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.

Robba, C., Poole, D., Citerio, G., Taccone, F., Rasulo, F. (2020). Brain Ultrasonography Consensus on Skill Recommendations and Competence Levels Within the Critical Care Setting. NEUROCRITICAL CARE, 32(2), 502-511 [10.1007/s12028-019-00766-9].

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

Citerio, Giuseppe;
2020

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.
Articolo in rivista - Articolo scientifico
Brain ultrasound, Training, Intensive care, Acute brain injury, Consensus, Delphi
English
1-lug-2019
2020
32
2
502
511
reserved
Robba, C., Poole, D., Citerio, G., Taccone, F., Rasulo, F. (2020). Brain Ultrasonography Consensus on Skill Recommendations and Competence Levels Within the Critical Care Setting. NEUROCRITICAL CARE, 32(2), 502-511 [10.1007/s12028-019-00766-9].
File in questo prodotto:
File Dimensione Formato  
Robba_et_al-2019-Neurocritical_Care.pdf

Solo gestori archivio

Tipologia di allegato: Publisher’s Version (Version of Record, VoR)
Dimensione 3.44 MB
Formato Adobe PDF
3.44 MB Adobe PDF   Visualizza/Apri   Richiedi una copia

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/234459
Citazioni
  • Scopus 30
  • ???jsp.display-item.citation.isi??? 21
Social impact