| Autor: |
Pellegrini JAS; Department of Intensive Care, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul - Porto Alegre (RS), Brazil., Mendes CL; Department of Intensive Care, Hospital Universitário Lauro Wanderley - João Pessoa (PB), Brazil., Gottardo PC; Department of Intensive Care, Hospital Nossa Senhora das Neves - João Pessoa (PB), Brazil., Feitosa K; Department of Emergency Medicine, Hospital Geral de Fortaleza - Fortaleza (CE), Brazil., John JF; Department of Intensive Care, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul - Porto Alegre (RS), Brazil., Oliveira ACT; Universidade do Vale do Rio dos Sinos - São Leopoldo (RS), Brazil., Negri AJA; Department of Intensive Care, Hospital Universitário Lauro Wanderley - João Pessoa (PB), Brazil., Grumann AB; Department of Intensive Care, Hospital Nereu Ramos - Florianópolis (SC), Brazil., Barros DS; Cardiovascular Intensive Care Unit, Hospital Cardiopulmonar Instituto D'Or - Salvador (BA), Brazil., Negri FEFO; Department of Intensive Care, Hospital Universitário Lauro Wanderley - João Pessoa (PB), Brazil., Macedo GL; Intensive Care Unit, Hospital Universitário de Vassouras - Vassouras (RJ), Brazil., Neves JLB; Intensive Care Unit, Hospital Geral Roberto Santos - Salvador (BA), Brazil., Rodrigues MDS; Department of Emergency, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul - Porto Alegre (RS), Brazil., Spagnól MF; Department of Hospital Medicine, Hospital Mãe de Deus - Porto Alegre (RS), Brasil., Ferez MA; Intensive Care Unit, Hospital Beneficência Portuguesa - Ribeirão Preto (SP), Brazil., Chalhub RÁ; Department of Echocardiogram, Hospital Santo Antônio, Obras Sociais Irmã Dulce - Salvador (BA), Brazil., Cordioli RL; Department of Intensive Care, Hospital Israelita Albert Einstein - São Paulo (SP), Brazil. |
| Abstrakt: |
The use of echocardiography by physicians who are not echocardiographers has become common throughout the world across highly diverse settings where the care of acutely ill patients is provided. Echocardiographic evaluation performed in a point-of-care manner can provide relevant information regarding the mechanism of causes of shock, for example, increasing the rates of correct diagnosis and allowing for faster informed decision-making than through evaluation methods. Considering that the accurate diagnosis of life-threatening situations is essential for professionals working with acutely ill patients, several international associations recommend that physicians responsible for critically ill patients acquire and develop the ability to perform bedside ultrasound examinations, including echocardiographic examinations. However, there is no consensus in the literature regarding which specific applications should be included in the list of skills for nonechocardiographer physicians. Taking into account the multiplicity of applications of echocardiography in different scenarios related to acutely ill patients; the differences in the published protocols, with regard to both the teaching methodology and competence verification; and the heterogeneity of training among highly diverse specialties responsible for their care at different levels, this consensus document aimed to reflect the position of representatives of related Brazilian medical societies on the subject and may thus serve as a starting point both for standardization among different specialties and for the transmission of knowledge and verification of the corresponding competencies. |
