Special article
Diploma on Ultrasound training and competency for Intensive Care and Emergency Medicine: Consensus document of the Spanish Society of Anesthesia (SEDAR), Spanish Society of Internal Medicine (SEMI) and Spanish Society of Emergency Medicine (SEMES)
Documento de consenso de la Sociedad Española de Anestesiología y Reanimación (SEDAR), Sociedad Española de Medicina Interna (SEMI) y Sociedad Española de Medicina de Urgencias y Emergencias (SEMES) para la definición de competencias mínimas de ecografía en Cuidados Intensivos y Urgencias y la obtención del Diploma acreditativo
M. Vivesa,d,
, A. Hernándeze, A.D. Gonzálezf, J. Torresg,b, P. Cuestah, T. Villeni,c, P. Carmonaj, D. Nagorek, M. Sernal, U. Bengoetxeam, X. Borratn, G. García de Casasolao,b, E. Sánchezp, R. Campoq, J. Mercadala,r, on behalf of the Intensive Care Ultrasound Working Group of the Spanish Society of Anesthesiology and Resuscitation (SEDAR) of the Spanish Society of Internal Medicine (SEMI) and the Spanish Society of Emergency Medicines (SEMES)
Corresponding author
a Co-director del grupo de trabajo de Ecografía Clínica en Cuidados Intensivos de la SEDAR, Spain
b Co-director del grupo de trabajo de Ecografía Clínica de la SEMI, Spain
c Director del grupo de trabajo de Ecografía Clínica de la SEMES, Spain
d Servicio de Anestesia y Reanimación, Hospital Universitario de Girona Dr. J. Trueta. Universidad de Girona, Girona, Spain
e Servicio de Anestesia y Reanimación, Grupo Policlínica, Ibiza, Spain
f Servicio de Anestesia y Reanimación, Clínica Universidad de Navarra, Pamplona, Spain
g Servicio de Medicina Interna, Hospital Universitario Infanta Cristina Parla, Madrid, Spain
h Servicio de Anestesia y Reanimación, Hospital Universitario de Albacete, Albacete, Spain
i Servicio de Urgencias, Hospital Universitario La Paz, Madrid, Spain
j Servicio de Anestesia y Reanimación, Hospital Universitario La Fe, Valencia, Spain
k Department of Anaesthesia & Intensive Care, Barts Heart Center. Barts Health NHS Trust, London, United Kingdom
l Servicio de Anestesia y Reanimación, Hospital Universitario de Denia, Denia, Alicante, Spain
m Servicio de Anestesia y Reanimación, Hospital de Urduliz, Bilbao, Spain
n Servicio de Anestesia y Reanimación, Hospital Clínic de Barcelona, Barcelona, Spain
o Servicio de Medicina Interna, Hospital Universitario Infanta Cristina. Parla, Madrid, Spain
p Servicio de Anestesia y Reanimación, Hospital Gregorio Marañón, Madrid, Spain
q Servicio de Urgencias, Hospital Santa Bárbara de Puertollano, Ciudad Real, Spain
r Servicio de Anestesia y Reanimación, Hospital Clinic de Barcelona, Barcelona, Spain
Ver másRead
6
Timeswas read the article
3
Total PDF
3
Total HTML
Share statistics
array:24 [ "pii" => "S2341192921000500" "issn" => "23411929" "doi" => "10.1016/j.redare.2020.06.013" "estado" => "S300" "fechaPublicacion" => "2021-03-01" "aid" => "1221" "copyright" => "Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor" "copyrightAnyo" => "2020" "documento" => "article" "crossmark" => 1 "subdocumento" => "fla" "cita" => "Revista Española de Anestesiología y Reanimación (English Version). 2021;68:143-8" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0034935620302267" "issn" => "00349356" "doi" => "10.1016/j.redar.2020.06.020" "estado" => "S300" "fechaPublicacion" => "2021-03-01" "aid" => "1221" "copyright" => "Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor" "documento" => "article" "crossmark" => 1 "subdocumento" => "fla" "cita" => "Rev Esp Anestesiol Reanim. 2021;68:143-8" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "es" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Artículo especial</span>" "titulo" => "Documento de consenso de la Sociedad Española de Anestesiología y Reanimación (SEDAR), Sociedad Española de Medicina Interna (SEMI) y Sociedad Española de Medicina de Urgencias y Emergencias (SEMES) para la definición de competencias mínimas de ecografía en Cuidados Intensivos y Urgencias y la obtención del Diploma acreditativo" "tienePdf" => "es" "tieneTextoCompleto" => "es" "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "143" "paginaFinal" => "148" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Diploma on Ultrasound training and competency for Intensive Care and Emergency Medicine: Consensus document of the Spanish Society of Anesthesia (SEDAR), Spanish Society of Internal Medicine (SEMI) and Spanish Society of Emergency Medicine (SEMES)" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figura 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 344 "Ancho" => 1000 "Tamanyo" => 25660 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Diferentes tipos de sondas ecográficas. Cada una transmite a una frecuencia determinada. Imagen cedida por General Electric Group.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M. Vives, A. Hernández, A.D. González, J. Torres, P. Cuesta, T. Villen, P. Carmona, D. Nagore, M. Serna, U. Bengoetxea, X. Borrat, G. García de Casasola, E. Sánchez, R. Campo, J. Mercadal" "autores" => array:17 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "Vives" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Hernández" ] 2 => array:2 [ "nombre" => "A.D." "apellidos" => "González" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Torres" ] 4 => array:2 [ "nombre" => "P." "apellidos" => "Cuesta" ] 5 => array:2 [ "nombre" => "T." "apellidos" => "Villen" ] 6 => array:2 [ "nombre" => "P." "apellidos" => "Carmona" ] 7 => array:2 [ "nombre" => "D." "apellidos" => "Nagore" ] 8 => array:2 [ "nombre" => "M." "apellidos" => "Serna" ] 9 => array:2 [ "nombre" => "U." "apellidos" => "Bengoetxea" ] 10 => array:2 [ "nombre" => "X." "apellidos" => "Borrat" ] 11 => array:2 [ "nombre" => "G." "apellidos" => "García de Casasola" ] 12 => array:2 [ "nombre" => "E." "apellidos" => "Sánchez" ] 13 => array:2 [ "nombre" => "R." "apellidos" => "Campo" ] 14 => array:2 [ "nombre" => "J." "apellidos" => "Mercadal" ] 15 => array:1 [ "colaborador" => "en representación del Grupo de trabajo de Ecografía Clínica en Cuidados Intensivos de la SEDAR" ] 16 => array:1 [ "colaborador" => "grupo de trabajo de Ecografía Clínica de la SEMI y grupo de trabajo de Ecografía de la SEMES" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2341192921000500" "doi" => "10.1016/j.redare.2020.06.013" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341192921000500?