Clinical Trial: Validation of Epworth Richmond's Echocardiography Education Focused Year

Study Status: Recruiting
Recruit Status: Recruiting
Study Type: Observational

Official Title: Validation of Epworth Richmond's Echocardiography Education Focused Year

Brief Summary:

The use of echocardiography in intensive care is a developing field. In expert hands echocardiography has proven its utility in diagnosing cardiac pathology, differentiating shock states and in haemodynamic monitoring. However, whether the results obtained by experts can be generalized to trainees or specialists with limited training remains unclear. Further, concerns around training time and cost for intensive care staff have been a factor in limiting the uptake of echocardiography in intensive care.

The investigators aim to assess the diagnostic accuracy of Australian ICU doctors in training after completion of the current minimum training. After completing a structured teaching program and 30 mentored training scans trainees will be assessed on their accuracy with echocardiography. In the research phase trainees will complete a further 40 scans with each one matched with an expect scan. The results from the expert and trainee scans will be compared to determine the trainee's accuracy.


Detailed Summary:
Sponsor: Epworth Healthcare

Current Primary Outcome: Agreement between registrar and expert assessment of Left ventricular (LV) function [ Time Frame: Four months ]

Original Primary Outcome: Same as current

Current Secondary Outcome:

  • Comparison of expert and registrar quantitative measures of Left vwentricular Internal Diameter in Diastole (LVIDd) [ Time Frame: Four months ]
  • Comparison of expert and registrar quantitative measures of Left Ventricular Outflow Tract (LVOT) diameter [ Time Frame: Four months ]
  • Comparison of expert and registrar quantitative measures of Left Ventricular Outflow Tract Velocity Time Integral (LVOT VTI) [ Time Frame: Four months ]
  • Comparison of expert and registrar quantitative measures of TR V max [ Time Frame: Four months ]
  • Comparison of expert and registrar quantitative measures of Tricuspid annular Plane Systolic Excursion (TAPSE) [ Time Frame: Four months ]
  • Comparison of expert and registrar quantitative measures of IVC diameter [ Time Frame: Four months ]
  • Comparison of expert and registrar qualitative assessment of pericardial fluid [ Time Frame: Four months ]
  • Comparison of expert and registrar qualitative assessment of Left Ventricle : Right Ventricle size ratio [ Time Frame: Four months ]


Original Secondary Outcome: Same as current

Information By: Epworth Healthcare

Dates:
Date Received: November 3, 2016
Date Started: November 2016
Date Completion: June 2017
Last Updated: November 16, 2016
Last Verified: November 2016