Incorporating Perioperative Point-of-Care Ultrasound as Part of the Anesthesia Residency Curriculum

Sanders, Joseph; Navas-Blanco, Jose R; Yeldo, Nicholas; Han, Xiaodong; Guruswamy, Jayakar; Williams, Derrick

doi:10.1053/j.jvca.2019.04.010

Cited by 19 publications

(24 citation statements)

References 20 publications

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“…Ultrasound courses often are introduced in stages, starting with understanding basic machine operation and ultrasound physics, the acquisition of a variety of anatomic views, and finally practice using simulators and/or real-life models. 6 Even though the benefit of a single-location POCUS course is proven, scheduling the courses and maximizing faculty participation can be a logistical challenge. A recent study demonstrated that only 26% of faculty in a large academic institution could be trained adequately in the use of POCUS through online resources and individualized proctored training because of challenges in scheduling of classes around clinical and nonclinical duties.…”

Section: Breaking Down Barriers To Pocus Trainingmentioning

confidence: 99%

Handheld Point-of-Care Ultrasound Probes: The New Generation of POCUS

Baribeau

Sharkey

Chaudhary

et al. 2020

Journal of Cardiothoracic and Vascular Anesthesia

149

115

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Recent advances in ultrasound technology have made ultrasound equipment more versatile, portable, and accessible than ever. Modern handheld, ultra-portable ultrasound devices have been developed by multiple companies and are contributing to make bedside ultrasound evaluation a practice available to all physicians. The significance of making point-of-care ultrasound (POCUS) a common practice that all physicians eventually can use in the evaluation of their patients is changing the way medicine is practiced, allowing physicians to quickly obtain valuable information to complement the traditional physical examination. Despite the proven benefits of using bedside ultrasound imaging as a part of the patient evaluation and for procedure guidance, adoption of this technology still is not widespread among anesthesiology clinicians nor is there uniform teaching of ultrasound skills to anesthesia residents and faculty. Among obstacles that have been identified as precluding achievement of the goal of widespread utilization of POCUS among anesthesia professionals and trainees, are the availability of equipment for all physicians when it is needed and lack of instructor supervision for trainees who desire to use ultrasound but do not always have an instructor knowledgeable in POCUS with them when an ultrasound examination is warranted. Herein, the characteristics, advantages, and limitations of available ultra-portable, handheld ultrasound devices are analyzed, with a focus on the Butterfly iQ (Butterfly Network, Inc, Guilford, CT) pocket probe, which is available at the authors' institution, and how some of its features, such as the capacity to emulate multiple transducers and its cloud-sharing and teleguidance technology, may contribute to increase the availability and use of POCUS by anesthesia clinicians.

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Section: Breaking Down Barriers To Pocus Trainingmentioning

confidence: 99%

Handheld Point-of-Care Ultrasound Probes: The New Generation of POCUS

Baribeau

Sharkey

Chaudhary

et al. 2020

Journal of Cardiothoracic and Vascular Anesthesia

149

115

View full text Add to dashboard Cite

show abstract

“…Point-of-care ultrasound (POCUS) is an ideal imaging modality for many reasons including portability, allowing for immediate bedside access, assistance in real time decision making, and procedural accuracy. Many medical specialties use ultrasound in some manner, including anesthesia [1], neonatology [2], internal medicine [3][4][5], family medicine [6,7], critical care medicine [8][9][10], and emergency medicine [11,12].…”

Section: Introductionmentioning

confidence: 99%

Evaluating a longitudinal point-of-care-ultrasound (POCUS) curriculum for pediatric residents

et al. 2021

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Background POCUS is a growing field in medical education, and an imaging modality ideal for children given the lack of ionizing radiation, ease of use, and good tolerability. A 2019 literature review revealed that no US pediatric residency programs integrated obligatory POCUS curricula. Our objective was to provide a formalized POCUS curriculum over multiple years, and to retrospectively assess improvement in resident skills and comfort. Methods During intern year, pediatric residents received didactics and hands-on scanning opportunities in basic POCUS applications. Their evaluation tools included pre- and post-surveys and tests, and a final performance exam. In the second and third years of residency, all participants were required to complete 8 hours per year of POCUS content review and additional hands-on training. An optional third-year curriculum was offered to interested residents as career-focused education elective time. Results Our curriculum introduced POCUS topics such as basic and advanced cardiac, lung, skin/soft tissues and procedural based ultrasound to all pediatric residents. Among first-year residents, application-specific results showed POCUS comfort level improved by 61–90%. Completed evaluations demonstrated improvement in their ability to recognize and interpret POCUS images. Second- and third-year residents reported educational effectiveness that was rated 3.9 on a 4-point Likert scale. Four third-year residents took part in the optional POCUS elective, and all reported a change in their practice with increased POCUS incorporation. Conclusions Our longitudinal pediatric residency POCUS curriculum is feasible to integrate into residency training and exhibits early success.

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“…A multimodal education program on Simplified Algorithm for Evaluation of Perioperative Hypoxia and Hypotension (SALVATION) protocol is devised to impart baseline knowledge and develop workflow and motor skills for practical application of this approach. A similar approach to prior courses developed by the authors' team [31][32][33] for multidisciplinary groups and present in prior literature [34][35][36] can be utilized to gain knowledge via online web-based interactive modules followed by the workflow and motor skills hands-on practice on haptic, mixed-reality simulators to achieve a level of proficiency in this specific approach. This innovative teaching program offers educational training without any risk to the patient or consequences of failure (the lack of need for long-duration in-person training, enabling perioperative physicians to learn new protocols while upholding social distancing policy).…”

Section: Training Modelmentioning

confidence: 99%

Simplified Algorithm for Evaluation of Perioperative Hypoxia and Hypotension (SALVATION): A Practical Echo-guided Approach Proposal

Fatima

Amador

Walsh

et al. 2021

Journal of Cardiothoracic and Vascular Anesthesia

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Despite the valuable use of modern applications of perioperative ultrasound across multiple disciplines, there have been limitations to its implementation, restricting its impact on patient-based clinical outcomes. Point-of-care ultrasound evaluation of hypoxia and hypotension is an important tool to assess the underlying undifferentiated etiologies in a timely manner. However, there is a lack of consensus on the formal role of ultrasound during evaluation of perioperative hypoxia or hypotension. The previous ultrasound algorithms have adopted a complex technique that possibly ignore the pathophysiologic mechanisms underlying the conditions presenting in a similar fashion. The authors here propose a simple, sequential and focused multiorgan approach, applicable for the evaluation of perioperative hypotension and hypoxia in emergency scenarios. The authors believe this approach will enhance the care provided in the postanesthesia care unit, operating room, and intensive care unit.

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Incorporating Perioperative Point-of-Care Ultrasound as Part of the Anesthesia Residency Curriculum

Cited by 19 publications

References 20 publications

Handheld Point-of-Care Ultrasound Probes: The New Generation of POCUS

Handheld Point-of-Care Ultrasound Probes: The New Generation of POCUS

Evaluating a longitudinal point-of-care-ultrasound (POCUS) curriculum for pediatric residents

Simplified Algorithm for Evaluation of Perioperative Hypoxia and Hypotension (SALVATION): A Practical Echo-guided Approach Proposal

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