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Canadian Journal of Anesthesia 50:699-706 (2003)
© Canadian Anesthesiologists' Society, 2003
Cardiothoracic Anesthesia, Respiration and Airway

Expert consensus for training in perioperative echocardiography in the province of Quebec

[Un consensus d’experts sur la formation en échocardiographie périopératoire au Québec]

François A. Béïque, MD FRCPC*, André Y. Denault, MD FRCPC{dagger}, André Martineau, MD FRCPC{ddagger}, Igal Amir, MD FRCPC*, Dany Côté, MD FRCPC{ddagger}, Jean-François Courval, MD FRCPC*, Pierre Couture, MD FRCPC{dagger}, Donald Hickey, MD FRCPC*, Caroline Goyer, MD FRCPC§, Dominic Mayrand, MD FRCPC, Bergez Mistry, MD FRCPC*, Richard Robinson, MD FRCPC||, Peter Sheridan, MD FRCPC{dagger}, Surita Sidhu, MD FRCPC§, Normand Tremblay, MD FRCPC{dagger} and Jacques Villeneuve, MD FRCPC{ddagger}

* From the Departments of Anesthesia, SMBD Jewish General Hospital,
{dagger} Montreal Heart Institute,
{ddagger} Laval Hospital,
§ Royal Victoria Hospital,
McGill and Sherbrooke Universities,
|| and the Montreal General Hospital, Montreal, Quebec, Canada.

Address correspondence to: Dr. F.A. Béïque, Department of Anesthesia, SMBD Jewish General Hospital, 3755 chemin de la Côte-Ste-Catherine, Montreal, Quebec H3T 1E2, Canada. Phone: 514-340-8222; Fax: 514-340-8108; E-mail: fbeique{at}ana.jgh.mcgill.ca

Purpose: Establish an expert consensus for training in perioperative echocardiography in the province of Quebec.

Methods: Cardiac anesthesiologists practicing in the province of Quebec with expertise in echocardiography were involved in the development of a multicentre expert consensus on training in perioperative echocardiography. Guidelines for training in adult echocardiography, transesophageal echocardiography and perioperative echocardiography by the American Society of Echocardiography (ASE), the American College of Cardiology (ACC) and/or the Society of Cardiovascular Anesthesiologists (SCA) were reviewed.

Results: A basic, advanced and director level of expertise were identified for training in perioperative echocardiography. The total number of echocardiographic examinations to achieve each of these levels of expertise remains unchanged from the 2002 ASE-SCA guidelines. However, the recommended proportion of examinations performed personally is increased in the Quebec expert consensus for both the basic and the advanced level of training to ensure proficiency in echocardiography while providing anesthesia care to the patient. A level of autonomy in perioperative echocardiography is also identified in the basic level of training as defined in the Quebec expert consensus. Maintenance of competence, certification in the perioperative transesophageal echocardiography (PTE) examination and duration of training are outlined for each of the three levels of training in the Quebec expert consensus but are not part of the recent 2002 ASE-SCA guidelines.

Conclusion: Adequate perioperative echocardiographic training is an important aspect of cardiovascular anesthesia. The ACC, ASE and SCA guidelines for training in echocardiography were modified to reflect the expert consensus of anesthesiologists in the province of Quebec.




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F. Beique, M. Ali, M. Hynes, S. MacKenzie, A. Denault, A. Martineau, C. MacAdams, C. Sawchuk, K. Hirsch, M. Lampa, et al.
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: [Lignes directrices canadiennes pour la formation en echocardiography transaesophagienne chez l'adulte Recommandations de la Section cardiovasculaire de la Societe canadienne des anesthesiologistes et de la Societe canadienne d'echocardiographie].
Can J Anesth, October 1, 2006; 53(10): 1044 - 1060.
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