1
|
Krichevskiy LA, Dzybinskaya EV. Fifteen Years of Transesophageal Echocardiography in Cardiac Anesthesia in Russia. J Cardiothorac Vasc Anesth 2019; 33:3375-3382. [PMID: 31253523 DOI: 10.1053/j.jvca.2019.06.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/25/2019] [Revised: 05/24/2019] [Accepted: 06/04/2019] [Indexed: 12/16/2022]
Abstract
Transesophageal echocardiography was first introduced in Russia as a component of anesthesiology monitoring in 2003 following its successful implementation in the practice of cardiac anesthesia in the United States and Western Europe. This novel opportunity for perioperative hemodynamic evaluation was enthusiastically adopted at several cardiac surgical clinics despite the presence of critical barriers. The most important of these were the lack of certification programs for anesthesiologists, limited equipment, and a lack of understanding of the responsibility of the anesthesiologist as the coordinator of perioperative therapeutic decisions. Although intraoperative transesophageal echocardiography as a part of the anesthesiology protocol has been introduced in less than 10% of Russian cardiac surgery clinics, a group of interested anesthesiologists has formed over the last 15 years. Both the technical conditions and professional mentality of anesthesiologists need to be changed substantially for successful further development of intraoperative echocardiography. This review aims to highlight the milestones, successes, and challenges in the implementation of intraoperative echocardiography in the practice of cardiac anesthesiology in Russia, which may be interesting to a wide range of cardiac anesthesiologists.
Collapse
Affiliation(s)
- Lev A Krichevskiy
- City Clinical Hospital n.a. S.S.Yudin, Department of Health of Moscow, Department of Anesthesiology and Intensive Care, Moscow, Russia.
| | - Elena V Dzybinskaya
- National Medical Research Center of Cardiology, Ministry of Health of the Russian Federation, Department of Anesthesiology and Intensive Care, Moscow, Russia
| |
Collapse
|
2
|
Mahmood F, Matyal R, Skubas N, Montealegre-Gallegos M, Swaminathan M, Denault A, Sniecinski R, Mitchell JD, Taylor M, Haskins S, Shahul S, Oren-Grinberg A, Wouters P, Shook D, Reeves ST. Perioperative Ultrasound Training in Anesthesiology. Anesth Analg 2016; 122:1794-804. [DOI: 10.1213/ane.0000000000001134] [Citation(s) in RCA: 89] [Impact Index Per Article: 11.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
|
3
|
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; 22:1015-27. [PMID: 17036096 PMCID: PMC2568962 DOI: 10.1016/s0828-282x(06)70317-8] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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 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 and the Society of Cardiovascular Anesthesiologists guidelines. The increased proportion of examinations personally performed at basic and advanced levels, as well as the level of autonomy at the basic level suggested by the Quebec expert consensus are retained. These examinations may be performed in a perioperative setting and are not limited to intraoperative TEE. Training 'on-the-job', the role of the perioperative TEE examination, the requirements for maintenance of competence and the 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.
Collapse
Affiliation(s)
- François Béïque
- Department of Anesthesia, Sir Mortimer B Davis Jewish General Hospital, McGill University, Montreal, Quebec
- Correspondence: Dr François Béïque, Sir Mortimer B Davis Jewish General Hospital, 3755 chemin de la Côte Ste-Catherine, Montreal, Quebec H3T 1E2. Telephone 514-340-8222 ext 5701, fax 514-340-8108, e-mail
| | - Mohamed Ali
- Department of Anesthesia and Surgery, Kingston General Hospital, Queen’s University, Kingston
| | - Mark Hynes
- Department of Anesthesia and Critical Care Medicine, Ottawa Heart Institute, University of Ottawa, Ottawa, Ontario
| | - Scott MacKenzie
- Departments of Anesthesia and Medicine, St Boniface General Hospital, University of Manitoba, Winnipeg, Manitoba
| | - André Denault
- Department of Anesthesiology, Montreal Heart Institute, University of Montreal, Montreal
- Department of Medicine, Critical Care Division, Montreal Heart Institute, University of Montreal, Montreal
| | - André Martineau
- Department of Anesthesia, Quebec Heart Institute/Laval Hospital, Laval University, Quebec City, Quebec
| | - Charles MacAdams
- Department of Anesthesia, Foothills Medical Centre, University of Calgary, Calgary, Alberta
| | - Corey Sawchuk
- Department of Anesthesia, McMaster University, Hamilton, Ontario
| | - Kristine Hirsch
- Department of Anesthesia, Queen Elizabeth II Health Sciences Centre, Dalhousie University, Halifax, Nova Scotia
| | - Martin Lampa
- Department of Anesthesia, Vancouver General Hospital, University of British Columbia, Vancouver, British Columbia
| | - Patricia Murphy
- Department of Anesthesia, Toronto General Hospital, University of Toronto, Toronto, Ontario
| | - Georges Honos
- Department of Medicine, Division of Cardiology, Sir Mortimer B Davis Jewish General Hospital, McGill University, Montreal, Quebec
| | - Bradley Munt
- Department of Medicine, Division of Cardiology, St Paul’s Hospital and Providence Health Care, University of British Columbia, Vancouver, British Columbia
| | - Anthony Sanfilippo
- Department of Medicine, Kingston General Hospital Queen’s University, Kingston, Ontario
| | - Peter Duke
- Departments of Anesthesia and Surgery, Health Sciences Centre, University of Manitoba, Winnipeg, Manitoba
| |
Collapse
|
4
|
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 echocardiographyRecommendations of the Cardiovascular Section of the Canadian Anesthesiologists’ Society and the Canadian Society of Echocardiography. Can J Anaesth 2006; 53:1044-60. [PMID: 16987861 DOI: 10.1007/bf03022535] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023] Open
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.
Collapse
Affiliation(s)
- François Béïque
- SMBD Jewish General Hospital, 3755 chemin de la Côte Ste-Catherine, Montreal, Quebec H3T 1E2, Canada.
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|