Essential training steps to achieving competency in the basic intraoperative transesophageal echocardiography examination for Chinese anesthesiologists

Yong G. Peng , Haibo Song , E. Wang , Weipeng Wang , Jin Liu

Front. Med. ›› 2015, Vol. 9 ›› Issue (1) : 123 -128.

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Front. Med. ›› 2015, Vol. 9 ›› Issue (1) : 123 -128. DOI: 10.1007/s11684-014-0366-7
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Essential training steps to achieving competency in the basic intraoperative transesophageal echocardiography examination for Chinese anesthesiologists

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Abstract

Guidelines for the intraoperative transesophageal echocardiography (TEE) examination have defined a detailed standard for medical professionals, particularly anesthesiologists, on how a TEE exam should proceed. Over the years, TEE has gained substantial popularity and emerged as a preferred monitoring modality to aid in perioperative management and decision making during hemodynamic instability situations or critical care settings. TEE training pathways and practice guidelines have been well established in western countries and many regions of the world. However, TEE training and practice information for anesthesiologists are lacking in China. As innovative technologies develop, other educational models have emerged to aid in obtaining competency in basic TEE exam. Hence, establishing a consensus on the ideal TEE training approach for anesthesiologists in China is urgently needed. Developing an effective curriculum that can be incorporated into an anesthesiology resident’s overall training is also necessary to provide knowledge and skills toward competency in basic TEE exam. With evolving medical system reforms and increasing demands for intraoperative hemodynamic monitoring to accommodate surgical innovations, anesthesiology professionals are increasingly obliged to perform intraoperative TEE exams in their current and future practices. To overcome obstacles and achieve significant progress in using the TEE modality to help in intraoperative management and surgical decision making, publishing basic TEE training guidelines for China’s anesthesiologists is an important endeavor.

Keywords

transesophageal echocardiography / guidelines / training / competency

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Yong G. Peng, Haibo Song, E. Wang, Weipeng Wang, Jin Liu. Essential training steps to achieving competency in the basic intraoperative transesophageal echocardiography examination for Chinese anesthesiologists. Front. Med., 2015, 9(1): 123-128 DOI:10.1007/s11684-014-0366-7

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References

[1]

Shanewise JS, Cheung AT, Aronson S, Stewart WJ, Weiss RL, Mark JB, Savage RM, Sears-Rogan P, Mathew JP, Quiñones MA, Cahalan MK, Savino JS. ASE/SCA guidelines for performing a comprehensive intraoperative multiplane transesophageal echocardiography examination: recommendations of the American Society of Echocardiography Council for Intraoperative Echocardiography and the Society of Cardiovascular Anesthesiologists Task Force for Certification in Perioperative Transesophageal Echocardiography. Anesth Analg 1999; 89(4): 870−884

[2]

Cahalan MK, Stewart W, Pearlman A, Goldman M, Sears-Rogan P, Abel M, Russell I, Shanewise J, Troianos C; Society of Cardiovascular Anesthesiologists; American Society of Echocardiography Task Force. American Society of Echocardiography and Society of Cardiovascular Anesthesiologists task force guidelines for training in perioperative echocardiography. J Am Soc Echocardiogr 2002; 15(6): 647−652

[3]

Mathew JP, Glas K, Troianos CA, Sears-Rogan P, Savage R, Shanewise J, Kisslo J, Aronson S, Shernan S; American Society of Echocardiography; Society of Cardiovascular Anesthesiologists. American Society of Echocardiography/Society of Cardiovascular Anesthesiologists recommendations and guidelines for continuous quality improvement in perioperative echocardiography. J Am Soc Echocardiogr 2006; 19(11): 1303−1313

[4]

Peng YG, Janelle GM. Emergent limited perioperative transesophageal echocardiography: should new guidelines exist for limited echocardiography training for anesthesiologists? Front Med 2012; 6(3): 332−337

[5]

