Skip to main content
Journal cover image

Current Use, Training, and Barriers of Point-of-Care Ultrasound in Anesthesiology: A National Survey of Veterans Affairs Hospitals.

Publication ,  Journal Article
Remskar, MH; Theophanous, R; Bowman, A; Simonson, LE; Koehler, J; Basrai, Z; Manohar, CM; Mader, MJ; Nathanson, R; Soni, NJ
Published in: J Cardiothorac Vasc Anesth
August 2023

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.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

J Cardiothorac Vasc Anesth

DOI

EISSN

1532-8422

Publication Date

August 2023

Volume

37

Issue

8

Start / End Page

1390 / 1396

Location

United States

Related Subject Headings

  • Veterans
  • United States
  • Ultrasonography
  • Prospective Studies
  • Point-of-Care Systems
  • Internship and Residency
  • Humans
  • Hospitals
  • Anesthesiology
  • Anesthesiology
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Remskar, M. H., Theophanous, R., Bowman, A., Simonson, L. E., Koehler, J., Basrai, Z., … Soni, N. J. (2023). Current Use, Training, and Barriers of Point-of-Care Ultrasound in Anesthesiology: A National Survey of Veterans Affairs Hospitals. J Cardiothorac Vasc Anesth, 37(8), 1390–1396. https://doi.org/10.1053/j.jvca.2023.03.042
Remskar, Mojca H., Rebecca Theophanous, Amber Bowman, Lindsey E. Simonson, Jessica Koehler, Zahir Basrai, Crystal M. Manohar, Michael J. Mader, Robert Nathanson, and Nilam J. Soni. “Current Use, Training, and Barriers of Point-of-Care Ultrasound in Anesthesiology: A National Survey of Veterans Affairs Hospitals.J Cardiothorac Vasc Anesth 37, no. 8 (August 2023): 1390–96. https://doi.org/10.1053/j.jvca.2023.03.042.
Remskar MH, Theophanous R, Bowman A, Simonson LE, Koehler J, Basrai Z, et al. Current Use, Training, and Barriers of Point-of-Care Ultrasound in Anesthesiology: A National Survey of Veterans Affairs Hospitals. J Cardiothorac Vasc Anesth. 2023 Aug;37(8):1390–6.
Remskar, Mojca H., et al. “Current Use, Training, and Barriers of Point-of-Care Ultrasound in Anesthesiology: A National Survey of Veterans Affairs Hospitals.J Cardiothorac Vasc Anesth, vol. 37, no. 8, Aug. 2023, pp. 1390–96. Pubmed, doi:10.1053/j.jvca.2023.03.042.
Remskar MH, Theophanous R, Bowman A, Simonson LE, Koehler J, Basrai Z, Manohar CM, Mader MJ, Nathanson R, Soni NJ. Current Use, Training, and Barriers of Point-of-Care Ultrasound in Anesthesiology: A National Survey of Veterans Affairs Hospitals. J Cardiothorac Vasc Anesth. 2023 Aug;37(8):1390–1396.
Journal cover image

Published In

J Cardiothorac Vasc Anesth

DOI

EISSN

1532-8422

Publication Date

August 2023

Volume

37

Issue

8

Start / End Page

1390 / 1396

Location

United States

Related Subject Headings

  • Veterans
  • United States
  • Ultrasonography
  • Prospective Studies
  • Point-of-Care Systems
  • Internship and Residency
  • Humans
  • Hospitals
  • Anesthesiology
  • Anesthesiology