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Critical care ultrasound: A national survey across specialties

dc.contributor.authorStowell, Jeffrey R.
dc.contributor.authorKessler, Ross
dc.contributor.authorLewiss, Resa E.
dc.contributor.authorBarjaktarevic, Igor
dc.contributor.authorBhattarai, Bikash
dc.contributor.authorAyutyanont, Napatkamon
dc.contributor.authorKendall, John L.
dc.date.accessioned2018-03-07T18:25:48Z
dc.date.available2019-05-13T14:45:25Zen
dc.date.issued2018-03
dc.identifier.citationStowell, Jeffrey R.; Kessler, Ross; Lewiss, Resa E.; Barjaktarevic, Igor; Bhattarai, Bikash; Ayutyanont, Napatkamon; Kendall, John L. (2018). "Critical care ultrasound: A national survey across specialties." Journal of Clinical Ultrasound 46(3): 167-177.
dc.identifier.issn0091-2751
dc.identifier.issn1097-0096
dc.identifier.urihttps://hdl.handle.net/2027.42/142534
dc.description.abstractPurposeManagement 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.MethodsThis study was conducted as an online 18‐question survey. Survey questions queried respondent demographics, preferences for POCUS use, and barriers to implementation.Results2735 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.ConclusionStudy 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.
dc.publisherWiley Periodicals, Inc.
dc.subject.othereducation
dc.subject.othercritical care
dc.subject.otherultrasound
dc.subject.otheremergency medicine
dc.titleCritical care ultrasound: A national survey across specialties
dc.typeArticleen_US
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelMedicine (General)
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/142534/1/jcu22559_am.pdf
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/142534/2/jcu22559.pdf
dc.identifier.doi10.1002/jcu.22559
dc.identifier.sourceJournal of Clinical Ultrasound
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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