American Society of Anesthesiologists and Society of Cardiovascular Anesthesiologists Task Force on Transesophageal Echocardiography;Collaborators (12): Thys DM, Brooker RF, Cahalan MK, Connis RT, Duke PG, Nickinovich DG, Reeves ST, Rozner MA, Russell IA, Streckenbach SC, Sears-Rogan P, Stewart WJ. Practice guidelines for perioperative transesophageal echocardiography. An updated report by the American Society of Anesthesiologists and the Society of Cardiovascular Anesthesiologists Task Force on Transesophageal Echocardiography. Anesthesiology 2010; 112(5): 1084−1096

[6]

Reeves ST, Finley AC, Skubas NJ, Swaminathan M, Whitley WS, Glas KE, Hahn RT, Shanewise JS, Adams MS, Shernan SK; Council on Perioperative Echocardiography of the American Society of Echocardiography; Society of Cardiovascular Anesthesiologists. Basic perioperative transesophageal echocardiography examination: a consensus statement of the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists. J Am Soc Echocardiogr 2013; 26: 443−456

[7]

Smith WB, Janelle GM. Chapter 30: Training and certification for transesophageal echocardiography. In: Reich DL, Fisher G. Perioperative Transesophageal Echocardiography: A Companion to Kaplan's Cardiac Anesthesia Expert Consult. St. Louis, MO: Saunders, 2013

[8]

Cardiovascular Section of the Canadian Anesthesiologists' Society1; Canadian Society of Echocardiography, Béïque F, Ali M, Hynes M, Mackenzie S, Denault A, Martineau A, MacAdams C, Sawchuk C, Hirsch K, Lampa M, Murphy P, Honos G, Munt B, Sanfilippo A, Duke P. Canadian guidelines for training in adult perioperative transesophageal echocardiography. Recommendations of the Cardiovascular Section of the Canadian Anesthesiologists’ Society and the Canadian Society of Echocardiography. Can J Cardiol 2006; 22(12): 1015−1027

[9]

Shanewise J. Chapter 26. In: Mattew JP, Swaminathan M, Ayoub C. Clinical Manual and Review of Transesophageal Echocardiography. 2nd edition. New York: McGraw Hill, 2010: 559−564

[10]

European Society of Cardiology/European Association of Echocardiography. Adult transesophageal echocardiography.

[11]

Australian and New Zealand College of Anaesthetists. PS46 Recommendations for training and practice of diagnostic perioperative transoesophageal echocardiography in adults.

[12]

Royse C. It is time to embrace clinical ultrasound and echocardiography into anesthesiology practice. J Anesth Clinic Res 2013; 4(03): e111

[13]

Asian Society of Cardiovascular Anesthesiologists. Annual meeting material. Singapore. 2013-4-October

[14]

Wood M, Grichnik K. Chapter 27. In: Mattew JP, Swaminathan M, Ayoub C. Clinical Manual and Review of Transesophageal Echocardiography. 2nd edition. New York: McGraw Hill, 2010: 565−570

[15]

Miller JP, Lambert AS, Shapiro WA, Russell IA, Schiller NB, Cahalan MK. The adequacy of basic intraoperative transesophageal echocardiography performed by experienced anesthesiologists. Anesth Analg 2001; 92(5): 1103−1110

[16]

Ultrasonography. Fundamentals in critical care.

[17]

Liu F, Song HB, Zuo YX, Liu J. “Seeing is Believing”: visualized technology in anesthesia and intensive care” in Chengdu, China. Anesth Analg 2011; 113(1): 207−208

[18]

Song H, Peng YG, Liu J. Innovative transesophageal echocardiography training and competency assessment for Chinese anesthesiologists: role of transesophageal echocardiography simulation training. Curr Opin Anaesthesiol 2012; 25(6): 686−691

[19]

Ferrero NA, Bortsov AV, Arora H, Martinelli SM, Kolarczyk LM, Teeter EC, Zvara DA, Kumar PA. Simulator training enhances resident performance in transesophageal echocardiography. Anesthesiology 2014; 120(1): 149−159

[20]

Hahn RT, Abraham T, Adams MS, Bruce CJ, Glas KE, Lang RM, Reeves ST, Shanewise JS, Siu SC, Stewart W, Picard MH. Guidelines for performing a comprehensive transesophageal echocardiographic examination: recommendations from the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists. J Am Soc Echocardiogr 2013; 26(9): 921−964

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