Recommendations for core critical care ultrasound competencies as a part of specialist training in multidisciplinary intensive care: a framework proposed by the European Society of Intensive Care Medicine (ESICM)
Adrian Wong,
Laura Galarza,
Lui Forni,
Daniel De Backer,
Michael Slama,
Bernard Cholley,
Paul Mayo,
Anthony McLean,
Antoine Vieillard-Baron,
Daniel Lichtenstein,
Giovanni Volpicelli,
Robert Arntfield,
Ignacio Martin-Loeches,
Gizella Melania Istrate,
František Duška,
on behalf of ESICM Critical Care Ultrasound Group
Affiliations
Adrian Wong
European Society of Intensive Care Medicine
Laura Galarza
European Society of Intensive Care Medicine
Lui Forni
European Society of Intensive Care Medicine
Daniel De Backer
Department of Intensive Care, CHIREC Hospitals, Université Libre de Bruxelles
Michael Slama
Medical Intensive Care, DRIME department in University Hospital of Amiens
Bernard Cholley
Service d’Anesthésie-Réanimation, Hôspital Européen Georges Pompidou, AP-HP
Paul Mayo
Division of Pulmonary, Critical Care, and Sleep Medicine, Northshore/Long Island Jewish Medical Centers, Northwell Health
Anthony McLean
Department of Intensive Care Medicine, Nepean Hospital, University of Sydney
Antoine Vieillard-Baron
Unit of Medical-Surgical Intensive Care, Ambroise Paré University Hospital, Assistance Publique-Hôpitaux de Paris
Daniel Lichtenstein
Medical Intensive Care Unit, Hospital Ambroise-Paré (AP-HP), Boulogne (Paris-Ouest university)
Giovanni Volpicelli
Department of Emergency Medicine, San Luigi Gonzaga University Hospital
Robert Arntfield
Division of Critical Care, Department of Medicine, Western University London
Abstract Critical care ultrasound (CCUS) is an essential component of intensive care practice. Although existing international guidelines have focused on training principles and determining competency in CCUS, few countries have managed to operationalize this guidance into an accessible, well-structured programme for clinicians training in multidisciplinary intensive care. We seek to update and reaffirm appropriate CCUS scope so that it may be integrated into the international Competency-based Training in Intensive Care Medicine. The resulting recommendations offer the most contemporary and evolved set of core CCUS competencies for an intensive care clinician yet described. Importantly, we discuss the rationale for inclusion but also exclusion of competencies listed. Background/aim Critical care ultrasound (CCUS) is an essential component of intensive care practice. The purpose of this consensus document is to determine those CCUS competencies that should be a mandatory part of training in multidisciplinary intensive care. Methods A three-round Delphi method followed by face-to-face meeting among 32 CCUS experts nominated by the European Society of Intensive Care Medicine. Agreement of at least 90% of experts was needed in order to enlist a competency as mandatory. Results The final list of competencies includes 15 echocardiographic, 5 thoracic, 4 abdominal, deep vein thrombosis diagnosis and central venous access aid. Conclusion The resulting recommendations offer the most contemporary and evolved set of core CCUS competencies for an intensive care clinician yet described.
