Evidence map›Paper›PMID 35899222›Full record

ArticlePOCUS journal2021

Tricuspid Regurgitant Jet Velocity Point-of-Care Ultrasound Curriculum Development and Validation.

Zachary W Binder, Sharon E O'Brien, Tehnaz P Boyle, Howard J Cabral, Joseph R Pare

Registry-linked trialAbstract read
In one paragraph

Article in POCUS journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06229886 (Effect of Positive End-Expiratory Pressure on Tricuspid Regurgitant Jet Velocity in Pediatric Patients on Invasive Mechanical Ventilation), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06229886 nacompletednot on this mapstarted 2023, after this paper: background citation

Effect of Positive End-Expiratory Pressure on Tricuspid Regurgitant Jet Velocity in Pediatric Patients on Invasive Mechanical Ventilation

TypeinterventionalSponsorNorthwell HealthRan2023 to 2024Enrolled20ConditionsTricuspid Regurgitation, Mechanical Ventilation Pressure High, Pediatric Respiratory DiseasesArmsApplication of positive-end-expiratory pressure
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. The 2023 Core Content of advanced emergency medicine ultrasonography.Journal of the American College of Emergency Physicians open · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Zachary W BinderUMass Memorial Medical Center, University of Massachusetts Medical School, Worchester, MA, USA.
Sharon E O'BrienBoston Medical Center, Boston University School of Medicine, Boston, MA, USA.
Tehnaz P BoyleBoston Medical Center, Boston University School of Medicine, Boston, MA, USA.
Howard J CabralBoston University School of Public Health, Boston, MA, USA.
Joseph R PareBoston Medical Center, Boston University School of Medicine, Boston, MA, USA.

Funding

Improving Prehospital Pediatric Emergency Readiness with TelemedicineK23HL145126 · NHLBI · BOSTON MEDICAL CENTER · PI BOYLE, TEHNAZ PARAKH · 2020 to 2024
$846k
NHLBI NIH HHS K23 HL145126
6 · The paper itself

Abstract

Introduction: The American College of Emergency Physicians (ACEP) recommends that Emergency Medicine physicians with advanced training can evaluate right ventricular (RV) pressures via point-of-care ultrasound (POCUS) by measuring a tricuspid regurgitant jet (TRJ). We were unable to find a published curriculum to deliver education for this at any skill level. Therefore, we developed, delivered, and evaluated a curriculum for the assessment of TRJ for novice physician sonographers. Methods: We designed an educational intervention for novice physician sonographers. The curriculum was created using a modified Delphi methodology. All novice sonographers participated in the educational intervention which consisted of a didactic lecture followed by hands-on-deliberate practice on healthy medical student volunteers with expert feedback in a simulated setting. Sonographer's knowledge was assessed at 3 time points: pre-intervention, immediately post-intervention, and 3 months post-intervention (retention assessment) by multiple choice exam. Results: Nine novice physician sonographers participated in the intervention. Mean exam performance increased from 55.6% [standard deviation (SD) 11.3%] on the pre-intervention exam to 94.4% (SD 7.3%) on the post-intervention exam and 92.9% (SD 12.5%) on the retention exam. The mean improvement between the pre- and post- exam was +38.9% (95% CI 31.8 - 46.0), and between the pre-exam and retention exam +37.1% (95% CI 22.3 - 52.0). Conclusion: Sonographer knowledge of TRJ assessment improved following a brief educational intervention as measured by exam performance. Given the expanding role of POCUS it is increasingly important to provide effective resources for teaching these skills. This work establishes the basis for further study and implementation of our TRJ curriculum.

Identifiers

PMID35899222
PMCPMC9316333

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.