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0034935620302267?idApp=UINPBA00004N" "url" => "/00349356/0000006800000003/v2_202105300535/S0034935620302267/v2_202105300535/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S2341192921000329" "issn" => "23411929" "doi" => "10.1016/j.redare.2021.03.001" "estado" => "S300" "fechaPublicacion" => "2021-03-01" "aid" => "1132" "copyright" => "Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor" "documento" => "article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Revista Española de Anestesiología y Reanimación (English Version). 2021;68:149-52" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case report</span>" "titulo" => "Anaesthetic management of transoral endoscopic thyroidectomy. A case report" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "149" "paginaFinal" => "152" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Manejo anestésico de la tiroidectomía endoscópica transoral. Reporte de un caso" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1200 "Ancho" => 900 "Tamanyo" => 131335 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Scars produced by trocars.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M. Bermúdez-Triano, G. Fernández-Castellano, R. Guerrero-Domínguez, J.L. López-Romero, I. Benítez-Linero" "autores" => array:5 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "Bermúdez-Triano" ] 1 => array:2 [ "nombre" => "G." "apellidos" => "Fernández-Castellano" ] 2 => array:2 [ "nombre" => "R." "apellidos" => "Guerrero-Domínguez" ] 3 => array:2 [ "nombre" => "J.L." "apellidos" => "López-Romero" ] 4 => array:2 [ "nombre" => "I." "apellidos" => "Benítez-Linero" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0034935620300670" "doi" => "10.1016/j.redar.2020.01.018" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0034935620300670?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341192921000329?idApp=UINPBA00004N" "url" => "/23411929/0000006800000003/v1_202104020743/S2341192921000329/v1_202104020743/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2341192921000494" "issn" => "23411929" "doi" => "10.1016/j.redare.2020.06.012" "estado" => "S300" "fechaPublicacion" => "2021-03-01" "aid" => "1200" "copyright" => "Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Revista Española de Anestesiología y Reanimación (English Version). 2021;68:137-42" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Brief Report</span>" "titulo" => "Perioperative diaphragm point-of-care ultrasound as a prediction tool of postoperative respiratory failure in high-risk patients: A feasibility study and case series" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "137" "paginaFinal" => "142" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Ecografía diafragmática perioperatoria en el punto de atención como herramienta de predicción de fallo respiratorio postoperatorio en pacientes de alto riesgo: estudio de viabilidad y serie de casos" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 719 "Ancho" => 1500 "Tamanyo" => 127245 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Measurements obtained during perioperative diaphragmatic POCUS. (A) Measurement of the diaphragmatic shortening fraction using a 12<span class="elsevierStyleHsp" style=""></span>MHz linear transducer placed in the 6th–8th intercostal space. (B) Measurement of diaphragmatic excursion using a 4<span class="elsevierStyleHsp" style=""></span>MHz convex transducer in the subcostal space.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "L. Rovira, P. Kot, S. Pozo, B. Cano, J. de Andres" "autores" => array:5 [ 0 => array:2 [ "nombre" => "L." "apellidos" => "Rovira" ] 1 => array:2 [ "nombre" => "P." "apellidos" => "Kot" ] 2 => array:2 [ "nombre" => "S." "apellidos" => "Pozo" ] 3 => array:2 [ "nombre" => "B." "apellidos" => "Cano" ] 4 => array:2 [ "nombre" => "J." "apellidos" => "de Andres" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0034935620301924" "doi" => "10.1016/j.redar.2020.06.015" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0034935620301924?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341192921000494?idApp=UINPBA00004N" "url" => "/23411929/0000006800000003/v1_202104020743/S2341192921000494/v1_202104020743/en/main.assets" ] "en" => array:20 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Special article</span>" "titulo" => "Diploma on Ultrasound training and competency for Intensive Care and Emergency Medicine: Consensus document of the Spanish Society of Anesthesia (SEDAR), Spanish Society of Internal Medicine (SEMI) and Spanish Society of Emergency Medicine (SEMES)" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "143" "paginaFinal" => "148" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "M. Vives, A. Hernández, A.D. González, J. Torres, P. Cuesta, T. Villen, P. Carmona, D. Nagore, M. Serna, U. Bengoetxea, X. Borrat, G. García de Casasola, E. Sánchez, R. Campo, J. Mercadal" "autores" => array:16 [ 0 => array:4 [ "nombre" => "M." "apellidos" => "Vives" "email" => array:1 [ 0 => "marcvives50@gmail.com" ] "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] 2 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "A." "apellidos" => "Hernández" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">e</span>" "identificador" => "aff0025" ] ] ] 2 => array:3 [ "nombre" => "A.D." "apellidos" => "González" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">f</span>" "identificador" => "aff0030" ] ] ] 3 => array:3 [ "nombre" => "J." "apellidos" => "Torres" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">g</span>" "identificador" => "aff0035" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 4 => array:3 [ "nombre" => "P." "apellidos" => "Cuesta" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">h</span>" "identificador" => "aff0040" ] ] ] 5 => array:3 [ "nombre" => "T." "apellidos" => "Villen" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">i</span>" "identificador" => "aff0045" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 6 => array:3 [ "nombre" => "P." "apellidos" => "Carmona" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">j</span>" "identificador" => "aff0050" ] ] ] 7 => array:3 [ "nombre" => "D." "apellidos" => "Nagore" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">k</span>" "identificador" => "aff0055" ] ] ] 8 => array:3 [ "nombre" => "M." "apellidos" => "Serna" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">l</span>" "identificador" => "aff0060" ] ] ] 9 => array:3 [ "nombre" => "U." "apellidos" => "Bengoetxea" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">m</span>" "identificador" => "aff0065" ] ] ] 10 => array:3 [ "nombre" => "X." "apellidos" => "Borrat" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">n</span>" "identificador" => "aff0070" ] ] ] 11 => array:3 [ "nombre" => "G." "apellidos" => "García de Casasola" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">o</span>" "identificador" => "aff0075" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 12 => array:3 [ "nombre" => "E." "apellidos" => "Sánchez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">p</span>" "identificador" => "aff0080" ] ] ] 13 => array:3 [ "nombre" => "R." "apellidos" => "Campo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">q</span>" "identificador" => "aff0085" ] ] ] 14 => array:3 [ "nombre" => "J." "apellidos" => "Mercadal" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">r</span>" "identificador" => "aff0090" ] ] ] 15 => array:1 [ "colaborador" => "on behalf of the Intensive Care Ultrasound Working Group of the Spanish Society of Anesthesiology and Resuscitation (SEDAR) of the Spanish Society of Internal Medicine (SEMI) and the Spanish Society of Emergency Medicines (SEMES)" ] ] "afiliaciones" => array:18 [ 0 => array:3 [ "entidad" => "Co-director del grupo de trabajo de Ecografía Clínica en Cuidados Intensivos de la SEDAR, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Co-director del grupo de trabajo de Ecografía Clínica de la SEMI, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Director del grupo de trabajo de Ecografía Clínica de la SEMES, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Servicio de Anestesia y Reanimación, Hospital Universitario de Girona Dr. J. Trueta. Universidad de Girona, Girona, Spain" "etiqueta" => "d" "identificador" => "aff0020" ] 4 => array:3 [ "entidad" => "Servicio de Anestesia y Reanimación, Grupo Policlínica, Ibiza, Spain" "etiqueta" => "e" "identificador" => "aff0025" ] 5 => array:3 [ "entidad" => "Servicio de Anestesia y Reanimación, Clínica Universidad de Navarra, Pamplona, Spain" "etiqueta" => "f" "identificador" => "aff0030" ] 6 => array:3 [ "entidad" => "Servicio de Medicina Interna, Hospital Universitario Infanta Cristina Parla, Madrid, Spain" "etiqueta" => "g" "identificador" => "aff0035" ] 7 => array:3 [ "entidad" => "Servicio de Anestesia y Reanimación, Hospital Universitario de Albacete, Albacete, Spain" "etiqueta" => "h" "identificador" => "aff0040" ] 8 => array:3 [ "entidad" => "Servicio de Urgencias, Hospital Universitario La Paz, Madrid, Spain" "etiqueta" => "i" "identificador" => "aff0045" ] 9 => array:3 [ "entidad" => "Servicio de Anestesia y Reanimación, Hospital Universitario La Fe, Valencia, Spain" "etiqueta" => "j" "identificador" => "aff0050" ] 10 => array:3 [ "entidad" => "Department of Anaesthesia & Intensive Care, Barts Heart Center. Barts Health NHS Trust, London, United Kingdom" "etiqueta" => "k" "identificador" => "aff0055" ] 11 => array:3 [ "entidad" => "Servicio de Anestesia y Reanimación, Hospital Universitario de Denia, Denia, Alicante, Spain" "etiqueta" => "l" "identificador" => "aff0060" ] 12 => array:3 [ "entidad" => "Servicio de Anestesia y Reanimación, Hospital de Urduliz, Bilbao, Spain" "etiqueta" => "m" "identificador" => "aff0065" ] 13 => array:3 [ "entidad" => "Servicio de Anestesia y Reanimación, Hospital Clínic de Barcelona, Barcelona, Spain" "etiqueta" => "n" "identificador" => "aff0070" ] 14 => array:3 [ "entidad" => "Servicio de Medicina Interna, Hospital Universitario Infanta Cristina. Parla, Madrid, Spain" "etiqueta" => "o" "identificador" => "aff0075" ] 15 => array:3 [ "entidad" => "Servicio de Anestesia y Reanimación, Hospital Gregorio Marañón, Madrid, Spain" "etiqueta" => "p" "identificador" => "aff0080" ] 16 => array:3 [ "entidad" => "Servicio de Urgencias, Hospital Santa Bárbara de Puertollano, Ciudad Real, Spain" "etiqueta" => "q" "identificador" => "aff0085" ] 17 => array:3 [ "entidad" => "Servicio de Anestesia y Reanimación, Hospital Clinic de Barcelona, Barcelona, Spain" "etiqueta" => "r" "identificador" => "aff0090" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Documento de consenso de la Sociedad Española de Anestesiología y Reanimación (SEDAR), Sociedad Española de Medicina Interna (SEMI) y Sociedad Española de Medicina de Urgencias y Emergencias (SEMES) para la definición de competencias mínimas de ecografía en Cuidados Intensivos y Urgencias y la obtención del Diploma acreditativo" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 344 "Ancho" => 1000 "Tamanyo" => 25660 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Different types of ultrasound transducers. Each transmits at a certain frequency. Image courtesy of General Electric Group.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">Ultrasound is currently used routinely as both a diagnostic and monitoring tool to guide the performance of procedures in different fields of medicine, including intensive care.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> The portability of this device now allows it to be used in all hospital areas. The use of ultrasound in intensive care units (ICU) and emergency rooms has hitherto been limited by cost and the lack of training among critical care doctors, but these systems are now available in these settings, and this widespread use has created the need for a consensus document to define a training curriculum and the minimum skills required. The acquisition and accreditation of competencies guarantees the minimum quality and safety standards required in clinical decision-making. Acquiring the skills needed to rapidly and reliably performance ultrasound evaluations and interpret ultrasound images can significantly improve professional medical training.</p><p id="par0010" class="elsevierStylePara elsevierViewall">The aim of this document is to define the training curriculum and the competencies required to obtain a diploma in transthoracic ultrasound, abdominal ultrasound, and vascular ultrasound in intensive care, anesthesia, critical care and emergency medicine. The minimum competencies required are based on the training standards published by other scientific societies.