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Editorial II
Ultrasound imaging by anaesthetists: training and accreditation issues
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The use of ultrasound imaging is increasing in anaesthesia, critical care and pain management. Many departments will have purchased ultrasound devices, either from charitable funds, or from capital funding to comply with NICE Guidance relating to central venous access.1 However, I suspect that most departments will not have any formalized training programmes, or systems of accreditation. There is little specific guidance from the Royal College of Anaesthetists, or other relevant organizations, regarding the necessary equipment, knowledge base, skills or practical experience that are required before using such technology independently. A notable exception is echocardiography. The Association of Cardiothoracic Anaesthetists, in combination with British Society of Echocardiography, have a published syllabus, stated competencies and a new exam (www.bsecho.org). Other specialties are facing similar issues of ultrasound teaching and accreditation, for example obstetrics and gynaecology, A & E, musculoskeletal services and vascular surgery. There are clinical pressures to use ultrasound
Leeds, UK
E-mail: andy.bodenham@leedsth.nhs.uk
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