Critical Care Ultrasound Education

Part of the Respiratory Medicine book series (RM)


As the use of goal-directed ultrasound becomes widespread in the ICU, properly educating and training providers is crucial to ensuring quality care. The continued development of effective standardized program requirements and curriculums is very important, as is further developing and defining issues of certification and accreditation. All educational efforts should incorporate a variety of different modalities, including web-based curriculums, didactic training, the use of medical simulation, and image review by teachers experienced in critical care ultrasound. Ongoing review processes should be in place to ensure continued quality.


Critical Care Right Ventricle Didactic Training Emergency Medicine Resident Critical Care Echocardiography 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Huang SJ, McLean AS. Do we need a critical care ultrasound certification program? Implications from an Australian medical-legal perspective. Crit Care. 2010;14(3):313.CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    Lau G, Swanevelder J. Echocardiography in intensive care–where we are heading? Anaesthesia. 2011;66(8):649–52.CrossRefPubMedGoogle Scholar
  3. 3.
    Bennett S. Training guidelines for ultrasound: worldwide trends. Best Pract Res Clin Anaesthesiol. 2009;23(3):363–73.CrossRefPubMedGoogle Scholar
  4. 4.
    Marik PE, Mayo P. Certification and training in critical care ultrasound. Intensive Care Med. 2008;34(2):215–7.CrossRefPubMedGoogle Scholar
  5. 5.
    Beaulieu Y. Specific skill set and goals of focused echocardiography for critical care clinicians. Crit Care Med. 2007;35(5 Suppl):S144–9.CrossRefPubMedGoogle Scholar
  6. 6.
    Vieillard-Baron A, Slama M, Cholley B, Janvier G, Vignon P. Echocardiography in the intensive care unit: from evolution to revolution? Intensive Care Med. 2008;34(2):243–9.CrossRefPubMedGoogle Scholar
  7. 7.
    Price S, Via G, Sloth E, Guarracino F, Breitkreutz R, Catena E, et al. Echocardiography practice, training and accreditation in the intensive care: document for the World Interactive Network Focused on Critical Ultrasound (WINFOCUS). Cardiovasc Ultrasound. 2008;6:49.CrossRefPubMedPubMedCentralGoogle Scholar
  8. 8.
    International expert statement on training standards for critical care ultrasonography. Intensive Care Med. 2011;37(7):1077–83Google Scholar
  9. 9.
    Mayo PH, Beaulieu Y, Doelken P, Feller-Kopman D, Harrod C, Kaplan A, et al. American College of Chest Physicians/La Societe de Reanimation de Langue Francaise statement on competence in critical care ultrasonography. Chest. 2009;135(4):1050–60.CrossRefPubMedGoogle Scholar
  10. 10.
    McLean A, Yastrebov K. Echocardiography training for the intensivist. Crit Care Resusc. 2007;9(4):319–22.PubMedGoogle Scholar
  11. 11.
    WINFOCUS. USCMC Certification. 2014. Available from: Accessed 18 Feb 2014.
  12. 12.
    Neri L, Storti E, Lichtenstein D. Toward an ultrasound curriculum for critical care medicine. Crit Care Med. 2007;35(5 Suppl):S290–304.CrossRefPubMedGoogle Scholar
  13. 13.
    Accreditation Council for Graduate Medical Education A. ACGME Program Requirements for Graduate Medical Education in Critical Care Medicine. 2012. Available from: Accessed 9 Apr 2014.
  14. 14.
    American College of Graduate Medical Education A. ACGME Program Requirements for Graduate Medical Education in Emergency Medicine. 2013. Available at: Accessed 13 May 2014.
  15. 15.
    Akhtar S, Theodoro D, Gaspari R, Tayal V, Sierzenski P, Lamantia J, et al. Resident training in emergency ultrasound: consensus recommendations from the 2008 Council of Emergency Medicine Residency Directors Conference. Acad Emerg Med. 2009;16 Suppl 2:S32–6.CrossRefPubMedGoogle Scholar
  16. 16.
    Jang TB, Ruggeri W, Dyne P, Kaji AH. Learning curve of emergency physicians using emergency bedside sonography for symptomatic first-trimester pregnancy. J Ultrasound Med. 2010;29(10):1423–8.CrossRefPubMedGoogle Scholar
  17. 17.
    Gaspari RJ, Dickman E, Blehar D. Learning curve of bedside ultrasound of the gallbladder. J Emerg Med. 2009;37(1):51–6.CrossRefPubMedGoogle Scholar
  18. 18.
    Kory PD, Pellecchia CM, Shiloh AL, Mayo PH, DiBello C, Koenig S. Accuracy of ultrasonography performed by critical care physicians for the diagnosis of DVT. Chest. 2011;139(3):538–42.CrossRefPubMedGoogle Scholar
  19. 19.
    Crisp JG, Lovato LM, Jang TB. Compression ultrasonography of the lower extremity with portable vascular ultrasonography can accurately detect deep venous thrombosis in the emergency department. Ann Emerg Med. 2010;56(6):601–10.CrossRefPubMedGoogle Scholar
  20. 20.
