More Than Basic Echo (MTWBE) - Advanced Level

This course goes deeper in heart echo and all clinical scenario encountered in emergency department, ICU and operating theatre; it’s especially directed to best manage more advanced problems, like valvular assessment during acute disease, diastolic dysfunction assessment in ICU, how to manage more complex clinical scenario (multiple shock) with the use of ultrasound. This course has been created to increase the practical sessions in which all participants can practically will discuss about practical management of hard situations and commons echocardiographic pitfalls, increasing the experience in the use of echocardiography in own personal clinical setting.

WE SUGGEST

Indicated for: Indicated for:

Anesthesiology

Intensive Care Medicine

Emergency Medicine

Internal Medicine

Surgery

Pediatrics

HOT INSTRUCTION - MTWBE

  • 3 Workstations (A1,A2,A3)
  • 5 hours and 1/2 of practical works
  • 3 rounds
    • HOT 1 = first day (120 min)
    • HOT 2 = first day (90 min)
    • HOT 3 = second day (120 min)
  • 3 Groups (3-4 people for each)
  • Rotation
    • HOT 1 = every 40 min
    • HOT 2 = every 30 min
    • HOT 3 = every 40 min
  • Healty models, laptop, simulations

 

PRACTICAL TOPICS & TRAINERS

HOT 1 Session (Day 1)

WORKST 1 – LV pathological findings: 1ST station
Each trainee should obtain on a healthy volunteer adequate Left Ventricular anatomy (parasternals views) and function. Comment technique, adequacy of image and visualized structures. Recognize the view, judging quality of the image, indicating the visualized structure and describing why the findings are consistent with normality (revision on how to rule out chronic cardiac disease). A final interpretation of the probable diagnosis should be provided.

WORKST 2 – LV pathological findings: 2ND station
Each trainee should obtain on a healthy volunteer adequate Left Ventricular anatomy (apicals views) and function (eye-balling technique, Simpson biplane). Comment technique, adequacy of image and visualized structures. Recognize the view, judging quality of the image, indicating the visualized structure and describing why the findings are consistent with normality (revision on how to rule out chronic cardiac disease).

WORKST 3 – RV pathological findings
Each trainee should obtain on a healthy volunteer adequate Right Ventricular anatomy (A4Ch view) and function (FAC, TAPSE, PAPs, etc…). Comment technique, adequacy of image and visualized structures.

HOT 2 Session (Day 1)

WORKST 1 – Cardiac Output: aortic VTI
Each trainee should obtain on a healthy volunteer adequate aortic VTI. Comment technique, adequacy of image and visualized structures. Calculate the Cardiac Output according to pre-defined aortic valve surface. Comment common pitfalls and tips.

WORKST 2 – Cardiac Output: Aortic Valve Surface
Each trainee should obtain on a healthy volunteer adequate aortic valve surface. Comment technique, adequacy of image and visualized structures. Calculate the Cardiac Output according to pre-defined aortic VTI. Comment common pitfalls and tips.

WORKST 3 – Ultrasound fluid-assessment
Each trainee should obtain on a healthy volunteer adequate IVC measurement. Evaluate the fluid-responsiveness according to M-mode pattern. Comment technique, adequacy of image and visualized structures. Comment common pitfalls and tips.

HOT 3 Session (Day 2)

WORKST 1 – LV diastolic function: trans-mitral PW
Each trainee should obtain on a healthy volunteer adequate Left Ventricular diastolic function (morphological view, trans-mitral Doppler). Comment technique, adequacy of image and visualized structures. Recognize the view, judging quality of the image, indicating the visualized structure and describing why the findings are consistent with normality (revision on how to rule out chronic cardiac disease).

WORKST 2 – LV diastolic function: TDI
Each trainee should obtain on a healthy volunteer adequate Left Ventricular diastolic function (morphological view, TDI). Comment technique, adequacy of image and visualized structures. Recognize the view, judging quality of the image, indicating the visualized structure and describing why the findings are consistent with normality (revision on how to rule out chronic cardiac disease).

WORKST 3 – Mitral and Aortic valve evaluation
Each trainee should obtain on a healthy volunteer adequate Mitral Valve evaluation (A4Ch, A2Ch, A3Ch, PSAX, PLAX). Comment technique, adequacy of image and visualized structures. Recognize the view, judging quality of the image, indicating the visualized structure and describing why the findings are consistent with normality (revision on how to rule out chronic cardiac disease).