Brain Ultrasonography Consensus on Skill Recommendations and Competence Levels Within the Critical Care Setting.
Acute brain injury
Brain ultrasound
Consensus
Delphi
Intensive care
Training
Journal
Neurocritical care
ISSN: 1556-0961
Titre abrégé: Neurocrit Care
Pays: United States
ID NLM: 101156086
Informations de publication
Date de publication:
04 2020
04 2020
Historique:
pubmed:
3
7
2019
medline:
11
2
2021
entrez:
3
7
2019
Statut:
ppublish
Résumé
To report a consensus on the different competency levels for the elaboration of skill recommendations in performing brain ultrasonography within the neurocritical care setting. Four brain ultrasound experts, supported by a methodologist, performed a preselection of indicators and skills based on the current literature and clinical expertise. An international panel of experts was recruited and subjected to web-based questionnaires according to a Delphi method presented in three separate rounds. A pre-defined threshold of agreement was established on expert subjective opinions, > 84% of votes was set to support a strong recommendation and > 68% for a weak recommendation. Below these thresholds, no recommendation reached. We defined four different skill levels (basic, basic-plus, pre-advanced, advanced). Twenty-five experts participated to the full process. After four rounds of questions, two items received a strong recommendation in the basic skill category, three in the advanced, twelve in the basic-plus, and seven in the pre-advanced. Two items in the pre-advanced category received a weak recommendation and three could not be collocated and were excluded from the list. Results from this consensus permitted stratification of the different ultrasound examination skills in four levels with progressively increasing competences. This consensus can be useful as a guide for beginners in brain ultrasonography and for the development of specific training programs within this field.
Sections du résumé
BACKGROUND
To report a consensus on the different competency levels for the elaboration of skill recommendations in performing brain ultrasonography within the neurocritical care setting.
METHODS
Four brain ultrasound experts, supported by a methodologist, performed a preselection of indicators and skills based on the current literature and clinical expertise. An international panel of experts was recruited and subjected to web-based questionnaires according to a Delphi method presented in three separate rounds. A pre-defined threshold of agreement was established on expert subjective opinions, > 84% of votes was set to support a strong recommendation and > 68% for a weak recommendation. Below these thresholds, no recommendation reached.
RESULTS
We defined four different skill levels (basic, basic-plus, pre-advanced, advanced). Twenty-five experts participated to the full process. After four rounds of questions, two items received a strong recommendation in the basic skill category, three in the advanced, twelve in the basic-plus, and seven in the pre-advanced. Two items in the pre-advanced category received a weak recommendation and three could not be collocated and were excluded from the list.
CONCLUSIONS
Results from this consensus permitted stratification of the different ultrasound examination skills in four levels with progressively increasing competences. This consensus can be useful as a guide for beginners in brain ultrasonography and for the development of specific training programs within this field.
Identifiants
pubmed: 31264072
doi: 10.1007/s12028-019-00766-9
pii: 10.1007/s12028-019-00766-9
doi:
Types de publication
Consensus Development Conference
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
502-511Investigateurs
Marcel Aries
(M)
Rafael Badenes
(R)
Judith Bellapart
(J)
Pierre Bouzat
(P)
Danilo Cardim
(D)
Andre Denault
(A)
Jamil R Dibu
(JR)
Thomas Geeraerts
(T)
Alberto Goffi
(A)
Ryan Hakim
(R)
Massimo Lamperti
(M)
Victoria McCredei
(V)
Llewellyn Padayachy
(L)
Soojin Park
(S)
Hemanshu Prabhakar
(H)
Corina Puppo
(C)
Andrea Rigamonti
(A)
Aarti Sarwal
(A)
Mypinder Sekhon
(M)
Luzius Steiner
(L)
Carol Turner
(C)
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