Background
Methods
Participants
Survey development
Survey administration
Statistical analysis
Results
N (%) | |
---|---|
Female sexa | 17 (26) |
Age group | |
• 30–39 | 27 (41) |
• 40–49 | 12 (18) |
• 50–59 | 19 (29) |
• 60–69 | 6 (9) |
• > 60 | 1 (2) |
• Prefer not to answer | 1 (2) |
Consultant Anesthesiologista | 55 (85) |
GP/FM Anesthesiologists | 8 (12) |
Practice at one hospital | 23 (35) |
Practice at more than one hospital | 43 (65) |
Community Hospital | 33 (50) |
Academic Teaching Hospital | 31 (47) |
Private Hospital | 1 (2) |
Size of the institute | |
• Large | 32 (49) |
• Medium | 26 (39) |
• Small | 8 (12) |
Year of Practice | |
• Less than 5 years | 22 (33) |
• 5–10 years | 9 (14) |
• 11–15 years | 8 (12) |
• 16–20 years | 6 (9) |
• Over 20 years | 21 (32) |
Full time (4–5 days/week) | 60 (91) |
Part time (2–3 days/week) | 6 (9) |
Canadian medical graduate | 43 (65) |
International medical graduate | 23 (35) |
Training qualification | |
• Completed fellowship in Anesthesia | 33 (29) |
• Master’s degree | 10 (9) |
• PhD degree | 3 (3) |
N (%) | |
---|---|
No of operating rooms in your institute | |
• 1–3 | 8 (12) |
• 4–9 | 21 (32) |
• 10–15 | 9 (14 |
• 16–20 | 20 (30) |
• > 20 | 8 (12) |
No of ultrasound machines are designated for perioperative care at your institute | |
• 0 | 6 (9) |
• 1 | 18 (27) |
• 2 | 16 (24) |
• 3 | 11 (17) |
• 4 | 8 (12) |
• ≥5 | 3 (5) |
• Not sure | 4 (6) |
The ultrasound machines are readily available for use whenever I may need them. | |
• Yes | 37 (57) |
• Sometimes | 19 (29) |
• No | 9 (14) |
The use of ultrasound at my institution is common practice for central line insertion: | |
• Yes | 54 (82) |
• No | 5 (8) |
• Don’t know | 7 (11) |
The use of ultrasound at my institution is common practice for regional blocks: | |
• Yes | 53 (80) |
• No | 11 (17) |
• Don’t know | 2 (3) |
The use of ultrasound at my institution is common practice for difficult arterial line placement: | |
• Yes | 41 (62) |
• No | 19 (29) |
• Don’t know | 6 (9) |
US practices
Always | Frequently | Sometimes | Seldom | Never | As clinically indicated | |
---|---|---|---|---|---|---|
I use ultrasound guidance when inserting a central line | 54 (82) | 5 (8) | 4 (6) | 1 (2) | 1 (2) | 1 (2) |
I use ultrasound guidance for arterial cannulation | 3 (6) | 16 (24) | 23 (35) | 13 (20) | 7 (11) | 4 (6) |
I use ultrasound guidance when performing a regional block | 36 (57) | 6 (10) | 7 (11) | 1 (2) | 11 (18) | 2 (3) |
I use ultrasound guidance for spinal and epidural blocks placement | 0 | 1 (2) | 6 (9) | 17 (27) | 39 (61) | 1 (2) |
I use ultrasound to assess the heart and lung whenever indicated | 6 (9) | 7 (11) | 12 (18) | 14 (21) | 21 (32) | 6 (9) |
Barrier of using US in practice
Always | Frequently | Sometimes | Seldom | Never | As clinically indicated | |
---|---|---|---|---|---|---|
I want to use ultrasound guidance more frequently as part of my perioperative care: | 26 (39) | 20 (30) | 15 (23) | 3 (5) | 2 (3) | 0 (0) |
I feel like I have adequate training to use ultrasound regularly: | 17 (26) | 17 (26) | 20 (30) | 9 (14) | 2 (3) | 1 (2) |
I do NOT need to use ultrasound guidance in my practice: | 0 | 0 | 2 (3) | 9 (14) | 15 (23) | 40 (61) |
The institution where I practice does NOT have enough ultrasound machines for me to use on a regular basis: | 14 (21) | 9 (14) | 16 (24) | 7 (11) | 11 (17) | 9 (14) |
Ultrasound is used on a regular basis at the institution where I practice: | 22 (33) | 23 (35) | 9 (14) | 7 (11) | 4 (6) | 1 (2) |
I am encouraged to use ultrasound by the clinical leadership at my institution: | 14 (21) | 15 (23) | 20 (30) | 3 (5) | 7 (11) | 7 (11) |
Training preference
N (%) | |
---|---|
I have received the following training in ultrasound use: | |
• None | 0 (0) |
• Residency training | 33 (50) |
• Fellowship training | 20 (30) |
• Peer-to-peer | 38 (58) |
• Single day workshop | 36 (55) |
• Multiple day workshop | 32 (49) |
• Electronic format- internet based | 36 (55) |
• Printed material (textbook, brochures, pamphlets, etc) | 36 (55) |
I would like to receive ultrasound training: | |
• Yes | 47 (72) |
• No | 18 (28) |
I would benefit from participating in ultrasound training via E-learning modules (only to “yes” on above question): | |
• Strongly Agree | 12 (40) |
• Agree | 9 (30) |
• Somewhat Agree | 9 (30) |
• Somewhat Disagree | 0 (0) |
• Disagree | 0 (0) |
• Strongly Disagree | 0 (0) |
I plan to undertake ultrasound training (additional or for the first time) in the next 12 months: | |
• Yes | 30 (46) |
• No | 36 (55) |
I am NOT planning to undertake training in the use of ultrasound because: | |
• I have sufficient training | 14 (21) |
• There is no time or resources available for training | 10 (15) |
• It is not needed for my practice | 3 (5) |
• I have no interest in ultrasound training | 0 (0) |
• Not answered | 29 (44) |
I do NOT see the benefit to ultrasound training: | |
• Strongly Agree | 0 |
• Agree | 0 |
• Somewhat Agree | 0 |
• Somewhat Disagree | 9 (14) |
• Disagree | 17 (26) |
• Strongly Disagree | 40 (61) |
Ultrasound guidance is an important skill for all anesthesiologists to have: | |
• Strongly Agree | 50 (76) |
• Agree | 10 (15) |
• Somewhat Agree | 5 (8) |
• Somewhat Disagree | 1 (2) |
• Disagree | 0 (0) |
• Strongly Disagree | 0 (0) |
Discussion
Interpretation
Strengths and limitations
Conclusion
Acknowledgements
Funding
Availability of data and materials
Ethics approval and consent to participate
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Ethic approval was obtained from Western Research Office, Western University, London, Ontario, Canada (REB#108969; approved @ Apr 2017)
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An electronic signed written consent was obtained from all participants.