聚焦的横食管TOE (fTOE):一个新的认证途径
Antonio Rubino1, Marcus Peck2, Ashley Miller3
1Royal Papworth Hospital NHS Foundation Trust, Cambridge, Cambridgeshire, UK.
Journal of the Intensive Care Society
|October 16, 2023
概括
针对性 transoesophageal echo (fTOE) 培训现在可用于急性护理从业人员诊断血液动力学不稳定. 这种认证途径为快速患者评估和干预提供了宝贵的技能扩展.
科学领域:
- 关键护理医学 关键护理医学
- 心血管成像 - 心血管成像
- 医学教育 医学教育
背景情况:
- 护理点超声波 (POCUS) 与胸前协议有助于血液动力学不稳定性的管理.
- 在特定患者群体中,跨食管回声心电图 (TOE) 与跨胸部扫描相比具有优势.
- 胸前超声波的局限性包括肥胖,胸部创伤和气道压力为正.
研究的目的:
- 为急性护理从业人员引入聚焦性食管外回声 (fTOE) 认证途径.
- 使非心脏病学家能够使用专注的TOE识别出血动力学不稳定的原因.
- 扩大用于管理血动力学不稳定的患者的诊断能力.
主要方法:
- 密集护理协会 (ICS) 和麻醉师协会 (AA) 在2022年推出了fTOE认证.
- 培训包括理论模块,临床案例和多选题.
- 认证需要50个fTOE考试的日志,涵盖各种病理,以及最终的实践评估.
主要成果:
- fTOE途径为诊断血液动力学不稳定提供了必要的信息.
- 与综合计划相比,集中TOE培训可以在较短的时间内实现.
- 认证需要持续的医学教育来保持能力.
结论:
- fTOE认证是ICS和AA的联合倡议,由ACTACC认可.
- 该途径为急性护理从业人员提供了血液动力学评估的高级技能.
- fTOE代表了重症患者管理的重大进步.
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