Research Article

Impact of a 2-Day Critical Care Ultrasound Course during Fellowship Training: A Pilot Study

Table 1

Two-day critical care ultrasound course curriculum.

Day 1
General critical care ultrasound

Didactic lectures (2 hours)
 (i) General ultrasound principles (30 minutes)
 (ii) Abdominal vasculature (30 minutes)
 (iii) Hepatobiliary/renal (30 minutes)
 (iv) FAST scan (30 minutes)
Live demonstration (15 minutes)
 Abdominal vasculature, hepatobiliary, renal, FAST scan
Hands-on rotation on live model (60 minutes)
 Abdominal vasculature, hepatobiliary, renal, FAST scan
Pathologic ultrasound simulator cases (60 minutes)
 (i) Case : ruptured abdominal aortic aneurysm
 (ii) Case : fluid overload: noncollapsible inferior vena cava
 (iii) Case : abnormal FAST scan: positive intra-abdominal free fluid
 (iv) Case : cholecystitis: thickened gallbladder wall
 (v) Case : ascites and renal calculi
Lunch break (30 minutes)
Didactic lectures (2 hours)
 (i) Pulmonary ultrasound (60 minutes)
 (ii) Deep vein thrombosis (30 minutes)
 (iii) Vascular access (30 minutes)
Live demonstration (15 minutes)
 Pulmonary, deep vein thrombosis, vascular access
Hands-on rotation on live model (60 minutes)
 Pulmonary, deep vein thrombosis, vascular access
Pathologic ultrasound simulator cases (60 minutes)
 (i) Case : right pneumothorax: absence of lung sliding
 (ii) Case : right pleural effusion
 (iii) Case : pulmonary edema: diffuse B-lines
 (iv) Case : right lower extremity DVT: noncompressible vein

Day 2
Basic critical care echocardiography

Didactic lectures (1.5 hours)
 (i) Echocardiography: technique and standard views (45 minutes)
 (ii) Common echocardiography applications (45 minutes)
Live demonstration (30 minutes)
 Demonstration of standard echocardiography views
Hands-on rotation on live model (60 minutes)
 Practice obtaining standard echocardiography views
Pathologic ultrasound simulator cases (60 minutes)
 (i) Case : pericardial effusion with no tamponade
 (ii) Case : depressed left ventricular ejection fraction
 (iii) Case : right ventricular strain
 (iv) Case : pericardial effusion with tamponade
Lunch break (30 minutes)
Didactic lectures (1.5 hours)
 (i) Valvular applications (30 minutes)
 (ii) Hemodynamics (30 minutes)
 (iii) Advanced applications and limitations (30 minutes)
Live demonstration (30 minutes)
 Hemodynamics and valvular applications
Hands-on rotation on live model (60 minutes)
 Hemodynamics: cardiac output and ejection fraction assessment
Hands-on rotation on live model (60 minutes)
 Valvular applications with use of Doppler (color, pulsed, continuous)