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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).


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.

SUBMITTER: Vetrugno L 

PROVIDER: S-EPMC9534595 | biostudies-literature | 2022 Oct

REPOSITORIES: biostudies-literature

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Publications

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).

Vetrugno Luigi L   Mojoli Francesco F   Boero Enrico E   Berchialla Paola P   Bignami Elena Giovanna EG   Orso Daniele D   Cortegiani Andrea A   Forfori Francesco F   Corradi Francesco F   Cammarota Gianmaria G   De Robertis Edoardo E   Mongodi Silvia S   Chiumello Davide D   Poole Daniele D   Ippolito Mariachiara M   Biasucci Daniele Guerino DG   Persona Paolo P   Bove Tiziana T   Ball Lorenzo L   Pelosi Paolo P   Navalesi Paolo P   Antonelli Massimo M   Corcione Antonio A   Giarratano Antonino A   Petrini Flavia F  

Ultraschall in der Medizin (Stuttgart, Germany : 1980) 20211103 5


<h4>Purpose</h4> 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.<h4>Materials and methods</h4> 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 o  ...[more]

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