Utilization of echocardiography in Intensive Care Units: results of an online survey in Germany

被引:8
|
作者
Balzer, Felix [1 ,2 ]
Trauzeddel, Ralf F. [1 ,2 ]
Ertmer, Martin [1 ,2 ]
Erb, Joachim [3 ]
Heringlake, Matthias [4 ]
Groesdonk, Heinrich, V [5 ]
Goepfert, Matthias [6 ]
Reuter, Daniel A. [7 ]
Sander, Michael [8 ]
Treskatsch, Sascha [1 ,2 ]
机构
[1] Univ Med Berlin, Dept Anesthesiol & Intens Care Med, Campus Charite Mitte,Charitepl 1, D-10117 Berlin, Germany
[2] Univ Med Berlin, Campus Virchow Klinikum Charite, Berlin, Germany
[3] Univ Hosp Basel, Dept Anesthesia Surg Intens Care Prehosp Emergenc, Basel, Switzerland
[4] Univ Hosp Schleswig Holstein, Dept Anesthesiol & Intens Care Med, Lubeck, Germany
[5] Saarland Univ, Med Ctr, Dept Anesthesiol Intens Care Med & Pain Therapy, Fac Med, Homburg, Germany
[6] Klinikum Passau, Dept Anesthesiol & Intens Care Med, Passau, Germany
[7] Univ Med Ctr Rostock, Dept Anesthesiol & Intens Care Med, Rostock, Germany
[8] Univ Hosp Giessen, Dept Anesthesiol Intens Care Med & Pain Therapy, Giessen, Germany
关键词
Echocardiography; Intensive Care Units; Hemodynamics; Education; CARDIAC-SURGERY PATIENTS; TRANSTHORACIC ECHOCARDIOGRAPHY; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; SEPTIC SHOCK; GUIDELINES; MANAGEMENT; ANESTHESIOLOGISTS; FEASIBILITY; ICU;
D O I
10.23736/S0375-9393.18.12657-5
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
BACKGROUND: In patients with hemodynamic instability echocardiography has been recommended as the preferred modality to evaluate the underlying pathophysiology. However, due to the fact that recent scientific data on the utilization of echocardiography in German Intensive Care Units (ICU) are scarce, we sought to investigate current practice. METHODS: A structured, web-based, anonymized survey was performed from May until July 2015 among members of the German Interdisciplinary Association of Critical Care and Emergency Medicine (DIVI) consisting of 14 questions. Descriptive data analysis was performed. RESULTS : One hundred four intensivists participated in the survey. Two-thirds of participants (66%) used echocardiography regularly for hemodynamic monitoring and stated that it changed the therapy in 26-50% of the cases irrespective of the time performed after ordering the examination. Transthoracic (TTE) were more frequently used than transesophageal (TEE) examinations. Twenty-six percent of the participants held an echocardiography certificate with a formal examination, 27% completed a structured training without an examination and almost half of the questioned ICU personnel (47%) did not complete a comprehensive training. CONCLUSIONS: The results of this survey demonstrate a widespread utilization of echocardiography as part of routine diagnostic on frequent number of operative ICUs. However, there might be a lack of structured echocardiographic training especially for anesthesiologists.
引用
收藏
页码:263 / 270
页数:8
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