Purpose: The goal of this survey was to describe the use and diffusion of lung ultrasound (LUS), the level of training received before and during the COVID-19 pandemic, and the clinical impact LUS has had on COVID-19 cases in intensive care units (ICU) from February 2020 to May 2020. Materials and methods: The Italian Lung Ultrasound Survey (ITALUS) was a nationwide online survey proposed to Italian anesthesiologists and intensive care physicians carried out after the first wave of the COVID-19 pandemic. It consisted of 27 questions, both quantitative and qualitative. Results: 807 responded to the survey. The median previous LUS experience was 3 years (IQR 1.0-6.0). 473 (60.9 %) reported having attended at least one training course on LUS before the COVID-19 pandemic. 519 (73.9 %) reported knowing how to use the LUS score. 404 (52 %) reported being able to use LUS without any supervision. 479 (68.2 %) said that LUS influenced their clinical decision-making, mostly with respect to patient monitoring. During the pandemic, the median of patients daily evaluated with LUS increased 3-fold (p < 0.001), daily use of general LUS increased from 10.4 % to 28.9 % (p < 0.001), and the daily use of LUS score in particular increased from 1.6 % to 9.0 % (p < 0.001). Conclusion: This survey showed that LUS was already extensively used during the first wave of the COVID-19 pandemic by anesthesiologists and intensive care physicians in Italy, and then its adoption increased further. Residency programs are already progressively implementing LUS teaching. However, 76.7 % of the sample did not undertake any LUS certification.
Level of Diffusion and Training of Lung Ultrasound during the COVID-19 Pandemic - A National Online Italian Survey (ITALUS) from the Lung Ultrasound Working Group of the Italian Society of Anesthesia, Analgesia, Resuscitation, and Intensive Care (SIAARTI) = Grad der Verbreitung und der Schulung von Lungenultraschall während der COVID-19-Pandemie – eine nationale italienische Online-Umfrage (ITALUS) der Arbeitsgruppe Lungenultraschall der Italienischen Gesellschaft für Anästhesie, Analgesie, Reanimation und Intensivmedizin (SIAARTI) / L. Vetrugno, F. Mojoli, E. Boero, P. Berchialla, E. Bignami, D. Orso, A. Cortegiani, F. Forfori, F. Corradi, G. Cammarota, E. De Robertis, S. Mongodi, D. Chiumello, D. Poole, M. Ippolito, D. Biasucci, P. Persona, T. Bove, L. Ball, P. Pelosi, P. Navalesi, M. Antonelli, A. Corcione, A. Giarratano, F. Petrini. - In: ULTRASCHALL IN DER MEDIZIN. - ISSN 0172-4614. - (2021). [Epub ahead of print] [10.1055/a-1634-4710]
Level of Diffusion and Training of Lung Ultrasound during the COVID-19 Pandemic - A National Online Italian Survey (ITALUS) from the Lung Ultrasound Working Group of the Italian Society of Anesthesia, Analgesia, Resuscitation, and Intensive Care (SIAARTI) = Grad der Verbreitung und der Schulung von Lungenultraschall während der COVID-19-Pandemie – eine nationale italienische Online-Umfrage (ITALUS) der Arbeitsgruppe Lungenultraschall der Italienischen Gesellschaft für Anästhesie, Analgesie, Reanimation und Intensivmedizin (SIAARTI)
E. Bignami;F. Corradi;D. Chiumello;M. Ippolito;M. Antonelli;
2021
Abstract
Purpose: The goal of this survey was to describe the use and diffusion of lung ultrasound (LUS), the level of training received before and during the COVID-19 pandemic, and the clinical impact LUS has had on COVID-19 cases in intensive care units (ICU) from February 2020 to May 2020. Materials and methods: The Italian Lung Ultrasound Survey (ITALUS) was a nationwide online survey proposed to Italian anesthesiologists and intensive care physicians carried out after the first wave of the COVID-19 pandemic. It consisted of 27 questions, both quantitative and qualitative. Results: 807 responded to the survey. The median previous LUS experience was 3 years (IQR 1.0-6.0). 473 (60.9 %) reported having attended at least one training course on LUS before the COVID-19 pandemic. 519 (73.9 %) reported knowing how to use the LUS score. 404 (52 %) reported being able to use LUS without any supervision. 479 (68.2 %) said that LUS influenced their clinical decision-making, mostly with respect to patient monitoring. During the pandemic, the median of patients daily evaluated with LUS increased 3-fold (p < 0.001), daily use of general LUS increased from 10.4 % to 28.9 % (p < 0.001), and the daily use of LUS score in particular increased from 1.6 % to 9.0 % (p < 0.001). Conclusion: This survey showed that LUS was already extensively used during the first wave of the COVID-19 pandemic by anesthesiologists and intensive care physicians in Italy, and then its adoption increased further. Residency programs are already progressively implementing LUS teaching. However, 76.7 % of the sample did not undertake any LUS certification.File | Dimensione | Formato | |
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