, Volume 34, Issue 2, pp 215-217
Date: 09 Nov 2007

Certification and training in critical care ultrasound

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Sir: We congratulate Vieillard-Baron and colleagues for their excellent article on echocardiography in the ICU featured in this edition of Intensive Care Medicine [1]. They present a strong and convincing argument in favor of using echocardiography as the primary modality for the initial and ongoing assessment of hemodynamic failure in the ICU. Backed by a comprehensive reference list, the article proposes that intensivists should be the care providers who perform, interpret, and apply echocardiography at the bedside of the critically ill patient. Cardiologists are not necessarily well equipped to fulfill this responsibility for several reasons; these include delay in performance of the study, the logistics in performing serial studies, inadequate knowledge of the complex clinical situation, and a mindset that is different from the intensivist in terms of the goals of the study. The article is of special interest to intensivists in North America, as it describes the European experience

Conflict of interest: The authors have no financial interest in any of the products mentioned in this paper.
Funding: None
This editorial refers to the article available at: http://dx.doi.org/10.1007/s00134-007-0923-5.