Current Use, Training, and Barriers of Point-of-Care Ultrasound in Anesthesiology: A National Survey of Veterans Affairs Hospitals
Authors' conclusion
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.
Study context
- Population
- Chiefs of staff and chiefs of anesthesiology departments, Veterans Affairs Healthcare System, US130 chiefs of staff, 96 anesthesiology chiefs
- Exposure
- 2020 survey vs similar 2015 survey
- Outcome
- Most common POCUS applications used
Methodological detailsmulticentre, prospective, observational, web-based survey, comparison with 2015 survey, Response: all chiefs of staff, 77% of anesthesiology chiefs
- Multicentre
- Prospective
- Observational
- Web-based survey
- Comparison with 2015 survey
- Response: all chiefs of staff, 77% of anesthesiology chiefs
Main finding
As reported in the abstract
Central and peripheral vascular access
69%-72%
Peripheral nerve blocks
66%
Evaluation of cardiac function
29%-31%
Observational data: associations, not effects.
Further findings
| Outcome | P value |
|---|---|
| Change vs 20152020 vs 2015 · statistically significant increase | P = 0.00015 |
| Change vs 20152020 vs 2015 · no significant change | P = 0.31 |
Training most desired
- Volume-status assessment
- 52%
- Left ventricular function
- 47%
- Pneumothorax
- 47%
- Central line placement
- 40%
- Peripheral nerve blocks
- 40%
- Pleural effusion
- 40%
Most common barriers to point-of-care ultrasound (POCUS) use
- Lack of funding for training
- 35%
- Lack of trained providers
- 33%
- Lack of training opportunities
- 28%
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Current Use, Training, and Barriers of Point-of-Care Ultrasound in Anesthesiology: A National Survey of Veterans Affairs Hospitals. J Cardiothorac Vasc Anesth. Published 5 April 2023. doi:10.
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