Simplified Algorithm for Evaluation of Perioperative Hypoxia and Hypotension (SALVATION) protocol is devised to impart baseline knowledge and develop workflow and motor skills for practical application of this approach. A similar approach to prior courses developed by the authors' team [31][32][33] for multidisciplinary groups and present in prior literature [34][35][36] can be utilized to gain knowledge via online web-based interactive modules followed by the workflow and motor skills hands-on practice on haptic, mixed-reality simulators to achieve a level of proficiency in this specific approach. This innovative teaching program offers educational training without any risk to the patient or consequences of failure (the lack of need for long-duration in-person training, enabling perioperative physicians to learn new protocols while upholding social distancing policy).…”

Section: Training Modelmentioning

confidence: 99%

“…Previously, the authors successfully have trained surgical residents using the similar approach for ultrasound-guided evaluation of hemodynamic instability. 33 The target audience of the SALVATION training program includes multidisciplinary perioperative clinicians at multiple levels of training (midlevel providers, medical students, residents, and attending physicians). The authors have incorporated the SALVATION training, along with the education on portable ultrasound probe such as the Butterfly iQ handheld probe (Butterfly Network, Inc, Guilford, CT) and VScan Extend handheld ultrasound dual probe (GE Healthcare, Chicago, IL).…”

Section: Training Modelmentioning

confidence: 99%

See 1 more Smart Citation

Simplified Algorithm for Evaluation of Perioperative Hypoxia and Hypotension (SALVATION): A Practical Echo-guided Approach Proposal

Fatima

Amador

Walsh

et al. 2021

Journal of Cardiothoracic and Vascular Anesthesia

Self Cite

View full text Add to dashboard Cite

Despite the valuable use of modern applications of perioperative ultrasound across multiple disciplines, there have been limitations to its implementation, restricting its impact on patient-based clinical outcomes. Point-of-care ultrasound evaluation of hypoxia and hypotension is an important tool to assess the underlying undifferentiated etiologies in a timely manner. However, there is a lack of consensus on the formal role of ultrasound during evaluation of perioperative hypoxia or hypotension. The previous ultrasound algorithms have adopted a complex technique that possibly ignore the pathophysiologic mechanisms underlying the conditions presenting in a similar fashion. The authors here propose a simple, sequential and focused multiorgan approach, applicable for the evaluation of perioperative hypotension and hypoxia in emergency scenarios. The authors believe this approach will enhance the care provided in the postanesthesia care unit, operating room, and intensive care unit.

show abstract

Section: Training Modelmentioning

confidence: 99%

Section: Training Modelmentioning

confidence: 99%

Simplified Algorithm for Evaluation of Perioperative Hypoxia and Hypotension (SALVATION): A Practical Echo-guided Approach Proposal

Fatima

Amador

Walsh

et al. 2021

Journal of Cardiothoracic and Vascular Anesthesia

Self Cite

View full text Add to dashboard Cite

show abstract

“…As described in chapter 6 and in the literature several educational programs on lung and cardiac ultrasonography have been developed. 53 Point-of-care ultrasound should be implemented in the curriculum of the medical student to prepare the physician of the future. An impressive nine-year investigation on effectiveness of point-of-care ultrasound education for medical students showed promising results.…”

Section: Less Than 50% Of the Critical Remote Mews Episodes Detected With Continuous Remote Monitoring Are Witnessed By Nurses With Routimentioning

confidence: 99%

Continuous remote monitoring to detect critical early warning scores in patients after abdominal surgery

