Targeted, Condensed Lung Ultrasound Training Program for Image Interpretation: A Prospective Multicenter Observational Study in Intensive Care Unit Professionals
1
Issued Date
2025-01-01
Resource Type
ISSN
03015629
eISSN
1879291X
Scopus ID
2-s2.0-105001856511
Journal Title
Ultrasound in Medicine and Biology
Rights Holder(s)
SCOPUS
Bibliographic Citation
Ultrasound in Medicine and Biology (2025)
Suggested Citation
Mousa A., Plantinga C., Blok S.G., Mulder R., Boer S.d., Cox L.A.E., Dormans T., Kuindersma M., Scholten H., Schultz M.J., Smit M.R., Bos L.D.J., Paulus F., Tuinman P.R. Targeted, Condensed Lung Ultrasound Training Program for Image Interpretation: A Prospective Multicenter Observational Study in Intensive Care Unit Professionals. Ultrasound in Medicine and Biology (2025). doi:10.1016/j.ultrasmedbio.2025.03.005 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/109484
Title
Targeted, Condensed Lung Ultrasound Training Program for Image Interpretation: A Prospective Multicenter Observational Study in Intensive Care Unit Professionals
Author's Affiliation
Zuyderland
Spaarne Gasthuis
Amsterdam Cardiovascular Sciences
Mahidol Oxford Tropical Medicine Research Unit
Hogeschool van Amsterdam, University of Applied Sciences
Gelre Ziekenhuizen
Catharina Ziekenhuis
Medizinische Universität Wien
Nuffield Department of Medicine
Vrije Universiteit Amsterdam
Universiteit van Amsterdam
Amsterdam Institute for Immunology and Infectious Diseases
ADRZ
Amsterdam Leiden Intensive Care Focused Echography (ALIFE)
Spaarne Gasthuis
Amsterdam Cardiovascular Sciences
Mahidol Oxford Tropical Medicine Research Unit
Hogeschool van Amsterdam, University of Applied Sciences
Gelre Ziekenhuizen
Catharina Ziekenhuis
Medizinische Universität Wien
Nuffield Department of Medicine
Vrije Universiteit Amsterdam
Universiteit van Amsterdam
Amsterdam Institute for Immunology and Infectious Diseases
ADRZ
Amsterdam Leiden Intensive Care Focused Echography (ALIFE)
Corresponding Author(s)
Other Contributor(s)
Abstract
Introduction: Standardized training in lung ultrasound is lacking. Given time constraints and challenges in accessing training, there is a need for condensed, focused training programs. This study aims to assess the effect of a targeted, condensed two hour training session on the competency of intensive care unit (ICU) healthcare professionals in interpreting lung ultrasound clips. Methods: This is a multicenter prospective study in ICU healthcare professionals from six centers. Subjects received a two hour lung ultrasound training: a lecture on principles and recognition of (patho)physiological patterns followed by hands-on training. Subjects competency was tested using twenty pre-recorded lung ultrasound clips before and after training. Retainment of knowledge was tested after six to twelve months in a subset of subjects. Subjects were deemed competent if they reached a test score ≥80%. Results: Sixty-six subjects (49% intensivist, 44% with no lung ultrasound experience) were included. 61 subjects (92%) reached the predetermined competency level after training. After the training, the highest percentage of subjects (n = 27, 97%) who reached the competency threshold were those with no prior experience in lung ultrasound. Post-test scores were significantly higher than pre-test scores (87%, 95% CI (86, 89) vs 76%, 95% CI (73, 79), p < 0.001) with a median improvement of 9, 95% CI (7, 11) percentage points. After six to twelve months all retested subjects (n = 12) maintained competency. Conclusion: A short two hour training program may be sufficient for ICU healthcare professionals to achieve competency in lung ultrasound interpretation, even for subjects with no prior lung ultrasound experience. Further studies are needed to validate these findings in different settings and assess competency in bedside ultrasound acquisition.