{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T12:19:49Z","timestamp":1787746789827,"version":"build-2784847793"},"reference-count":19,"publisher":"Springer Science and Business Media LLC","issue":"9","license":[{"start":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T00:00:00Z","timestamp":1786579200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"},{"start":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T00:00:00Z","timestamp":1786579200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"}],"funder":[{"name":"Klinikum der Universit\u00e4t M\u00fcnchen"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Anaesthesiologie"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Hintergrund<\/jats:title>\n                    <jats:p>Der fokussierte kardiale Ultraschall (FOCUS) ist eine zielgerichtete Point-of-Care-Echokardiographie zur raschen Beurteilung kardialer Funktion und Morphologie und ist in Notfall- und Intensivmedizin etabliert.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Fragestellung<\/jats:title>\n                    <jats:p>Die Studie untersuchte Ausbildungsstand, Supervision und klinische Anwendung von FOCUS durch An\u00e4sthesistInnen in Deutschland sowie deren Zusammenhang mit der subjektiven Sicherheit bei der Durchf\u00fchrung von FOCUS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Studiendesign<\/jats:title>\n                    <jats:p>Anonymisierte digitale Querschnittstudie unter \u00e4rztlichen DGAI-Mitgliedern mittels standardisiertem Fragebogen zu beruflichen Angaben, Kursausbildung, Supervision, klinischer Integration und Selbsteinsch\u00e4tzung praktischer FOCUS-Fertigkeiten.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse<\/jats:title>\n                    <jats:p>Insgesamt wurden 469 R\u00fcckmeldungen analysiert. \u00dcber 80\u202f% hatten mindestens einen FOCUS-Basiskurs absolviert, mehr als 40\u202f% berichteten jedoch keine Supervision vor eigenst\u00e4ndiger Anwendung. Jeweils rund 40\u202f% nutzten FOCUS regelm\u00e4\u00dfig bzw. unregelm\u00e4\u00dfig, 20\u202f% gar nicht. Der h\u00e4ufigste Einsatz erfolgte im Umfeld von Notf\u00e4llen oder auf der Intensivstation. Pr\u00e4operativ wurden Echokardiographien bei elektiven PatientInnen \u00fcberwiegend durch die Kardiologie (&gt;\u202f80\u202f%), vor Notfalleingriffen h\u00e4ufiger auch durch An\u00e4sthesistInnen (&gt;\u202f60\u202f%) durchgef\u00fchrt. Die Kursausbildung war mit h\u00f6herer Anwendungsh\u00e4ufigkeit und subjektiver Selbstsicherheit assoziiert; dieser Zusammenhang war f\u00fcr Supervision st\u00e4rker.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Diskussion<\/jats:title>\n                    <jats:p>Trotz hoher Kursbeteiligung bleibt die perioperative Anwendung von FOCUS begrenzt. Kurse allein waren nur moderat mit Anwendungsh\u00e4ufigkeit und subjektiver Selbstsicherheit assoziiert. F\u00fcr eine patientensichere Implementierung erscheinen daher kontinuierliche Anwendung, Supervision, sichere technische Durchf\u00fchrung, Kenntnis eigener Limitationen und strukturierte Ausbildungswege erforderlich.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00101-026-01719-6","type":"journal-article","created":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T22:15:50Z","timestamp":1786659350000},"page":"618-626","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Ausbildung in und Anwendung von fokussierter Echokardiographie","Training and clinical use of focused echocardiography"],"prefix":"10.1007","volume":"75","author":[{"given":"Timo","family":"Kummerow","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pablo","family":"Cavali\u00e9","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felix","family":"Reinecke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Barroux","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"G\u00f6pfert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Scheiermann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Tomasi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,13]]},"reference":[{"key":"1719_CR1","doi-asserted-by":"crossref","unstructured":"Andruszkiewicz P, Sobczyk D, Gorkiewicz-Kot I et al. 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M.\u00a0G\u00f6pfert ist erster Sprecher des wissenschaftlichen Arbeitskreises Ultraschall der DGAI.","order":1,"name":"Ethics","label":"Interessenkonflikt","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"value":"Alle beschriebenen Untersuchungen am Menschen oder an menschlichem Gewebe wurden mit Zustimmung der zust\u00e4ndigen Ethikkommission, im Einklang mit nationalem Recht sowie gem\u00e4\u00df der Deklaration von Helsinki von 1975 (in der aktuellen, \u00fcberarbeiteten Fassung) durchgef\u00fchrt. Von allen beteiligten Patient\/-innen liegt eine Einverst\u00e4ndniserkl\u00e4rung vor.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}}]}}