Point-of-care ultrasonography in Ukraine: a survey of anesthesiologists-intensivists participating in ultrasonography courses.

IF 3.4 3区医学 Q1 ANESTHESIOLOGY

Canadian Journal of Anesthesia-Journal Canadien D Anesthesie Pub Date : 2024-10-01 Epub Date: 2024-06-25 DOI:10.1007/s12630-024-02789-z

Vladyslav Dieiev, Sergii Dubrov, José L Díaz-Gómez, Rom A Stevens, Pedro Salinas, Vadim Gudzenko, Nataliya Matolinets, Olga Kravets, Daria Krishtafor, Oleksandr Pavlysh, Stepan Cherniaiev, Aliaksei Pustavoitau

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引用次数: 0

Abstract

Purpose: Despite the potential value of point-of-care ultrasonography (POCUS) in resource-limited environments, it is not widely used in low- and middle-income countries compared with high-income countries. We sought to evaluate the current POCUS practice of Ukrainian anesthesiologists who attended POCUS courses to guide future POCUS training in Ukraine.

Methods: We conducted a 25-question web-based survey. It was distributed to 255 participants of POCUS courses held in Ukraine in 2023. The survey sections described current POCUS practice, perception of POCUS value, POCUS skills self-assessment, and perceived barriers to implementing POCUS in clinical practice.

Results: Two hundred and forty-four out of 255 course participants completed the survey, representing 214 unique respondents. Those who self-rated their skills identified themselves as either novices or beginners in areas of POCUS knowledge (118/157, 75%), image acquisition (110/158, 70%), image interpretation (117/158, 74%), and integration into clinical decision-making (105/155, 68%). Among all survey responders, 55% (118/214) reported using POCUS for vascular access procedures, 45% (97/214) for trauma assessment, and 44% (93/214) for regional anesthesia. Reported barriers to POCUS implementation included lack of ultrasound devices (101/214, 47%) and lack of trained faculty (112/214, 52%).

Conclusion: Among anesthesiologists who participated in POCUS courses in Ukraine, the majority were in early stages of ultrasound practice. Respondents identified POCUS applications not currently practiced and evaluated barriers to POCUS use. Based upon these survey findings, we propose the following measures in Ukraine: 1) developing a standardized national POCUS curriculum; 2) increasing the number of experienced instructors of POCUS; and 3) acquiring ultrasound devices to support clinical applications of POCUS, especially in the Central, Southern, and Eastern regions.

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乌克兰的护理点超声波检查：对参加超声波检查课程的麻醉师和麻醉师的调查。

目的：尽管护理点超声造影术（POCUS）在资源有限的环境中具有潜在价值，但与高收入国家相比，它在中低收入国家的应用并不广泛。我们试图对参加过 POCUS 课程的乌克兰麻醉医师目前的 POCUS 实践进行评估，以指导乌克兰未来的 POCUS 培训：我们进行了一项包含 25 个问题的网络调查。调查对象为参加 2023 年在乌克兰举办的 POCUS 课程的 255 名学员。调查内容包括当前的 POCUS 实践、对 POCUS 价值的认识、POCUS 技能自我评估以及在临床实践中实施 POCUS 的障碍：在 255 名课程参与者中，有 244 人完成了调查，其中 214 人是唯一的受访者。对自己的技能进行自我评价的学员认为自己在 POCUS 知识（118/157，75%）、图像采集（110/158，70%）、图像解读（117/158，74%）和融入临床决策（105/155，68%）方面是新手或初学者。在所有调查对象中，55%（118/214）的调查对象称在血管通路手术中使用了 POCUS，45%（97/214）的调查对象称在创伤评估中使用了 POCUS，44%（93/214）的调查对象称在区域麻醉中使用了 POCUS。据报告，实施 POCUS 的障碍包括缺乏超声设备（101/214，47%）和缺乏训练有素的教师（112/214，52%）：结论：在乌克兰参加过 POCUS 课程的麻醉医师中，大多数处于超声实践的早期阶段。受访者指出了目前尚未应用的 POCUS 应用，并评估了使用 POCUS 的障碍。根据这些调查结果，我们建议乌克兰采取以下措施：1）开发标准化的全国 POCUS 课程；2）增加经验丰富的 POCUS 导师人数；3）购置超声设备以支持 POCUS 的临床应用，尤其是在中部、南部和东部地区。

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来源期刊

Canadian Journal of Anesthesia-Journal Canadien D Anesthesie 医学-麻醉学

CiteScore

8.50

自引率

7.10%

发文量

161

审稿时长

6-12 weeks

期刊介绍： The Canadian Journal of Anesthesia (the Journal) is owned by the Canadian Anesthesiologists’ Society and is published by Springer Science + Business Media, LLM (New York). From the first year of publication in 1954, the international exposure of the Journal has broadened considerably, with articles now received from over 50 countries. The Journal is published monthly, and has an impact Factor (mean journal citation frequency) of 2.127 (in 2012). Article types consist of invited editorials, reports of original investigations (clinical and basic sciences articles), case reports/case series, review articles, systematic reviews, accredited continuing professional development (CPD) modules, and Letters to the Editor. The editorial content, according to the mission statement, spans the fields of anesthesia, acute and chronic pain, perioperative medicine and critical care. In addition, the Journal publishes practice guidelines and standards articles relevant to clinicians. Articles are published either in English or in French, according to the language of submission.