Logo image
Critical care ultrasound: A national survey across specialties
Journal article   Peer reviewed

Critical care ultrasound: A national survey across specialties

Jeffrey R. Stowell, Ross Kessler, Resa E. Lewiss, Igor Barjaktarevic, Bikash Bhattarai, Napatkamon Ayutyanont and John L. Kendall
Journal of clinical ultrasound, Vol.46(3), pp.167-177
03/2018
PMID: 29131347

Abstract

critical care education emergency medicine ultrasound
Purpose Management of the critically ill patient requires rapid assessment and differentiation. Point‐of‐care ultrasound (POCUS) improves diagnostic accuracy and guides resuscitation. This study sought to describe the use of critical care related POCUS amongst different specialties. Methods This study was conducted as an online 18‐question survey. Survey questions queried respondent demographics, preferences for POCUS use, and barriers to implementation. Results 2735 recipients received and viewed the survey with 416 (15.2%) responses. The majority of respondents were pulmonary and critical care medicine (62.5%) and emergency medicine (19.9%) providers. Respondents obtained training through educational courses (26.5%), fellowship (23.9%), residency (21.6%), or self‐guided learning (17.2%). POCUS use was common for diagnostic and procedural guidance. Emergency medicine providers were more likely to utilize POCUS to evaluate undifferentiated hypotension (98.5%, P < .001), volume status and fluid responsiveness (88.2%, P = .005), and cardiopulmonary arrest (94.1%, P < .001) compared to other specialties. Limited training, competency, or credentialing were the most common barriers, in up to 39.4% of respondents. Conclusion Study respondents utilize POCUS in a variety of clinical applications. However, a disparity in utilization still exists among clinicians who care for critically ill patients. Overcoming barriers, such as a lack of formalized training, competency, or credentialing, may lead to increased utilization.
url
https://doi.org/10.1002/jcu.22559View
Published (Version of record) Open

Metrics

1 Record Views

Details

Logo image