Investigation of point-of-care transthoracic echocardiography education in perioperative anesthetic management / 基础医学与临床

ABSTRACT

Objective To investigate the need, methods and effects training on perioperative point-of-care tran-sthoracic echocardiography (POC-TTE) in anesthesiologists.Methods In 2013, forty anesthetic attendings of Pecking Union Medical College Hospital (PUMCH) had two rounds of transthoracic echocardiography(TTE) training. In the following year, six anesthetic attendings from PUMCH experienced in intraoperative transesopha-geal (TEE) were trained by cardiologists as TTE instructors. In 2015, we conducted a survey about basic TTE education prevalence and need. Based on the results of the survey, POC-TTE workshops were hosted from 2015 to 2017. The didactic lecture, simulation practice, as well as hypotension differential diagnosis were included in those workshops. Different teaching methods were tested for their effectiveness. Results A total of 95 surveys were collected. Fifteen (15.8%) participants reported their hospital had the resources for perioperative POC-TTE exams; fourteen(14.7%)reported basic knowledge about ultrasound or other images techniques. Eighty (84.2%) acknowledged a lack of understanding about perioperative TTE. Four rounds of POC-TTE work-shops were hosted by the anesthesia department of PUMCH and a total of 83 trainees participated. Sixty three participants finished all training and testing sessions. Forty eight percent of the participants voiced the need for more hand-practice opportunities, 39% suggested that training covering more basic ultrasound knowledge, 22.5% suggested more frequent training and testing. Conclusions These training methods may increas the prevalence and acceptance of perioperative POC-TTE application. It's learning outcome has positive impact on patients' prognosis.