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A minimum dataset for a Level 1 echocardiogram: a guideline protocol from the British Society of Echocardiography

Abstract

The British Society of Echocardiography has previously outlined a minimum dataset for a standard transthoracic echocardiogram, and this remains the basis on which an echocardiographic study should be performed. The importance of ultrasound in excluding critical conditions that may require urgent treatment is well known. Several point-of-care echo protocols have been developed for use by non-echocardiography specialists. However, these protocols are often only used in specific circumstances and are usually limited to 2D echocardiography. Furthermore, although the uptake in training for these protocols has been reasonable, there is little in the way of structured support available from accredited sonographers in the ongoing training and re-accreditation of those undertaking these point-of-care scans. In addition, it is well recognised that the provision of echocardiography on a 24/7 basis is extremely challenging, particularly outside of tertiary cardiac centres. Consequently, following discussions with NHS England, the British Society of Echocardiography has developed the Level 1 echocardiogram in order to support the rapid identification of critical cardiac pathology that may require emergency treatment. It is intended that these scans will be performed by non-specialists in echocardiography and crucially are not designed to replace a full standard transthoracic echocardiogram. Indeed, it is expected that a significant number of patients, in whom a Level 1 echocardiogram is required, will need to have a full echocardiogram performed as soon as is practically possible. This document outlines the minimum dataset for a Level 1 echocardiogram. The accreditation process for Level 1 echo is described separately.

References

  1. Wharton G, Steeds R, Allen J, Phillips H, Jones R, Kanagala P, Lloyd G, Masani N, Mathew T, Oxborough D, et al. A minimum dataset for a standard standard transthoracic echocardiogram: a guideline protocol from the British Society of Echocardiography. Echo Research and Practice 2015 2 G9–G24. (https://doi.org/10.1530/ERP-14-0079)

    Article  Google Scholar 

  2. Heiberg J, El-Ansary D, Canty DJ, Royse AG & Royse CF. Focussed echocardiography: a systematic review of diagnostic and clinical decision-making in anaesthesia and critical care. Anaesthesia 2016 17 1091–1100. (https://doi.org/10.1111/anae.13525)

    Article  Google Scholar 

  3. Hall DP, Jordan H, Alam S, Gillies MA. The impact of focussed echocardiography using the Focussed Intensive Care Echo protocol on the management of critically ill patients, and comparison with full echocardiographic studies by BSE-accredited sonographers. Journal of the Intensive Care Society 2017 18 206–211. (https://doi.org/10.1177/1751143717700911)

    Article  Google Scholar 

  4. NHS England. Seven Day Services Clinical Standards. London, UK, NHS England, 2017. (available at: https://www.england.nhs.uk/wp-content/uploads/2017/09/seven-day-service-clinical-standards-september-2017.pdf)

    Google Scholar 

  5. Senthilnathan M, Kundra P, Mishra SK, Velayudhan S, Pillai AA. Competence of intensivists in focussed transthoracic echocardiography in intensive care unit: a prospective observational study. Indian Journal of Critical Care Medicine 2018 22 340–345. (https://doi.org/10.4103/ijccm.IJCCM_401_17)

    Article  Google Scholar 

  6. Alam SR, Docherty A, Mackle I, Gillies MA. The introduction of intensive care-led echocardiography into a tertiary care unit. Journal of the Intensive Care Society 2013 14 15–19. (https://doi.org/10.1177/175114371301400105)

    Article  Google Scholar 

  7. Orme RM, Oram MP, McKinstry CE. Impact of Echocardiography on patient management in the intensive care unit: an audit of district general hospital practice. British Journal of Anaesthesia 2009 102 340–344. (https://doi.org/10.1093/bja/aen378)

    Article  Google Scholar 

  8. Stanko LK, Jacobson E, Tam JW, De Wet CJ & Avidan M. Impact of echocardiography: impact on diagnosis and management in tertiary intensive care units. Anaesthesiology and Intensive Care 2005 33 492–496. (https://doi.org/10.1177/0310057X0503300411)

    CAS  Article  Google Scholar 

  9. Colebourn C, Pierce K, Sharma V, Steeds R. Delivering 7-Day Services in Echocardiography, A Proposal for Level 1 Emergency Echocardiography from the British Society of Echocardiography. London, UK: British Society of Echocardiography, 2017.

    Google Scholar 

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Correspondence to Rakhee Hindocha MBChB MRCP FRCA EDIC FFICM.

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Hindocha, R., Garry, D., Short, N. et al. A minimum dataset for a Level 1 echocardiogram: a guideline protocol from the British Society of Echocardiography. Echo Res Pract 7, G51–G58 (2020). https://doi.org/10.1530/ERP-19-0060

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  • DOI: https://doi.org/10.1530/ERP-19-0060

Key Words

  • echocardiogram
  • point of care
  • emergency