REMOTE Study: Feasibility and Effectiveness of Telemedicine-based Echocardiography Mentoring in Intensive Care

IF 2.1 4区医学 Q2 ANESTHESIOLOGY

Journal of cardiothoracic and vascular anesthesia Pub Date : 2025-07-17 DOI:10.1053/j.jvca.2025.07.019

Hannah Conway MSc, PGCHE, FHEA , Rachel Evley PhD , Hakeem Yusuff MBBS, MRCP, FRCA, FFICM , Rachel Wong BMedSc, MBChB, FRCA, FFICM , Gary Lau MBChB, FRCA

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引用次数: 0

Abstract

Objective

To evaluate the feasibility, effectiveness, and user experiences of real-time remote mentoring for echocardiography in intensive care settings using the Remote Education, Augmented Communication, Training and Supervision (REACTS) telemedicine platform.

Design

Single center, mixed-methods feasibility study with convergent parallel design.

Setting

Adult intensive care unit at Glenfield Hospital, University Hospitals of Leicester NHS Trust.

Participants

Fifteen practitioners (12 novices, 3 accredited) participated between June 2020 and June 2021.

Interventions

Implementation of the REACTS platform for remote echocardiography mentoring with the Philips Lumify handheld ultrasound device.

Measurements and Main Results

Quantitative analysis demonstrated consistently high mean image quality scores (1.57-2.00/2.00) and mean report accuracy (1.86-2.00/2.00) across all echocardiographic views. All planned sessions were successfully completed with minimal connectivity interruptions. The teaching effectiveness evaluation consistently yielded high mean scores (5.87-6.00/6.00). Thematic analysis revealed four key themes: “accessibility of expertise,” “educational value,” “technical considerations,” and “implementation challenges.”

Conclusions

Real-time remote mentoring for critical care echocardiography is technically feasible and educationally valuable in the intensive care setting. Although implementation challenges exist, particularly regarding technical infrastructure and scheduling, these appear surmountable with appropriate planning. Remote mentoring shows promise as a potential strategy to address current disparities in echocardiography training and supervision.

Abstract Image

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远程研究：基于远程医疗的超声心动图指导在重症监护中的可行性和有效性。

目的：评价利用远程教育、增强通信、培训和监督（reaction）远程医疗平台对重症监护超声心动图进行实时远程指导的可行性、有效性和用户体验。设计：单中心，混合方法可行性研究与收敛平行设计。环境：成人重症监护室在格伦菲尔德医院，莱斯特大学医院NHS信托。参与者：2020年6月至2021年6月，15名从业者（12名新手，3名认证）参加。干预措施：使用Philips Lumify手持式超声设备实施react平台进行远程超声心动图指导。测量和主要结果：定量分析显示，在所有超声心动图视图中，平均图像质量得分（1.57-2.00/2.00）和平均报告准确性（1.86-2.00/2.00）一致较高。所有计划的会话都成功完成，连接中断最小。教学效果评价均获得较高的平均分（5.87 ~ 6.00/6.00）。专题分析揭示了四个关键主题：“专业知识的可及性”、“教育价值”、“技术考虑”和“实施挑战”。结论：重症监护超声心动图实时远程指导在技术上是可行的，在重症监护环境中具有教育价值。尽管存在实现方面的挑战，特别是关于技术基础设施和日程安排方面的挑战，但通过适当的规划，这些挑战似乎是可以克服的。远程指导有望成为解决当前超声心动图培训和监督差距的潜在策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of cardiothoracic and vascular anesthesia 医学-呼吸系统

CiteScore

4.80

自引率

17.90%

发文量

606

审稿时长

37 days

期刊介绍： The Journal of Cardiothoracic and Vascular Anesthesia is primarily aimed at anesthesiologists who deal with patients undergoing cardiac, thoracic or vascular surgical procedures. JCVA features a multidisciplinary approach, with contributions from cardiac, vascular and thoracic surgeons, cardiologists, and other related specialists. Emphasis is placed on rapid publication of clinically relevant material.