Poster Preview
An anesthesiologist’s ability to recognize the intrinsic utility of Point of Care Ultrasound (POCUS) as a diagnostic tool may improve patient safety, decrease anesthesia time, and maximize patient outcomes. Evidence suggests that POCUS is a safe, inexpensive, non-invasive, portable, and easily accessible perioperative tool. The purpose of study was to identify the anesthesiologists’ systems and processes for clinical decision-making utilizing POCUS for patients during the perioperative phases of care. A MANOVA was conducted to identify differences across groups. The independent variable was the type of POCUS scan performed [GU, Cardio, Gastric, Pulmonary]. The dependent variables were the anesthesiologists’ processes for clinical decision-making: 1) Perioperative status of patient; 2) Formulation of clinical question; 3) Ability of scan to answer the clinical question; 4) Changes to plan of care; and 5) Intervention required. There were statistically significant findings (Wilks’ Λ = 0.33 (30, 27) F=1.99) between scan type and clinical decision making (p
College
College of Arts and Sciences
Mentor Information
Donna Lee Ettel-Gambino
Description
An anesthesiologist’s ability to recognize the intrinsic utility of Point of Care Ultrasound (POCUS) as a diagnostic tool may improve patient safety, decrease anesthesia time, and maximize patient outcomes. Evidence suggests that POCUS is a safe, inexpensive, non-invasive, portable, and easily accessible perioperative tool. The purpose of study was to identify the anesthesiologists’ systems and processes for clinical decision-making utilizing POCUS for patients during the perioperative phases of care. A MANOVA was conducted to identify differences across groups. The independent variable was the type of POCUS scan performed [GU, Cardio, Gastric, Pulmonary]. The dependent variables were the anesthesiologists’ processes for clinical decision-making: 1) Perioperative status of patient; 2) Formulation of clinical question; 3) Ability of scan to answer the clinical question; 4) Changes to plan of care; and 5) Intervention required. There were statistically significant findings (Wilks’ Λ = 0.33 (30, 27) F=1.99) between scan type and clinical decision making (p< 0.05). One-way ANOVA contrasts identified a statistically significant difference: patients (64%) who received scans during the perioperative phase of care. Differences by scan type showed that patients in this stage were more likely to undergo a GI scan (100%) than Pulmonary (67%), Cardiac (45%) or GU (0%) scans (p< 0.05). POCUS provided an additional layer of protection for patients during the preoperative phases of care, especially for patients with gastric etiologies. Evidence supports POCUS is easy, portable, sensitive, and specific for identifying various anatomical landmarks. POCUS examinations during the perioperative phases of care facilitate patient monitoring, along interventions to improve patient outcomes.
Point of Care Ultrasound (POCUS): No HOCUS Among Anesthesiologists
An anesthesiologist’s ability to recognize the intrinsic utility of Point of Care Ultrasound (POCUS) as a diagnostic tool may improve patient safety, decrease anesthesia time, and maximize patient outcomes. Evidence suggests that POCUS is a safe, inexpensive, non-invasive, portable, and easily accessible perioperative tool. The purpose of study was to identify the anesthesiologists’ systems and processes for clinical decision-making utilizing POCUS for patients during the perioperative phases of care. A MANOVA was conducted to identify differences across groups. The independent variable was the type of POCUS scan performed [GU, Cardio, Gastric, Pulmonary]. The dependent variables were the anesthesiologists’ processes for clinical decision-making: 1) Perioperative status of patient; 2) Formulation of clinical question; 3) Ability of scan to answer the clinical question; 4) Changes to plan of care; and 5) Intervention required. There were statistically significant findings (Wilks’ Λ = 0.33 (30, 27) F=1.99) between scan type and clinical decision making (p< 0.05). One-way ANOVA contrasts identified a statistically significant difference: patients (64%) who received scans during the perioperative phase of care. Differences by scan type showed that patients in this stage were more likely to undergo a GI scan (100%) than Pulmonary (67%), Cardiac (45%) or GU (0%) scans (p< 0.05). POCUS provided an additional layer of protection for patients during the preoperative phases of care, especially for patients with gastric etiologies. Evidence supports POCUS is easy, portable, sensitive, and specific for identifying various anatomical landmarks. POCUS examinations during the perioperative phases of care facilitate patient monitoring, along interventions to improve patient outcomes.