    Davis DP, Campbell CJ, Poste JC, Ma G. The association between operator confidence and accuracy of ultrasonography performed by novice emergency physicians. J Emerg Med. 2005;29(3):259–64.CrossRefPubMedGoogle Scholar
  21. 21.
    Sekiguchi H, Bhagra A, Gajic O, Kashani KB. A general critical care ultrasonography workshop: results of a novel web-based learning program combined with simulation-based hands-on training. J Crit Care. 2013;28(2):217.e7–12.CrossRefGoogle Scholar
  22. 22.
    Bose RR, Matyal R, Warraich HJ, Summers J, Subramaniam B, Mitchell J, et al. Utility of a transesophageal echocardiographic simulator as a teaching tool. J Cardiothorac Vasc Anesth. 2011;25(2):212–5.CrossRefPubMedGoogle Scholar
  23. 23.
    Sekiguchi H, Tokita JE, Minami T, Eisen LA, Mayo PH, Narasimhan M. A prerotational, simulation-based workshop improves the safety of central venous catheter insertion: results of a successful internal medicine house staff training program. Chest. 2011;140(3):652–8.CrossRefPubMedGoogle Scholar
  24. 24.
    Shakil O, Mahmood F, Matyal R. Simulation in echocardiography: an ever-expanding frontier. J Cardiothorac Vasc Anesth. 2012;26(3):476–85.CrossRefPubMedGoogle Scholar
  25. 25.
    Mahler SA, Swoboda TK, Wang H, Arnold TC. Dedicated emergency department ultrasound rotation improves residents’ ultrasound knowledge and interpretation skills. J Emerg Med. 2012;43(1):129–33.CrossRefPubMedGoogle Scholar
  26. 26.
    Mazraeshahi RM, Farmer JC, Porembka DT. A suggested curriculum in echocardiography for critical care physicians. Crit Care Med. 2007;35(8 Suppl):S431–3.CrossRefPubMedGoogle Scholar
  27. 27.
    Eisen LA, Leung S, Gallagher AE, Kvetan V. Barriers to ultrasound training in critical care medicine fellowships: a survey of program directors. Crit Care Med. 2010;38(10):1978–83.CrossRefPubMedGoogle Scholar
  28. 28.
    Lamperti M, Bodenham AR, Pittiruti M, Blaivas M, Augoustides JG, Elbarbary M, et al. International evidence-based recommendations on ultrasound-guided vascular access. Intensive Care Med. 2012;38(7):1105–17.CrossRefPubMedGoogle Scholar
  29. 29.
    Noble VE, Lamhaut L, Capp R, Bosson N, Liteplo A, Marx JS, et al. Evaluation of a thoracic ultrasound training module for the detection of pneumothorax and pulmonary edema by prehospital physician care providers. BMC Med Educ. 2009;9:3.CrossRefPubMedPubMedCentralGoogle Scholar
  30. 30.
    Melamed R, Sprenkle MD, Ulstad VK, Herzog CA, Leatherman JW. Assessment of left ventricular function by intensivists using hand-held echocardiography. Chest. 2009;135(6):1416–20.CrossRefPubMedGoogle Scholar
  31. 31.
    Vignon P, Dugard A, Abraham J, Belcour D, Gondran G, Pepino F, et al. Focused training for goal-oriented hand-held echocardiography performed by noncardiologist residents in the intensive care unit. Intensive Care Med. 2007;33(10):1795–9.CrossRefPubMedGoogle Scholar
  32. 32.
    Vignon P, Mucke F, Bellec F, Marin B, Croce J, Brouqui T, et al. Basic critical care echocardiography: validation of a curriculum dedicated to noncardiologist residents. Crit Care Med. 2011;39(4):636–42.CrossRefPubMedGoogle Scholar
  33. 33.
    Jones AE, Tayal VS, Kline JA. Focused training of emergency medicine residents in goal-directed echocardiography: a prospective study. Acad Emerg Med. 2003;10(10):1054–8.CrossRefPubMedGoogle Scholar
  34. 34.
    Royse CF, Haji DL, Faris JG, Veltman MG, Kumar A, Royse AG. Evaluation of the interpretative skills of participants of a limited transthoracic echocardiography training course (H.A.R.T.scan course). Anaesth Intensive Care. 2012;40(3):498–504.PubMedGoogle Scholar
  35. 35.
    Peng YG, Janelle GM. Emergent limited perioperative transesophageal echocardiography: should new guidelines exist for limited echocardiography training for anesthesiologists? Front Med. 2012;6(3):332–7.CrossRefPubMedGoogle Scholar
  36. 36.
    Poelaert J, Mayo P. Education and evaluation of knowledge and skills in echocardiography: how should we organize? Intensive Care Med. 2007;33(10):1684–6.CrossRefPubMedGoogle Scholar
  37. 37.
    Kaplan A, Mayo PH. Echocardiography performed by the pulmonary/critical care medicine physician. Chest. 2009;135(2):529–35.CrossRefPubMedGoogle Scholar
  38. 38.
    Moore CL, Gregg S, Lambert M. Performance, training, quality assurance, and reimbursement of emergency physician-performed ultrasonography at academic medical centers. J Ultrasound Med. 2004;23(4):459–66.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Division of Pulmonary, Critical Care and Sleep MedicineWarren Alpert Medical School of Brown University, Miriam Hospital and Rhode Island HospitalProvidenceUSA
  2. 2.Department of Emergency MedicineWarren Alpert Medical School of Brown University, Miriam Hospital and Rhode Island HospitalProvidenceUSA

Personalised recommendations