Validation of Epworth Richmond's Echocardiography Education Focused Year

Completed

• Conditions: Hypovolemia; Cardiac Tamponade; Shock, Cardiogenic; Pulmonary Embolism
• Interventions: Behavioral: Epworth Richmond's Echocardiography Focused Year

• Registration Number: NCT02961439
• Lead Sponsor: Epworth Healthcare

Brief Summary

The use of echocardiography in intensive care is a developing field. In expert hands echocardiography has proven its utility in diagnosing cardiac pathology, differentiating shock states and in haemodynamic monitoring. However, whether the results obtained by experts can be generalized to trainees or specialists with limited training remains unclear. Further, concerns around training time and cost for intensive care staff have been a factor in limiting the uptake of echocardiography in intensive care.

The investigators aim to assess the diagnostic accuracy of Australian ICU doctors in training after completion of the current minimum training. After completing a structured teaching program and 30 mentored training scans trainees will be assessed on their accuracy with echocardiography. In the research phase trainees will complete a further 40 scans with each one matched with an expect scan. The results from the expert and trainee scans will be compared to determine the trainee's accuracy.

Detailed Description

Not available

Study Timeline

• Study Start: 2016-11
• Study First Submitted: 2016-11-03
• Study First Submitted QC: 2016-11-08
• Study First Posted: 2016-11-11
• Primary Completion: 2017-05-01
• Study Completion: 2017-05-01
• Status Verified: 2017-08
• Last Update Submitted: 2017-08-09
• Last Update Posted: 2017-08-10

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 252

Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Registrar Participants	Epworth Richmond's Echocardiography Focused Year	Registrar participants are doctors in training in ICU. They have completed a formal echo teaching program and completed a logbook of 30 supervised scans. They are the focus of the research and are being assessed on their diagnostic accuracy with echocardiography.

Primary Outcome Measures

Name	Time	Method
Agreement between registrar and expert assessment of Left ventricular (LV) function	Four months

Secondary Outcome Measures

Name	Time	Method
Comparison of expert and registrar qualitative assessment of pericardial fluid	Four months
Comparison of expert and registrar quantitative measures of Left Ventricular Outflow Tract Velocity Time Integral (LVOT VTI)	Four months
Comparison of expert and registrar quantitative measures of Tricuspid annular Plane Systolic Excursion (TAPSE)	Four months
Comparison of expert and registrar qualitative assessment of Left Ventricle : Right Ventricle size ratio	Four months
Comparison of expert and registrar quantitative measures of Left vwentricular Internal Diameter in Diastole (LVIDd)	Four months
Comparison of expert and registrar quantitative measures of Left Ventricular Outflow Tract (LVOT) diameter	Four months
Comparison of expert and registrar quantitative measures of TR V max	Four months
Comparison of expert and registrar quantitative measures of IVC diameter	Four months

Trial Locations

Locations (1)

Epworth Richmond; 🇦🇺 Melbourne, Victoria, Australia