CHEST Guidelines-Development-and-Efficacy-of-a-1-d-Thoracic-Ultraso

Development-and-Efficacy-of-a-1-d-Thoracic-Ultraso

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The document primarily discusses two topics: a response to editorial comments regarding an article about endotracheal tubes and an evaluation of a thoracic ultrasound (TUS) training course.<br /><br />In the first part, Dr. Marcos I. Restrepo and colleagues respond to Dr. Jan Poelaert's comments on their article concerning technologic advances in endotracheal tubes. They focus on clarifying the type of polyurethane (PU) cuffed endotracheal tubes (ETT) discussed in both their article and Poelaert's study. The response highlights a discrepancy in the shape description of the ETT used in clinical studies, noting that neither Poelaert's article nor that by Lorente et al. precisely describes the ETT shape, underscoring a limitation in existing literature. They emphasize the importance of detailing not just the material, but also the shape of ETT cuffs in future studies to avoid ambiguity.<br /><br />The second part reviews a TUS training program developed by the British Thoracic Society to meet increasing demands and to equip nonradiology physicians with necessary skills. The course includes theoretical knowledge, practical sessions with hands-on scanning, and evaluates participants' performance through tests. Improvements were observed in participants' skills post-course, though obtaining TUS accreditation remained challenging for some due to a lack of local mentorship. The document concludes with insights on potential improvements as more pulmonologists become accredited to mentor new trainees, thus enhancing the accessibility and effectiveness of TUS training.<br /><br />The document also lists the affiliations of the authors involved and provides references, funding disclosures, and permissions related to article reproduction from the American College of Chest Physicians.

Keywords

endotracheal tubes

polyurethane cuffs

thoracic ultrasound

TUS training

British Thoracic Society

nonradiology physicians

clinical studies

mentorship

pulmonologists

medical education