Training program

Fellowship

In cardiovascular function, hemodynamic monitoring and advanced echocardiography in the critically ill patient.

Critically ill area. Sabadell Hospital. Parc Tauli Health Corporation.

Clinical Training

In the period of time during which the selected candidate must develop his / her clinical training, he / she will join the Critically Ill Area. Its activity will be supervised by the members of the Working Group on Cardiovascular Function and Hemodynamic Monitoring. Participate in the daily activities of the Critically Ill Area both in the care of hospitalized patients (with the sole teaching purpose of expanding their theoretical and practical knowledge) and in attending daily sessions of the service, particularly those aimed at deepening knowledge of the critical function of the critical patient.

Teacher Training

The candidate will receive a pre-selected theoretical syllabus, consisting of scientific publications, book chapters and specific sessions. Part of the candidate's theoretical training will be articulated through a series of regular seminars in which different chapters of the syllabus will be discussed, these seminars being supervised by members of the Working Group on Cardiovascular Function and Hemodynamic Monitoring.

The candidate will participate as a student in the different courses organized by the Critically Ill Area, such as the Training Courses in Basic-Advanced Ultrasound in the Critical Patient and the Taulí-SHOCK Advanced Hemodynamics Course at Sabadell-CSUPT University Hospital.

Research Training

The candidate will receive specific training in clinical research in the same area as the critically ill patient. In addition, he will join the research dynamics of the Working Group on Cardiovascular Function and Hemodynamic Monitoring, participating in clinical and / or experimental studies that are carried out during his training period. Likewise, the candidate will participate in the elaboration and presentation of results of said studies in congresses and scientific publications.

Annual Program of the Training Course 2017-2018

1. FIRST BLOCK (October-December): Introduction to the hemodynamics and cardiovascular function of the critically ill patient

  • Physiological bases of cardiovascular function and essential pathophysiological mechanisms of the hemodynamic alterations observed in critical patients. Heart-lung interrelation.
  • Hemodynamic monitoring techniques. Introduction: types, advantages and limitations of the different hemodynamic monitoring techniques available.
  • Basic transthoracic echocardiography in the critically ill patient.

2. SECOND BLOCK (January-May): Clinical hemodynamics and advanced echocardiography (I).

  • Advanced hemodynamic monitoring (part I)
    • Invasive, Semi-invasive (PICCO, Swan-Ganz, EV1000)
    • Non-invasive or minimally invasive (Surveillance, FloTrac)
  • Advanced transthoracic echocardiography (part I)
  • Functional Hemodynamic Monitoring: Algorithms for cardiovascular function assessment, hemodynamic monitoring, and goal-guided clinical decision-making at bedtime.

3. THIRD BLOCK (June-September): Clinical hemodynamics and advanced echocardiography (II), and introduction to Research in hemodynamics / echocardiography.

  • Clinical research in hemodynamics / echocardiography
  • Advanced Hemodynamic Monitoring (Part II)
    • Monitoring of regional oxygenation and microcirculation.
  • Advanced transthoracic echocardiography (part II)
  • Advanced transesophageal echocardiography

Training in transthoracic and transesophageal echocardiography will guarantee the competencies and skills required to obtain accreditation in advanced echocardiography from SEMICYUC and the European Society of Intensive Care Medicine (ESICM).