Clinical trial NCT02961439: Validation of Epworth Richmond's Echocardiography Education Focused Year
Official title: Validation of Epworth Richmond's Echocardiography Education Focused Year
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Shock, Cardiogenic
Cardiac Tamponade
Pulmonary Embolism
Hypovolemia
Lead sponsor: Epworth Healthcare
Sponsor class: OTHER
Collaborators: name: University of Melbourne
First posted: 2016-11-11
Enrollment: 252
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: OTHER
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: Registrar Participants and Patient Participant

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.


Eligibility criteria: Registrar Inclusion:

* At least 12 month appointment in Epworth Richmond ICU
* Completion of theoretical component of Epworth Richmond ICU echocardiography program
* Completion of 30 echocardiography scans

Registrar Exclusion:

• Previous experience in echocardiography prior to commencing at Epworth Richmond.

Patient Inclusion

* Patient in ICU or CCU
* 18 years or older
* Not likely to be discharged before completion of the scan

Patient Exclusion

* Likely to be discharged within next two hours
* Atrial fibrillation
* Presence of subcostal or intercostal drains or pneumothorax
* Unable to be consented
* Treating intensivist deems inclusion in study not suitable.

Primary outcomes:
measure: Agreement between registrar and expert assessment of Left ventricular (LV) function
timeFrame: Four months
Secondary outcomes:
measure: Comparison of expert and registrar quantitative measures of Left vwentricular Internal Diameter in Diastole (LVIDd)
timeFrame: Four months
measure: Comparison of expert and registrar quantitative measures of Left Ventricular Outflow Tract (LVOT) diameter
timeFrame: Four months
measure: Comparison of expert and registrar quantitative measures of Left Ventricular Outflow Tract Velocity Time Integral (LVOT VTI)
timeFrame: Four months
measure: Comparison of expert and registrar quantitative measures of TR V max
timeFrame: Four months
measure: Comparison of expert and registrar quantitative measures of Tricuspid annular Plane Systolic Excursion (TAPSE)
timeFrame: Four months
measure: Comparison of expert and registrar quantitative measures of IVC diameter
timeFrame: Four months
measure: Comparison of expert and registrar qualitative assessment of pericardial fluid
timeFrame: Four months
measure: Comparison of expert and registrar qualitative assessment of Left Ventricle : Right Ventricle size ratio
timeFrame: Four months
Other outcomes:
Locations:
city: Melbourne
country: Australia
facility: Epworth Richmond
state: Victoria
Study officials:
References:
citation: Brooks KS, Tan LH, Rozen TH, Kelly D, McKenzie DP, Calafiore P, Barrett J. Validation of Epworth Richmond's Echocardiography Education Focused Year. Crit Care Med. 2020 Jan;48(1):e34-e39. doi: 10.1097/CCM.0000000000004076.