Brain Ultrasonography Consensus on Skill Recommendations and Competence Levels Within the Critical Care Setting

the Consensus on brain ultrasonography in critical care group

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: To report a consensus on the different competency levels for the elaboration of skill recommendations in performing brain ultrasonography within the neurocritical care setting. Methods: Four brain ultrasound experts, supported by a methodologist, performed a preselection of indicators and skills based on the current literature and clinical expertise. An international panel of experts was recruited and subjected to web-based questionnaires according to a Delphi method presented in three separate rounds. A pre-defined threshold of agreement was established on expert subjective opinions, > 84% of votes was set to support a strong recommendation and > 68% for a weak recommendation. Below these thresholds, no recommendation reached. Results: We defined four different skill levels (basic, basic-plus, pre-advanced, advanced). Twenty-five experts participated to the full process. After four rounds of questions, two items received a strong recommendation in the basic skill category, three in the advanced, twelve in the basic-plus, and seven in the pre-advanced. Two items in the pre-advanced category received a weak recommendation and three could not be collocated and were excluded from the list. Conclusions: Results from this consensus permitted stratification of the different ultrasound examination skills in four levels with progressively increasing competences. This consensus can be useful as a guide for beginners in brain ultrasonography and for the development of specific training programs within this field.

Original languageEnglish
JournalNeurocritical Care
DOIs
Publication statusPublished - Jan 1 2019

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Critical Care
Mental Competency
Ultrasonography
Consensus
Brain
Expert Testimony
Education

Keywords

  • Acute brain injury
  • Brain ultrasound
  • Consensus
  • Delphi
  • Intensive care
  • Training

ASJC Scopus subject areas

  • Clinical Neurology
  • Critical Care and Intensive Care Medicine

Cite this

Brain Ultrasonography Consensus on Skill Recommendations and Competence Levels Within the Critical Care Setting. / the Consensus on brain ultrasonography in critical care group.

In: Neurocritical Care, 01.01.2019.

Research output: Contribution to journalArticle

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abstract = "Background: To report a consensus on the different competency levels for the elaboration of skill recommendations in performing brain ultrasonography within the neurocritical care setting. Methods: Four brain ultrasound experts, supported by a methodologist, performed a preselection of indicators and skills based on the current literature and clinical expertise. An international panel of experts was recruited and subjected to web-based questionnaires according to a Delphi method presented in three separate rounds. A pre-defined threshold of agreement was established on expert subjective opinions, > 84{\%} of votes was set to support a strong recommendation and > 68{\%} for a weak recommendation. Below these thresholds, no recommendation reached. Results: We defined four different skill levels (basic, basic-plus, pre-advanced, advanced). Twenty-five experts participated to the full process. After four rounds of questions, two items received a strong recommendation in the basic skill category, three in the advanced, twelve in the basic-plus, and seven in the pre-advanced. Two items in the pre-advanced category received a weak recommendation and three could not be collocated and were excluded from the list. Conclusions: Results from this consensus permitted stratification of the different ultrasound examination skills in four levels with progressively increasing competences. This consensus can be useful as a guide for beginners in brain ultrasonography and for the development of specific training programs within this field.",
keywords = "Acute brain injury, Brain ultrasound, Consensus, Delphi, Intensive care, Training",
author = "{the Consensus on brain ultrasonography in critical care group} and Chiara Robba and Daniele Poole and Giuseppe Citerio and Taccone, {Fabio S.} and Rasulo, {Frank A.} and Marcel Aries and Rafael Badenes and Judith Bellapart and Pierre Bouzat and Danilo Cardim and Andre Denault and Dibu, {Jamil R.} and Thomas Geeraerts and Alberto Goffi and Ryan Hakim and Massimo Lamperti and Victoria McCredei and Llewellyn Padayachy and Soojin Park and Hemanshu Prabhakar and Corina Puppo and Andrea Rigamonti and Aarti Sarwal and Mypinder Sekhon and Luzius Steiner and Carol Turner",
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AU - the Consensus on brain ultrasonography in critical care group

AU - Robba, Chiara

AU - Poole, Daniele

AU - Citerio, Giuseppe

AU - Taccone, Fabio S.

AU - Rasulo, Frank A.

AU - Aries, Marcel

AU - Badenes, Rafael

AU - Bellapart, Judith

AU - Bouzat, Pierre

AU - Cardim, Danilo

AU - Denault, Andre

AU - Dibu, Jamil R.

AU - Geeraerts, Thomas

AU - Goffi, Alberto

AU - Hakim, Ryan

AU - Lamperti, Massimo

AU - McCredei, Victoria

AU - Padayachy, Llewellyn

AU - Park, Soojin

AU - Prabhakar, Hemanshu

AU - Puppo, Corina

AU - Rigamonti, Andrea

AU - Sarwal, Aarti

AU - Sekhon, Mypinder

AU - Steiner, Luzius

AU - Turner, Carol

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N2 - Background: To report a consensus on the different competency levels for the elaboration of skill recommendations in performing brain ultrasonography within the neurocritical care setting. Methods: Four brain ultrasound experts, supported by a methodologist, performed a preselection of indicators and skills based on the current literature and clinical expertise. An international panel of experts was recruited and subjected to web-based questionnaires according to a Delphi method presented in three separate rounds. A pre-defined threshold of agreement was established on expert subjective opinions, > 84% of votes was set to support a strong recommendation and > 68% for a weak recommendation. Below these thresholds, no recommendation reached. Results: We defined four different skill levels (basic, basic-plus, pre-advanced, advanced). Twenty-five experts participated to the full process. After four rounds of questions, two items received a strong recommendation in the basic skill category, three in the advanced, twelve in the basic-plus, and seven in the pre-advanced. Two items in the pre-advanced category received a weak recommendation and three could not be collocated and were excluded from the list. Conclusions: Results from this consensus permitted stratification of the different ultrasound examination skills in four levels with progressively increasing competences. This consensus can be useful as a guide for beginners in brain ultrasonography and for the development of specific training programs within this field.

AB - Background: To report a consensus on the different competency levels for the elaboration of skill recommendations in performing brain ultrasonography within the neurocritical care setting. Methods: Four brain ultrasound experts, supported by a methodologist, performed a preselection of indicators and skills based on the current literature and clinical expertise. An international panel of experts was recruited and subjected to web-based questionnaires according to a Delphi method presented in three separate rounds. A pre-defined threshold of agreement was established on expert subjective opinions, > 84% of votes was set to support a strong recommendation and > 68% for a weak recommendation. Below these thresholds, no recommendation reached. Results: We defined four different skill levels (basic, basic-plus, pre-advanced, advanced). Twenty-five experts participated to the full process. After four rounds of questions, two items received a strong recommendation in the basic skill category, three in the advanced, twelve in the basic-plus, and seven in the pre-advanced. Two items in the pre-advanced category received a weak recommendation and three could not be collocated and were excluded from the list. Conclusions: Results from this consensus permitted stratification of the different ultrasound examination skills in four levels with progressively increasing competences. This consensus can be useful as a guide for beginners in brain ultrasonography and for the development of specific training programs within this field.

KW - Acute brain injury

KW - Brain ultrasound

KW - Consensus

KW - Delphi

KW - Intensive care

KW - Training

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