Abstract
Purpose
To establish Canadian guidelines for training in adult perioperative transesophageal echocardiography (TEE).
Methods
Guidelines were established by the Canadian Perioperative Echocardiography Group with the support of the cardiovascular section of the Canadian Anesthesiologists’ Society (CAS) in conjunction with the Canadian Society of Echocardiography.
Guidelines for training in echocardiography by the American Society of Echocardiography, the American College of Cardiology and the Society of Cardiovascular Anesthesiologists were reviewed, modified and expanded to produce the 2003 Quebec expert consensus for training in perioperative echocardiography. The Quebec expert consensus and the 2005 Guidelines for the provision of echocardiography in Canada formed the basis of the Canadian training guidelines in adult perioperative TEE.
Results
Basic, advanced and director levels of expertise were identified. The total number of echocardiographic examinations to achieve each level of expertise remains unchanged from the 2002 American Society of Echocardiography-Society of Cardiovascular Anesthesiologists guidelines. The increased proportion of examinations personally performed at basic and advanced levels, and the level of autonomy at the basic level suggested by the Quebec expert consensus are retained. These examinations can be performed in a perioperative setting and are not limited to intraoperative TEE. Training “on the job”, the role of the perioperative transesophageal echocardiography examination, requirements for maintenance of competence, and duration of training are also discussed for each level of training. The components of a TEE report and comprehensive TEE examination are also outlined.
Conclusion
The Canadian guidelines for training in adult perioperative TEE reflect the unique Canadian practice profile in perioperative TEE and address the training requirements to obtain expertise in this field.
Résumé
Objectif
Établir des lignes directrices canadiennes pour la formation à l’échocardiographie transœsophagienne (ETO) chez l’adulte.
Méthode
Les lignes directrices ont été établies par le Groupe canadien sur l’échocardiographie périopératoire, appuyé par la section cardiovasculaire de la Société canadienne des anesthésio-logistes (SCA) conjointement avec la Société canadienne d’écho-cardiographie. Nous avons passé en revue, modifié et développé les lignes directrices de l’American Society of Echocardiography, l’American College of Cardiology et la Society of Cardiovascular Anesthesiologists pour en arriver au consensus d’experts du Québec en 2003 sur la formation en échocardiographie périopératoire. Le consensus d’experts du Québec et les lignes directrices de 2005 sur l’utilisation de l’échocardiographie au Canada ont formé la base des lignes directrices de la formation canadiennes en ETO périopératoire chez l’adulte.
Résultats
Les niveaux de compétence élémentaire, avancé et supérieur ont été déterminés. Le nombre total d’examens d’échocardiographie nécessaires pour atteindre chaque niveau de compétence est demeuré inchangé depuis les lignes directrices de 2002 de l’American Society of Echocardiography-Society of Cardiovascular Anesthesiologists. Nous avons conservé le nombre croissant d’examens réalisés personnellement aux niveaux élémentaire et avancé et le degré d’autonomie au niveau élémentaire suggérés par le consensus d’experts québécois. Ces examens peuvent être réalisés dans un contexte périopératoire et ne sont pas limités à l’ETO peropératoire. La formation «en milieu de travail», le rôle de l’examen d’échocardiographie transœsophagienne périopératoire, les exigences du maintien de la compétence et la durée de la formation sont aussi discutées pour chaque niveau de formation. La composante d’un rapport d’ETO et l’examen d’ETO détaillé sont décris des Guidelines for the Provision of Echocardiography in Canada.
Conclusion
Les lignes directrices canadiennes pour la formation à l’ETO périopératoire chez l’adulte représentent le profil particulier de la pratique canadienne en ETO périopératoire et traitent des exigences nécessaires pour acquérir des compétences dans le domaine.
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Competing interests: None declared.
This article is published concurrently in theCanadian Journal of Anesthesia and the Canadian Journal of Cardiology, with the express agreement of the Editors of both journals.
An erratum to this article is available at http://dx.doi.org/10.1007/BF03021596.
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Béïque, F., Ali, M., Hynes, M. et al. Canadian guidelines for training in adult perioperative transesophageal echocardiographyRecommendations of the Cardiovascular Section of the Canadian Anesthesiologists’ Society and the Canadian Society of Echocardiography . Can J Anesth 53, 1044–1060 (2006). https://doi.org/10.1007/BF03022535
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DOI: https://doi.org/10.1007/BF03022535