<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2–4</span></a></p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Methodology</span><p id="par0015" class="elsevierStylePara elsevierViewall">This consensus document was developed by a working group made up of 15 experts appointed and approved by SEDAR, SEMI and SEMES (<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>). Experts meeting the following criteria defined by SEDAR were invited to form part of the working group:<ul class="elsevierStyleList" id="lis0005"><li class="elsevierStyleListItem" id="lsti0005"><span class="elsevierStyleLabel">1.</span><p id="par0020" class="elsevierStylePara elsevierViewall">Competence in clinical ultrasound management accredited by a scientific society: European Association of Cardiovascular Imaging; EACVI/EACTA, National Board of Echocardiography (NBE) in the United States, Focused Intensive Care Echo (FICE) in the UK, or Winfocus advanced national or international level.</p></li><li class="elsevierStyleListItem" id="lsti0010"><span class="elsevierStyleLabel">2.</span><p id="par0025" class="elsevierStylePara elsevierViewall">Experience in teaching courses in ultrasound management in intensive, critical and emergency care (preferably endorsed by a national and/or international scientific society).</p></li></ul></p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0030" class="elsevierStylePara elsevierViewall">The working group was divided into sections according to the area of interest and knowledge. However, the competence levels were agreed by consensus of the whole group.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">SEDAR/SEMI/SEMES diploma in pulmonary, vascular and abdominal ultrasound in intensive and emergency care</span><p id="par0035" class="elsevierStylePara elsevierViewall">The curriculum in pulmonary, abdominal and vascular ultrasound defines a minimum standard for the performance of ultrasound in intensive and emergency care. The curriculum includes a theoretical module with a final evaluation and a practical training module that consists of compiling a logbook of supervised cases in an approved hospital. The curriculum is structured as follows:<ul class="elsevierStyleList" id="lis0010"><li class="elsevierStyleListItem" id="lsti0015"><span class="elsevierStyleLabel">1.</span><p id="par0040" class="elsevierStylePara elsevierViewall">Theoretical online training with a multiple choice test at the end of the course.</p></li><li class="elsevierStyleListItem" id="lsti0020"><span class="elsevierStyleLabel">2.</span><p id="par0045" class="elsevierStylePara elsevierViewall">Compilation of a supervised logbook accredited by a tutor in an approved center.</p></li></ul></p><p id="par0050" class="elsevierStylePara elsevierViewall">Supervisors must be qualified in ultrasound management by a national or international society (national or international Winfocus) or by merit based on a Curriculum Vitae endorsed by the evaluation committee.</p><p id="par0055" class="elsevierStylePara elsevierViewall">The SEDAR/SEMI/SEMES clinical ultrasound working group will create a network of approved centers where supervised logbook can be compiled for the purpose of obtaining the diploma in pulmonary, abdominal and vascular ultrasound in Intensive Care, Anesthesia, Critical Care and Emergency Medicine. The evaluation committee will be made up of members of the SEDAR/SEMI/SEMES ultrasound working group. Re-accreditation will not be required.</p><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Theoretical training</span><p id="par0060" class="elsevierStylePara elsevierViewall">Applicants must complete an online theoretical training course organized by SEDAR/SEMI/SEMES or by any training center previously approved by the evaluation committee. The course must include the required number of hours of training in pulmonary, abdominal and vascular ultrasound. It must also include a final multiple choice exam.</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Practical training – Logbook (to be compiled within 18 months of completion of the theoretical course)</span><p id="par0065" class="elsevierStylePara elsevierViewall">Applicants must complete their logbook within 18 months, and must fulfill the requirements described below and summarized in <a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a>.</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Lung ultrasound</span><p id="par0070" class="elsevierStylePara elsevierViewall">Perform 30 scans. Draw up a structured case report describing the findings. All 30 cases must be reviewed by a qualified supervisor. At least 20 cases must include a description of a pathology. In each case, the 4 standard areas of each lung shown in <a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a> must be explored. Candidates must deliver to the evaluation committee 8 clips of the 4 reference points per lung showing the following pathologies: pleural effusion, pneumothorax, consolidation, and interstitial syndrome. <a class="elsevierStyleCrossRef" href="#tbl0015">Table 3</a> shows the basic skills required for competence.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="tbl0015"></elsevierMultimedia></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0055">Abdominal ultrasound</span><p id="par0075" class="elsevierStylePara elsevierViewall">Perform 25 scans. Draw up a structured case report describing the findings. All 25 cases with their corresponding clips must be reviewed by a qualified supervisor. At least 10 scans must demonstrate pathology. In each case, the 6 basic areas included in the e-FAST protocol must be explored. Five of the 25 abdominal ultrasounds must show the abdominal aorta. One of the 5 explorations showing the abdominal aorta must include a clip identifying the abdominal aorta. Candidates must deliver to the evaluation committee 6 clips for each of the 6 planes in 3 pathologies (intra-abdominal free fluid) and 1 clip for 1 plane in a case of abdominal aorta. <a class="elsevierStyleCrossRef" href="#tbl0020">Table 4</a> shows the basic skills required for competence.</p><elsevierMultimedia ident="tbl0020"></elsevierMultimedia></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0060">Vascular ultrasound</span><p id="par0080" class="elsevierStylePara elsevierViewall">Perform 20 vascular ultrasound explorations including 4 central venous line placements, 4 cases of peripheral vein placement and 4 cases of arterial line placement. Clips of peripheral veins and arteries should be shown in both long and short axes. Eight explorations should involve a study of peripheral thrombi in both the lower and upper limbs. At least 2 explorations must show venous thrombosis. In each case 4 planes should be explored on each side of the 4 thrombosis risk areas (deep femoral vein, popliteal vein, internal jugular vein and veins of the upper extremity up to the subclavian vein). Draw up a structured case report describing the findings. All 20 cases with their corresponding clips must be reviewed by a qualified supervisor. Candidates must deliver to the evaluation committee 8 clips of the 8 planes in the 2 peripheral venous thrombosis explorations. <a class="elsevierStyleCrossRef" href="#tbl0025">Table 5</a> shows the basic skills required for competence.