Frequency of Ultrasound Guidance for Vascular Access Placement and Nerve Blocks by Anesthesiologists
DOI:
https://doi.org/10.70749/ijbr.v2i02.222Keywords:
Barriers, Guidance, Nerve Blocks, Ultrasound, Vascular Access PlacementAbstract
Objective: To determine the frequency at which anesthesiologists utilize ultrasound guidance for the placement of vascular access and nerve blocks.
Background : Within the field of anesthesia, anesthesiologists perform vital procedures referred to as perioperative vascular access placement and nerve blocks. Vascular access is crucial for the delivery of fluids and medications required for surgical procedures, whereas nerve blocks offer precise pain control with little systemic effects.
Method; A cross-sectional study conducted in tertiary hospitals in Karachi. The study had a duration of six months, commencing on May 29 and concluding on November 29, 2022, following the approval of the Institutional Review Board. The study was conducted with the cooperation of anesthesiology residents and practicing anesthesiologists. The principal researcher sent an email to the anesthesiologists. If there was no response, an additional SMS was sent. If there was no answer, we reached out to the next eligible candidate. Participants who willingly choose to take part answered an online questionnaire. The research proforma was filled out online.
Findings: The study comprised 193 participants, which further comprises 47.7% of FCPS consultants, 22.8% of MCPS consultants, 15.5% of FCPS trainees, and 14.0% of MCPS trainees. Ultrasonography guidance was utilised by 49.7% of individuals with 2-13 years of experience and 25.4% of individuals with more than 13 years of experience. The disparity may lack statistical significance.
Conclusion: The primary obstacles were the absence of ultrasound equipment, apprehensions over inadequate training, and a propensity to rely on clinical judgement rather than utilizing ultrasonography.
References
Sen, S., Ge, M., Prabhakar, A., Moll, V., Kaye, R. J., Cornett, E. M., Hall, O. M., Padnos, I. W., Urman, R. D., & Kaye, A. D. (2019). Recent technological advancements in regional anesthesia. Best Practice & Research Clinical Anaesthesiology, 33(4), 499–505. https://doi.org/10.1016/j.bpa.2019.07.002
Re, M., Blanco, J., & Gomez de Segura, I. A. (2016). Ultrasound-guided nerve block anesthesia. Vet Clin North Am Food Anim Pract, 32(1), 133-47.
Terkawi, A. S., Karakitsos, D., Elbarbary, M., Blaivas, M., & Durieux, M. E. (2013). Ultrasound for the Anesthesiologists: Present and Future. The Scientific World Journal, 2013, 1–15. https://doi.org/10.1155/2013/683685
Van de Putte, P., & Perlas, A. (2014). Ultrasound assessment of gastric content and volume. British Journal of Anaesthesia, 113(1), 12–22. https://doi.org/10.1093/bja/aeu151
Haskins, S. C., Kruisselbrink, R., Boublik, J., Wu, C. L., & Perlas, A. (2018). Gastric Ultrasound for the Regional Anesthesiologist and Pain Specialist. Regional Anesthesia and Pain Medicine, 43(7), 689–698. https://doi.org/10.1097/aap.0000000000000846
Kessler, J., Wegener, J. T., Hollmann, M. W., & Stevens, M. F. (2016). Teaching concepts in ultrasound-guided regional anesthesia. Current Opinion in Anaesthesiology, 29(5), 608–613. https://doi.org/10.1097/aco.0000000000000381
Denys, B. G., Uretsky, B. F., & Reddy, P. H. (1993). Ultrasound-assisted cannulation of the internal jugular vein. A prospective comparison to the external landmark-guided technique. Circulation, 87(5), 1557–1562. https://doi.org/10.1161/01.cir.87.5.1557
Karakitsos, D., Labropoulos, N., De Groot, E., Patrianakos, A. P., Kouraklis, G., Poularas, J., Samonis, G., Tsoutsos, D. A., Konstadoulakis, M. M., & Karabinis, A. (2006). Real-time ultrasound-guided catheterisation of the internal jugular vein: a prospective comparison with the landmark technique in critical care patients. Critical Care, 10(6), R162. https://doi.org/10.1186/cc5101
Troianos, C. A., Jobes, D. R., & Ellison, N. (1991). Ultrasound-Guided Cannulation of the Internal Jugular Vein. A Prospective, Randomized Study. Anesth Analg, 72(6), 823–826. https://doi.org/10.1213/00000539-199106000-00020
Shamim, F., Hameed, M., Siddiqui, N., & Abbasi, S. (2018). Ultrasound-guided peripheral nerve blocks in high-risk patients, requiring lower limb (Above and below knee) amputation. International Journal of Critical Illness and Injury Science, 8(2), 100. https://doi.org/10.4103/IJCIIS.IJCIIS_60_17
Oremuš, K. (2019). Ultrasound Skills in Lower Extremity Traumatology and Orthopedics – Regional Anesthesia and Beyond. Acta Clinica Croatica, 58, 74–81. https://doi.org/10.20471/acc.2019.58.s1.11
Merchant, R., Chartrand, D., Dain, S., Dobson, G., Kurrek, M. M., Lagacé, A., Stacey, S., Thiessen, B., Chow, L., & Sullivan, P. (2016). Guidelines to the Practice of Anesthesia - Revised Edition 2016. Canadian Journal of Anaesthesia = Journal Canadien D’anesthesie, 63(1), 86–112. https://doi.org/10.1007/s12630-015-0470-4
Matava, C., & Hayes, J. (2011). A survey of ultrasound use by academic and community anesthesiologists in Ontario. Canadian Journal of Anesthesia/Journal Canadien D’anesthésie, 58(10), 929–935. https://doi.org/10.1007/s12630-011-9555-x
Stowell, J. R., Kessler, R., Lewiss, R. E., Barjaktarevic, I., Bhattarai, B., Ayutyanont, N., & Kendall, J. L. (2017). Critical care ultrasound: A national survey across specialties. J Clin Ultrasound, 46(3), 167–177. https://doi.org/10.1002/jcu.22559
Yorkgitis, B. K., Bryant, E. A., Brat, G. A., Kelly, E., Askari, R., & Ra, J. H. (2017). Ultrasonography training and utilization in surgical critical care fellowships: a program director’s survey. Journal of Surgical Research, 218, 292–297. https://doi.org/10.1016/j.jss.2017.06.040
Hansen, W., Mitchell, C. E., Bhattarai, B., Ayutyanont, N., & Stowell, J. R. (2017). Perception of point-of-care ultrasound performed by emergency medicine physicians. Journal of Clinical Ultrasound, 45(7), 408–415. https://doi.org/10.1002/jcu.22443
Mizubuti, G., Allard, R., M.-H. Ho, A., Cummings, M., & Tanzola, R. C. (2017). A survey of focused cardiac ultrasonography training in Canadian anesthesiology residency programs. Canadian Journal of Anaesthesia/Canadian Journal of Anesthesia, 64(4), 441–442. https://doi.org/10.1007/s12630-016-0800-1
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Indus Journal of Bioscience Research
This work is licensed under a Creative Commons Attribution 4.0 International License.