Pierfrancesco Fusco1,2, Vincenza Cofini3, Stefano Di Carlo4,5,6, Antonio Luciani7, Paolo Scimia8, Emiliano Petrucci9, Astrid U Behr10,2, Stefano Necozione3, Laura Brigitta Colantonio11, Gilberto Fiore12,2, Alessandro Vergallo13, Franco Marinangeli3,2. 1. Department of Anesthesia and Intensive Care Unit, San Salvatore Academic Hospital of L'Aquila, L'Aquila, Italy. 2. SimuLearn®, Medical Simulation Center, Bologna, Italy. 3. Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy. 4. Department of Medical, Oral and Biotechnological Sciences, University of Chieti, Chieti, Italy. stefanodik87@gmail.com. 5. Department of Anesthesia and Intensive Care Unit, University of Chieti, Chieti, Italy. stefanodik87@gmail.com. 6. , Via Vetoio, CAP 67100, L'Aquila, Italy. stefanodik87@gmail.com. 7. Department of Medical, Oral and Biotechnological Sciences, University of Chieti, Chieti, Italy. 8. Department of Anesthesia and Perioperative Medicine, A.S.S.T. of Cremona, Cremona, Italy. 9. Department of Anesthesia and Intensive Care Unit, SS. Filippo and Nicola Hospital of Avezzano, L'Aquila, Italy. 10. Institute of Anesthesia and Intensive Care, Hospital of Padova, Padua, Italy. 11. Department of Anesthesia and Intensive Care Unit, Fondazione IRCCS Ca'Granda,Ospedale Maggiore Policlinico, Milan, Italy. 12. Department of Anesthesia and Intensive Care, Hospital of Santa Croce di Moncalieri, Turin, Italy. 13. Department of Anesthesia and Intensive Care, Spedali Civili di Brescia, Brescia, Italy.
Abstract
PURPOSE: In recent years, ultrasound has seen a rapid development with numerous applications in anesthesia, intensive-care medicine, and pain medicine, increasing efficacy and safety of procedures. We investigated the prevalence of ultrasound use among Italian anesthetists. METHODS: A cross-sectional prevalence study was carried out on a sample of 735 anesthetists. The research was conducted during the ultrasound training in anesthesia and intensive care, in the Italian Associazione Anestesisti Rianimatori Ospedalieri - Emergenza Area Critica "SimuLearn®" training centre (Bologna, Italy). RESULTS: The overall prevalence of a dedicated ultrasound devices in the operating room was 70% [95% CI 66-73%], while 74% [95% CI 69-78%] in northern Italy, 61% [95% CI 52-68%] in southern Italy, and 70% [95% CI 63-77%] in central Italy, indicating a significant difference between the north and south of Italy. The prevalence of regular use of ultrasound was high for regional anesthesia and for central venous cannulation [82-95% CI 79-85%] and low for pain therapy procedures [7-95% CI 6-10%]. Multivariate logistic analysis showed that the presence of a dedicated ultrasound device and high expertise were factors associated with routine use of ultrasound for regional anesthesia in upper and lower limb blocks and in vascular access. CONCLUSION: The appropriate training in the use of ultrasound in anesthesia, intensive-care medicine, and pain therapy should be implemented in south of Italy to make uniform the widespread of ultrasonography in anesthesia, in all Italian regions.
PURPOSE: In recent years, ultrasound has seen a rapid development with numerous applications in anesthesia, intensive-care medicine, and pain medicine, increasing efficacy and safety of procedures. We investigated the prevalence of ultrasound use among Italian anesthetists. METHODS: A cross-sectional prevalence study was carried out on a sample of 735 anesthetists. The research was conducted during the ultrasound training in anesthesia and intensive care, in the Italian Associazione Anestesisti Rianimatori Ospedalieri - Emergenza Area Critica "SimuLearn®" training centre (Bologna, Italy). RESULTS: The overall prevalence of a dedicated ultrasound devices in the operating room was 70% [95% CI 66-73%], while 74% [95% CI 69-78%] in northern Italy, 61% [95% CI 52-68%] in southern Italy, and 70% [95% CI 63-77%] in central Italy, indicating a significant difference between the north and south of Italy. The prevalence of regular use of ultrasound was high for regional anesthesia and for central venous cannulation [82-95% CI 79-85%] and low for pain therapy procedures [7-95% CI 6-10%]. Multivariate logistic analysis showed that the presence of a dedicated ultrasound device and high expertise were factors associated with routine use of ultrasound for regional anesthesia in upper and lower limb blocks and in vascular access. CONCLUSION: The appropriate training in the use of ultrasound in anesthesia, intensive-care medicine, and pain therapy should be implemented in south of Italy to make uniform the widespread of ultrasonography in anesthesia, in all Italian regions.
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