</p><elsevierMultimedia ident="tbl0025"></elsevierMultimedia></span></span></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Definition of competencies</span><p id="par0085" class="elsevierStylePara elsevierViewall">Below is a list of the skills to be acquired.</p></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Competence 1: Physics, equipment and artifacts</span><p id="par0090" class="elsevierStylePara elsevierViewall">In order to correctly interpret ultrasound images and artifacts, it is essential to know and understand the physics of ultrasound (US). Images are formed by the interaction of ultrasound waves with tissue, fluid, air, and their interfaces. The US transducers used in clinical practice have a frequency range of between 1 and 20<span class="elsevierStyleHsp" style=""></span>MHz (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). Clinicians must be able to choose the most suitable transducer for the structure to be explored. Knowledge of these general principles allows the clinician to anticipate and recognize potential artifacts. Misinterpretation of artifacts can lead to a wrong diagnosis, but a correct interpretation will confirm suspicion and facilitate a correct diagnosis.</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0095" class="elsevierStylePara elsevierViewall">Clinicians must know how to use the equipment correctly to obtain good quality images, and must show that they can control the transducer and understand the anatomy. They must understand how to use the controls of the system in order to optimize the images before recording. They must also be familiar with pre- and post-processing, storage and data transfer functions. These skills will be evaluated by the supervisor as applicants compile their logbooks. <a class="elsevierStyleCrossRef" href="#tbl0030">Table 6</a> shows the learning objectives and recommended competencies in physics, equipment and artifacts.</p><elsevierMultimedia ident="tbl0030"></elsevierMultimedia></span><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Competence 2: Lung, pleura and diaphragm ultrasound</span><p id="par0100" class="elsevierStylePara elsevierViewall"><a class="elsevierStyleCrossRef" href="#tbl0015">Table 3</a> shows the learning objectives and recommended competencies for ultrasound exploration of the lungs and identification of pathologies.</p></span><span id="sec0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Competence 3: Abdominal ultrasound</span><p id="par0105" class="elsevierStylePara elsevierViewall"><a class="elsevierStyleCrossRef" href="#tbl0020">Table 4</a> shows the competencies to be acquired in abdominal ultrasound.</p></span><span id="sec0065" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Competence 4: Vascular ultrasound</span><p id="par0110" class="elsevierStylePara elsevierViewall"><a class="elsevierStyleCrossRef" href="#tbl0025">Table 5</a> shows the competencies to be acquired in vascular ultrasound.</p></span><span id="sec0070" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Conclusions</span><p id="par0115" class="elsevierStylePara elsevierViewall">In light of the growing evidence of the benefit of ultrasound in intensive care, the Ultrasound in Intensive Care working group of SEDAR, and the Clinical Ultrasound working group of SEMI and SEMES have drawn up a series of consensus recommendations for training and the acquisition of minimum competencies in the use of ultrasound in Intensive Care, Anesthesia and Emergency Medicine. Candidates completing this training program will be awarded a Diploma in Pulmonary, Abdominal and Vascular Ultrasound in Intensive Care and Emergency Medicine endorsed by SEDAR, SEMI and SEMES. SEDAR, SEMI and SEMES will disseminate this document among their partners to encourage clinicians to obtain the diploma in pulmonary, abdominal and vascular ultrasound in Intensive Care and Emergency Medicine. They will also ensure that all healthcare professionals appointed to act as course tutors maintain a suitable level of competence. These competencies will be reviewed and updated every 5 years.</p></span><span id="sec0075" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Conflict of interests</span><p id="par0120" class="elsevierStylePara elsevierViewall">The authors have no conflict of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:15 [ 0 => array:3 [ "identificador" => "xres1491445" "titulo" => "Abstract" "secciones" => array:1 [ 0 => array:1 [ "identificador" => "abst0005" ] ] ] 1 => array:2 [ "identificador" => "xpalclavsec1354126" "titulo" => "Keywords" ] 2 => array:3 [ "identificador" => "xres1491444" "titulo" => "Resumen" "secciones" => array:1 [ 0 => array:1 [ "identificador" => "abst0010" ] ] ] 3 => array:2 [ "identificador" => "xpalclavsec1354125" "titulo" => "Palabras clave" ] 4 => array:2 [ "identificador" => "sec0005" "titulo" => "Introduction" ] 5 => array:2 [ "identificador" => "sec0010" "titulo" => "Methodology" ] 6 => array:3 [ "identificador" => "sec0015" "titulo" => "SEDAR/SEMI/SEMES diploma in pulmonary, vascular and abdominal ultrasound in intensive and emergency care" "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0020" "titulo" => "Theoretical training" ] 1 => array:3 [ "identificador" => "sec0025" "titulo" => "Practical training – Logbook (to be compiled within 18 months of completion of the theoretical course)" "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0030" "titulo" => "Lung ultrasound" ] 1 => array:2 [ "identificador" => "sec0035" "titulo" => "Abdominal ultrasound" ] 2 => array:2 [ "identificador" => "sec0040" "titulo" => "Vascular ultrasound" ] ] ] ] ] 7 => array:2 [ "identificador" => "sec0045" "titulo" => "Definition of competencies" ] 8 => array:2 [ "identificador" => "sec0050" "titulo" => "Competence 1: Physics, equipment and artifacts" ] 9 => array:2 [ "identificador" => "sec0055" "titulo" => "Competence 