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Table 1 Four-part skills assessment scoring system

From: The use of computerized echocardiographic simulation improves the learning curve for transesophageal hemodynamic assessment in critically ill patients

    

Score

Practical skill

    

 Introduction of the probe

No

Problematic

Yes

/2

 TE long-axis view at 0°

Not recorded

Not optimal

Optimal

/2

 TE long-axis view at 120°

Not recorded

Not optimal

Optimal

/2

 TG short-axis view at 0°

Not recorded

Not optimal

Optimal

/2

 TG short-axis view at 120°

Not recorded

Not optimal

Optimal

/2

 TE view of the base of the heart at 0°

Not recorded

Not optimal

Optimal

/2

 TE view of the base of the heart at 90°

Not recorded

Not optimal

Optimal

/2

Total

   

/14

Evaluation skill

    

 Mitral regurgitation

None

Moderate

Marked to massive

/2

 Aortic regurgitation

None

Moderate

Marked to massive

/2

 Dilatation of right ventricle

None

Moderate

Marked

/2

 Pericardial effusion

None

Non compressive

Compressive

/2

 Variations in diameter of superior vena cava

None

Minimal

Large

/2

Total

   

/10

 

Intensivist

 

Expert

 

Technical skill

    

 E/A ratio

   

/2

 LV FAC (%)

   

/2

 Aortic VTI (cm)

   

/2

 Pulmonary VTI (cm)

   

/2

Total

   

/8

Interpretation skill

    

 LV contractility

Normal

Moderately decreased

Greatly decreased

/2

 Hypovolemia

No

 

Yes

/2

 RV failure

No

 

Yes

/2

 Treatment proposed

Wrong or incomplete

 

Right

/2

Total

   

/8

Final score/40

    
  1. TE transesophageal, TG transgastric, FAC fractional area change, LV left ventricle, RV right ventricle, VTI velocity–time integral