Touw¹

2019

http://isrctn.com/

View full text Add to dashboard Cite

Link to publication in VU Research Portal citation for published version (APA)Touw, H. R. W. (2019). Continuous remote monitoring and point-of-care lung ultrasound to detect clinical deterioration and postoperative complications. General rightsCopyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.• Users may download and print one copy of any publication from the public portal for the purpose of private study or research. • You may not further distribute the material or use it for any profit-making activity or commercial gain • You may freely distribute the URL identifying the publication in the public portal ? Contents Chapter 1 10 General introduction Chapter 2 27Postanesthesia care by remote monitoring of vital signs in surgical wards Chapter 3 43Continuous remote monitoring to detect critical early warning scores in patients after abdominal surgery Chapter 4 65Continuous remote monitoring to detect critical early warning scores after intensive care unit discharge: an explorative observational study Chapter 5 83Photoplethysmography respiratory rate monitoring in patients receiving procedural sedation and analgesia for upper gastrointestinal endoscopy Chapter 6 101Lung ultrasound: routine practice for the next generation of internists Chapter 7 119Lung ultrasound: the need of an adequate training for next generation of internists.Letter to the editor from Trovato and Musumeci Response to the letter to the editor Chapter 8 123Diagnostic accuracy of chest radiograph, and when concomitantly studied lung ultrasound, in critically Ill patients with respiratory symptoms: a systematic review and meta-analysis Chapter 9Lung ultrasound compared with chest X-ray in diagnosing postoperative pulmonary complications following cardiothoracic surgery: a prospective observational study Chapter 10Ultrasound for detecting postoperative pulmonary complications.Letter to the editor from Rivett and Broughton Response to the letter to the editor Chapter 11Routine lung ultrasound to detect postoperative pulmonary complications following major abdominal surgery: a prospective observational feasibility study Chapter 12General conclusions, discussion and future perspectives English summaryNederlandse samenvatting List of publications Dankwoord BiographyChapter 1 General introduction Perioperative careMore than 230 million surgical procedures are undertaken worldwide each year, with more than 15 million procedures in the Netherlands. 1,2 Fortunately, the mortality risk for patients undergoing surgery have decreased tremendously due to improved management of perioperative patients. 3 In particular, the Netherlands is one of the safest countries in the world for patients to be operated, with an estimated total perioperative mortality of up to 2%. 2,4 Recently, the preoperative score to predict postoperative mortalit...

show abstract

“…Despite the obvious advantages of sonography, this had led to minimal opportunities of ultrasound training or inexperience in ultrasound for most of the surgical residencies during their training period. Therefore, the implementation of a formal and well-established training program in bedside ultrasonography is important for surgical residents [12,13].…”

Section: Introductionmentioning

confidence: 99%

Focused Bedside Ultrasound Training Program for Surgical Residents in the Intensive Care Unit of Tertiary hospital

Kim

2022

Indian J Surg

View full text Add to dashboard Cite

Bedside ultrasound has become one of the most important noninvasive and readily available diagnostic tools for critically ill patients. However, the current ultrasound training program for surgical residents is not standardized and is mostly unavailable to all surgical residents equally. Herein, we evaluated the effectiveness of the new training program in bedside ultrasound for surgical residents. Postgraduate residents (years 1 to 4) from the department of general surgery in a tertiary hospital attended the newly designed, 8-week ultrasound training course at the surgical intensive care unit. Didactic and experimental lectures about basic ultrasound physics and machine usage were delivered, followed by daily hands-on training to actual patients. Each participant documented their ultrasound findings and completed a self-assessment survey of ultrasound skills using the Likert scale. A total of 44 residents were enrolled, and only 36.4% of them were previously exposed to bedside ultrasound experience. Following the completion of the training course, the proficiency levels and the objective structured assessment of ultrasound skill scores showed significant improvement in every element (P < 0.001). The mean differences in pre- and post-course scores between post-graduate years and post hoc analysis revealed that the post-graduate year 2 group showed a higher improvement in most elements. Whether or not residents had previous experience with ultrasound, the significant improvement was seen in post-course scores. The knowledge and confidence of surgical residents in bedside ultrasound could be improved after our short training curriculum. Such education should be encouraged for all surgical residents to enhance their competency in performing bedside ultrasounds and use in managing critically ill patients.

show abstract

Training Surgical Residents for Ultrasound-Guided Assessment and Management of Unstable Patients

Cited by 5 publications

References 11 publications

Simplified Algorithm for Evaluation of Perioperative Hypoxia and Hypotension (SALVATION): A Practical Echo-guided Approach Proposal

Simplified Algorithm for Evaluation of Perioperative Hypoxia and Hypotension (SALVATION): A Practical Echo-guided Approach Proposal

Continuous remote monitoring to detect critical early warning scores in patients after abdominal surgery

Focused Bedside Ultrasound Training Program for Surgical Residents in the Intensive Care Unit of Tertiary hospital

Contact Info

Product

Resources

About