2: Lung, pleura and diaphragm ultrasound" ] 10 => array:2 [ "identificador" => "sec0060" "titulo" => "Competence 3: Abdominal ultrasound" ] 11 => array:2 [ "identificador" => "sec0065" "titulo" => "Competence 4: Vascular ultrasound" ] 12 => array:2 [ "identificador" => "sec0070" "titulo" => "Conclusions" ] 13 => array:2 [ "identificador" => "sec0075" "titulo" => "Conflict of interests" ] 14 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2020-02-18" "fechaAceptado" => "2020-06-25" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec1354126" "palabras" => array:6 [ 0 => "Diploma" 1 => "Accreditation" 2 => "Consensus document" 3 => "Lung ultrasound" 4 => "Abdominal ultrasound" 5 => "Vascular ultrasound" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec1354125" "palabras" => array:5 [ 0 => "Diploma" 1 => "Documento de consenso" 2 => "Ecografía pulmonar" 3 => "Ecografía abdominal" 4 => "Ecografía vascular" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">The use of ultrasound as a clinical diagnostic tool and guide of bedside procedures has become an indispensable examination in the acute critically ill patient. The training of professionals in minimum skills of knowledge, management and indications of use of ultrasound required to be defined by the Scientific Societies. The Intensive Care Ultrasound Working Group of the Spanish Society of Anesthesiology and Resuscitation (SEDAR), of the Spanish Society of Internal Medicine (SEMI) and the Spanish Society of Emergency Medicine (SEMES) has developed this consensus document in which the recommended training program and the minimum competencies to be achieved with regard to the use of Ultrasound in Intensive Care, Anesthesia and Emergency medicine are defined.</p><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">This document defines the training program and the skills to acquire in order to achieve the diploma in lung, abdominal and vascular ultrasound. This document can serve as a guide to define the skills to be acquired in the training programs of residents (MIRs) of specialists working in intensive care, anesthesia, and emergency medicine.</p></span>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">El uso de la ecografía como herramienta de diagnóstico clínico y guía de procedimientos a pie de cama se ha convertido en un examen indispensable en los cuidados del paciente agudo. La capacitación de los profesionales en unas competencias mínimas de conocimiento, manejo e indicaciones de uso requieren de una formación reglada definida por las Sociedades Científicas. El grupo de trabajo de Ecografía en Cuidados Intensivos de la Sociedad Española de Anestesiología y Reanimación (SEDAR), de la Sociedad Española de Medicina Interna (SEMI) y la Sociedad Española de Medicina de Urgencias y Emergencias (SEMES) ha desarrollado este documento de consenso en el que se define el programa de formación y las competencias mínimas recomendadas a adquirir con relación al uso de la Ecografía en Cuidados Intensivos, Anestesia, Urgencias y Emergencias.</p><p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">En este documento se definen el programa de formación y las competencias a adquirir para alcanzar el diploma acreditativo en ecografía toraco-pulmonar, ecografía abdominal y ecografía vascular. Este documento puede servir de guía para definir las competencias a adquirir en los programas de formación de médicos internos residentes (MIR) de los especialistas que trabajen en cuidados intensivos, anestesia, urgencias y emergencias.</p></span>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Vives M, Hernández A, González AD, Torres J, Cuesta P, Villen T, et al. Documento de consenso de la Sociedad Española de Anestesiología y Reanimación (SEDAR), Sociedad Española de Medicina Interna (SEMI) y Sociedad Española de Medicina de Urgencias y Emergencias (SEMES) para la definición de competencias mínimas de ecografía en Cuidados Intensivos y Urgencias y la obtención del Diploma acreditativo. Rev Esp Anestesiol Reanim. 2021;68:143–148.</p>" ] ] "multimedia" => array:8 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 701 "Ancho" => 950 "Tamanyo" => 62308 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Lung ultrasound examination landmarks 1: upper anterior area. 2: lower anterior area 3; upper lateral area; 4: lower lateral area (diaphragm); AAL: Anterior Axillary Line; PAL: Posterior Axillary Line; PSL: Parasternal line.</p>" ] ] 1 => array:8 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 344 "Ancho" => 1000 "Tamanyo" => 25660 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Different types of ultrasound transducers. Each transmits at a certain frequency. Image courtesy of General Electric Group.</p>" ] ] 2 => array:8 [ "identificador" => "tbl0005" "etiqueta" => "Table 1" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0015" "detalle" => "Table " "rol" => "short" ] ] "tabla" => array:1 [ "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Spanish Society of Anesthesia and Resuscitation (SEDAR) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Marc Vives, Jordi Mercadal, Alberto Hernández, Duilio González, Pablo Cuesta, Unai Bengoetxea, Xavi Borrat, María Serna, Paula Carmona, David Nagore and Eduardo Sánchez \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Spanish Society of Internal Medicine (SEMI) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Juan TorresGonzalo García de Casasola \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Spanish Society of Emergency Medicine (SEMES) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Tomas VillénRicardo Campos \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab2561777.png" ] ] ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Scientific societies and their representatives who have participated in and certified the consensus document.