Article ; Online: Current Use, Training, and Barriers of Point-of-Care Ultrasound in Anesthesiology: A National Survey of Veterans Affairs Hospitals.
Journal of cardiothoracic and vascular anesthesia
2023 Volume 37, Issue 8, Page(s) 1390–1396
Abstract: Objectives: The purpose of this study was to determine current use, training needs, and barriers to point-of-care ultrasound (POCUS) use among anesthesiologists in practice.: Design: Multicenter, prospective, observational study.: Setting: ... ...
| Abstract | Objectives: The purpose of this study was to determine current use, training needs, and barriers to point-of-care ultrasound (POCUS) use among anesthesiologists in practice. Design: Multicenter, prospective, observational study. Setting: Anesthesiology departments in the Veterans Affairs Healthcare System in the United States. Participants: Chiefs of staff and chiefs of anesthesiology departments. Interventions: A web-based survey was conducted between June 2019 and March 2020. Chiefs of staff answered questions about facility-level POCUS use, training, competency, and policies. Anesthesiology chiefs responded to a follow-up survey with specialty-specific POCUS questions. The results of the 2020 survey were compared with a similar survey conducted by the authors' group in 2015. Measurements and main results: All chiefs of staff (n = 130) and 77% of anesthesiology chiefs (n = 96) completed the survey. The most common POCUS applications used were central and peripheral vascular access (69%-72%), peripheral nerve blocks (66%), and evaluation of cardiac function (29%-31%). Compared with 2015, there was a statistically significant increase in desire for training (p = 0.00015), but no significant change in POCUS use (p = 0.31). Training was most desired for volume-status assessment (52%), left ventricular function (47%), pneumothorax (47%), central line placement (40%), peripheral nerve blocks (40%), and pleural effusion (40%). The most common barriers to POCUS use were lack of funding for training (35%), trained providers (33%), and training opportunities (28%). Conclusions: A significant increase in desire for POCUS training was seen among anesthesiologists practicing in the Veterans Affairs healthcare system since 2015, and lack of training continues to be a top barrier for POCUS use among anesthesiologists. |
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| MeSH term(s) | Humans ; United States ; Anesthesiology/education ; Point-of-Care Systems ; Prospective Studies ; Veterans ; Ultrasonography/methods ; Internship and Residency ; Hospitals | ||||||||||
| Language | English | ||||||||||
| Publishing date | 2023-04-05 | ||||||||||
| Publishing country | United States | ||||||||||
| Document type | Observational Study ; Multicenter Study ; Journal Article ; Research Support, U.S. Gov't, Non-P.H.S. | ||||||||||
| ZDB-ID | 1067317-9 | ||||||||||
| ISSN | 1532-8422 ; 1053-0770 | ||||||||||
| ISSN (online) | 1532-8422 | ||||||||||
| ISSN | 1053-0770 | ||||||||||
| DOI | 10.1053/j.jvca.2023.03.042 | ||||||||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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