Perioperative Point-of-Care Ultrasound Training: A Survey of Anesthesia Academic Programs in United States and China

Cannon, J. R.; Sizemore, Daniel; Zhou, Yang; McKelvey, George; Li, Min; Chidiac, Elie Joseph; Guo, Xiaoru; Reynolds, Alexandra; Hong, Wanjin

doi:10.24015/japm.2018.0030

Cited by 2 publications

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“…Integration of POCUS into advanced cardiac life support (ACLS) allows concomitant diagnosis and intervention but requires extensive understanding of its indications and timing. Limited training for integrating POCUS into resuscitation remains a barrier to its utilization [10,11]. In response, we have developed a novel approach to POCUS training for anesthesiology residents mimicking real-life scenarios through high-fidelity simulation using the 4W approach (when to apply POCUS, where to place ultrasound probe, what images mean, and what to do next).…”

Section: Introductionmentioning

confidence: 99%

Novel 4W (When-Where-What-What) Approach of Training Point-of-Care Ultrasound (POCUS) Application in Resuscitation With High-Fidelity Simulator

Wang

Uraco

Stover

et al. 2020

Cureus

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Point-of-care ultrasound (POCUS) is a valuable tool in anesthesiology used for evaluating and managing cardiopulmonary pathology. Implications of this modality are extensive. Seamless integration into advanced cardiac life support (ACLS) has potential to improve resuscitation outcomes, and there is growing impetus for its implementation during the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic. However, it remains underutilized largely due to limited training. We use high-fidelity simulation and a novel 4W approach (when to apply POCUS, where to place the ultrasound probe, what images mean, what to do next) to incorporate this technique into resuscitation training. This study aims to evaluate the efficacy of a novel 4W POCUS approach for training anesthesiology residents in the setting of resuscitation.

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Section: Introductionmentioning

confidence: 99%

Novel 4W (When-Where-What-What) Approach of Training Point-of-Care Ultrasound (POCUS) Application in Resuscitation With High-Fidelity Simulator

Wang

Uraco

Stover

et al. 2020

Cureus

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“…Point-of-care ultrasound (POC_US) has been applied in perioperative medicine [3-4] Its examination of the inferior vena cava (IVC) can assist in predicting the volume status. Hypovolemic patients presenting to the emergency department have consistently smaller IVC diameters as compared with ones in euvolemic patients [5].…”

Section: Introductionmentioning

confidence: 99%

Assessment of Volume Status During Prone Spine Surgery via a Novel Point-of-care Ultrasound Technique

Jeremy

Wang

2019

Cureus

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Background Operations performed with the patient in the prone position can pose a significant challenge to the anesthesiologist. Hypotension is a commonly encountered complication. Intravascular volume depletion and decreased cardiac output secondary to decreased preload are thought to be the most likely cause of hypotension in the prone position. Measurement of inferior vena cava (IVC) diameter via point-of-care ultrasound examination (POC_US) has been used to provide an estimate of intravascular volume status. However, this measurement is most often obtained with the patient in the supine position. Materials and methods In this study, we describe a technique for evaluating IVC diameter via POC_US in the prone position. Right lateral long axis imaging of the IVC was used to assess the intravascular volume status of 10 patients undergoing lumbar spine surgery in the prone position. In addition, we used a non-invasive measure of cardiac output to correlate changes in IVC width with changes in cardiac output. Results Images of the IVC in the prone position were obtainable in all 10 patients. IVC diameter increased in six out of 10 patients on going from supine to prone position. The increase in IVC diameter corresponded to an increase in cardiac output, measured noninvasively in five out of the six patients. Conclusions Our findings indicate that POC_US examination of the IVC is possible in the prone position. Further study of a larger patient population could demonstrate the utility of this technique in assessing intravascular volume status in patients undergoing surgery in the prone position.

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Perioperative Point-of-Care Ultrasound Training: A Survey of Anesthesia Academic Programs in United States and China

Cited by 2 publications

References 0 publications

Novel 4W (When-Where-What-What) Approach of Training Point-of-Care Ultrasound (POCUS) Application in Resuscitation With High-Fidelity Simulator

Novel 4W (When-Where-What-What) Approach of Training Point-of-Care Ultrasound (POCUS) Application in Resuscitation With High-Fidelity Simulator

Assessment of Volume Status During Prone Spine Surgery via a Novel Point-of-care Ultrasound Technique

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