</p>" ] ] 3 => array:8 [ "identificador" => "tbl0010" "etiqueta" => "Table 2" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0020" "detalle" => "Table " "rol" => "short" ] ] "tabla" => array:1 [ "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Type of ultrasound \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">N of cases no pathology \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">N of cases with pathology \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Guidance \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Number of clips and planes \t\t\t\t\t\t\n \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Lung ultrasound \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="center" valign="\n \t\t\t\t\ttop\n \t\t\t\t">10 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="center" valign="\n \t\t\t\t\ttop\n \t\t\t\t">20 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="center" valign="\n \t\t\t\t\ttop\n \t\t\t\t">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">8 clips for 8 planes in 4 cases with pathology \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Abdominal ultrasound \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="center" valign="\n \t\t\t\t\ttop\n \t\t\t\t">15 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="center" valign="\n \t\t\t\t\ttop\n \t\t\t\t">10 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="center" valign="\n \t\t\t\t\ttop\n \t\t\t\t">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">6 clips for 6 planes in 3 cases with pathology1 clip for 1 plane in 1 case of abdominal aorta \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Vascular ultrasound \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="center" valign="\n \t\t\t\t\ttop\n \t\t\t\t">6 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="center" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="center" valign="\n \t\t\t\t\ttop\n \t\t\t\t">12 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">8 clips for 8 planes in 2 cases of venous thrombosis \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab2561774.png" ] ] ] ] "descripcion" => array:1 [ "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Contents of the Logbook.</p>" ] ] 4 => array:8 [ "identificador" => "tbl0015" "etiqueta" => "Table 3" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0025" "detalle" => "Table " "rol" => "short" ] ] "tabla" => array:1 [ "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Knowledge of the anatomy of the lung: Identification of thoracic structures and adjacent organs: ribs, subcutaneous tissue, pleura and diaphragm, heart, liver, spleen and kidneys \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Knowledge of the ultrasound exploration areas (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>): upper anterior, lower anterior, upper lateral, lower lateral and posterior \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Identification of the ultrasound pattern of the normal aerated lung, including: pleural line, pleural glide, A lines and lung pulse (in 2D mode) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Diagnosis of pleural effusion and its characteristics \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Distinguish between accumulation of pleural fluid, pericardial fluid, and abdominal fluid \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Recognize the appearance of pleural fluid and pleural thickening. Accumulation of fluid on the diaphragm, anatomical limits, vertebral line (V sign) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Recognize signs that suggest transudate, exudate, and loculation: echogenic (exudate), anechoic (transudate/exudate), septate, absent sinusoidal sign (complex/dense pleural loculation) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Estimate pleural effusion (Balik's method): V (ml)<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>20<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>Sep (mm). Sep: maximal distance between parietal and visceral pleura in end-expiration \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Perform ultrasound-guided thoracentesis \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Recognize alveolar-interstitial syndrome (cardiogenic pulmonary edema, pneumonia, atelectasis, fibrosis, acute respiratory distress syndrome [ARDS], pulmonary contusion) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Recognize B lines and their gravitational pattern \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Distinguish between diffuse and focal interstitial syndrome \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Recognize alveolar consolidation (pneumonia, atelectasis, ARDS) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Identify a tissue pattern or pulmonary hepatization, as well as a scalloped border \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Identify subpleural consolidation and irregular pleura \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Identify an air bronchogram (static vs dynamic) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Rule out pneumothorax \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Recognize the signs of pneumothorax (mode B): no lung sliding, no B lines and no pulmonary pulse. Presence of lung point \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Assess diaphragm function \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Rule out unilateral or bilateral diaphragmatic paralysis or dysfunction \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Measure the <span class="elsevierStyleItalic">Diaphragmatic excursion and know its limitations</span> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Measure the <span class="elsevierStyleItalic">Diaphragmatic thickening fraction and know its limitations</span> \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab2561776.png" ] ] ] ] "descripcion" => array:1 [ "en" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Competence 2: Lung ultrasound.</p>" ] ] 5 => array:8 [ "identificador" => "tbl0020" "etiqueta" => "Table 4" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0030" "detalle" => "Table " "rol" => "short" ] ] "tabla" => array:1 [ "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Recognize the sonoanatomy of the following organs: liver, spleen, kidney, intestine, bladder \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Recognize the sonoanatomy of the following vessels: abdominal aorta, inferior vena cava \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Identify free intraperitoneal fluid \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>In the context of trauma (FAST) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Identify ascites \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Distinguish between abdominal and pleural fluid (eFAST) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Identify a full stomach \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Bile duct evaluation: cholelithiasis, cholecystitis, bile duct dilation \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Evaluation of kidney and bladder pathology \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Identify a full bladder \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Differentiate between a full bladder and free pelvic fluid and ascites \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Bladder: anatomy, pathology, and procedures (cystostomy, bladder catheterization) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Obstructive uropathy: recognize hydronephrosis \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab2561775.png" ] ] ] ] "descripcion" => array:1 [ "en" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Competence 3: Abdominal ultrasound.</p>" ] ] 6 => array:8 [ "identificador" => "tbl0025" "etiqueta" => "Table 5" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0035" "detalle" => "Table " "rol" => "short" ] ] "tabla" => array:1 [ "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Identify veins and arteries in transverse and longitudinal planes \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Differentiate between arteries and veins using 2D ultrasound and Doppler \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Identify proximal peripheral venous thrombosis \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>In lower extremities (3-area technique): groin with common femoral artery and vein leading to the greater saphenous vein and popliteal fossa, also including the superficial femoral vein about 5–10<span class="elsevierStyleHsp" style=""></span>cm distal to the inguinal region \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>In upper extremities: in the internal jugular vein (starting from its most cranial segment), in the subclavian vein (to be explored in a longitudinal plane), in the axillary vein, in the brachial veins, cephalic vein and basilic vein \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Perform ultrasound-guided placement of a central (internal jugular, subclavian, femoral) and peripheral line. Static and real time. In plane and out of plane \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab2561773.png" ] ] ] ] "descripcion" => array:1 [ "en" => "<p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Competence 4: Vascular ultrasound.</p>" ] ] 7 => array:8 [ "identificador" => "tbl0030" "etiqueta" => "Table 6" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0040" "detalle" => "Table " "rol" => "short" ] ] "tabla" => array:1 [ "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Knowledge of the properties of ultrasound waves: amplitude, frequency, wavelength, propagation speed \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Knowledge of the frequency range of the ultrasound transducer used in diagnostic images \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Knowledge of the behavior of ultrasound waves at the tissue interfaces \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Knowledge of the principles of attenuation, dispersion and reverberation \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Know how to choose the correct ultrasound transducer \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Know how to correctly adjust depth, gain and compensation \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Know how to identify common artifacts \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Knowledge of pre and post-processing, storage and data transfer functions. \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab2561778.png" ] ] ] ] "descripcion" => array:1 [ "en" => "<p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Competence 1: Physics, equipment and artifacts.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:4 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Ultrasound in the surgical ICU: uses, abuses, and pitfalls" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "G. Johnson" 1 => "A.W. Kirkpatrick" 2 => "L.M. Gillman" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1097/MCC.0000000000000664" "Revista" => array:2 [ "tituloSerie" => "Curr Opin Crit Care" "fecha" => "2019" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "American College of Chest Physicians/La Societe de Reanimation de Langue Francaise statement on competence in critical care ultrasonography" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "P.H. Mayo" 1 => "Y. Beaulieu" 2 => "P. Doelken" 3 => "D. Feller-Kopman" 4 => "C. Harrod" 5 => "A. Kaplan" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s00134-011-2246-9" "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "2009" "volumen" => "135" "paginaInicial" => "1050" "paginaFinal" => "1060" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19188546" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "International expert statement on training standards for critical care ultrasonography" "autores" => array:1 [ 0 => array:2 [ "colaboracion" => "Expert Round Table on Ultrasound in ICU" "etal" => false ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s00134-014-3228-5" "Revista" => array:6 [ "tituloSerie" => "Intensive Care Med" "fecha" => "2011" "volumen" => "37" "paginaInicial" => "1077" "paginaFinal" => "1083" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21614639" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "International consensus statement on training standards for advanced critical care echocardiography" "autores" => array:1 [ 0 => array:2 [ "colaboracion" => "Expert Round Table on Echocardiography in ICU" "etal" => false ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1378/chest.08-2305" "Revista" => array:6 [ "tituloSerie" => "Intensive Care Med" "fecha" => "2014" "volumen" => "40" "paginaInicial" => "654" "paginaFinal" => "666" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24615559" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23411929/0000006800000003/v1_202104020743/S2341192921000500/v1_202104020743/en/main.assets" "Apartado" => array:4 [ "identificador" => "47200" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Special article" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23411929/0000006800000003/v1_202104020743/S2341192921000500/v1_202104020743/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341192921000500?idApp=UINPBA00004N" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2021 November | 1 | 2 | 3 |
| 2021 August | 1 | 1 | 2 |
| 2021 May | 1 | 0 | 1 |
