Point-of-care ultrasonography: training, applications and barriers. A survey study

  • Gentle S. Shrestha Tribhuvan University Teaching Hospital Maharajgunj, Kathmandu, Nepal
  • Subhash P. Acharya Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal
  • Pramesh S. Shrestha Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal
  • Ninadini Shrestha Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal
  • Hem R. Paneru Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal
  • Sharma Paudel Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal
  • Benu Lohani Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal
  • Saurabh Pradhan Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal
  • Diptesh Aryal Nepal Medici Hospital, Bhaisepati, Lalitpur, Nepal
  • Navindra Bista Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal
  • Bindu L. Shah National Academy of Medical Sciences, Mahaboudha, Kathmandu, Nepal
  • Amit S. Bhattarai Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal
  • Bashu D Parajuli Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal
  • Megha Koirala Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal
  • Pragya Acharya Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal
  • Sabin Koirala Hospital for Advanced Medicine and Surgery, Dhumbarahi, Kathmandu, Nepal
  • Ashish G. Amatya Shahid Gangalal National Heart Center, Bansbari, Kathmandu, Nepal
  • Sandip Bhandari Shahid Gangalal National Heart Center, Bansbari, Kathmandu, Nepal
  • Arjun Gurung Manmohan Cardiothoracic Vascular and Transplant Center, Maharajgunj, Kathmandu, Nepal
  • Bibhush Shrestha Manmohan Cardiothoracic Vascular and Transplant Center, Maharajgunj, Kathmandu, Nepal
  • Shailendra Sigdel Manmohan Cardiothoracic Vascular and Transplant Center, Maharajgunj, Kathmandu, Nepal
  • Bigen M. Shakya Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal
  • Niraj Keyal B & C Medical College and Teaching Hospital, Birtamod, Jhapa, Nepal
  • Anand Thakur Grande International Hospital, Dhapasi, Kathmandu, Nepal
  • Achyut Sharma Manmohan Cardiothoracic Vascular and Transplant Center, Maharajgunj, Kathmandu, Nepal
  • Tamanna Bajracharya KIST Medical College and Teaching Hospital, Mahalaxmi Municipality, Lalitpur, Nepal
Keywords: point-of-care ultrasonography, resource limited setting, survey

Abstract

Background and Aims: Use of point-of-care ultrasound (POCUS) in acute care setting has rapidly increased and has potentials to guide patient management. This survey study aims to explore the usefulness of a one-day workshop and to elicit the perceived barriers for effective use of POCUS.

Methods: A total of 169 doctors who had attended one day Acute Care Ultrasound workshop were approached through email. Online link to access the survey created using Google forms was sent. The survey contained questions related to the details about the participants, feedback about the workshop, whether the workshop has helped to change the practice of the participants, availability of ultrasound machine during the daily practice and the perceived barriers for use of POCUS.

Results: A total of 41 responses were obtained. Majority of the participants had anaesthesiology as the base specialty followed by general practice. Most of them had ICU as their predominant working place, followed by emergency room and operating room. The workshop was found to be helpful by most of the participants. Majority of the participants (20 participants; 49%) had ultrasound machine sometimes available during their daily practice. Only 20% (8 participants) had ultrasound machine always available during their clinical practice. Similarly, 46% (19 participants) considered lack of access to ultrasound machine as a barrier for application of POCUS. Significant number of participants considered lack of supervision and guidance (18 participants; 44%) and lack of knowledge and skills (13 participants; 32%) as the barriers.

Conclusions: Majority of the participants found the one-day workshop helpful. Doctors from various specialty, working in acute care setting had participated in the survey. Limited access to ultrasound machine, together with lack of adequate knowledge and skills were perceived as major barriers for effective use of point-of-care ultrasound.

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Author Biography

Gentle S. Shrestha, Tribhuvan University Teaching Hospital Maharajgunj, Kathmandu, Nepal

Associate Professor, Department of Anaesthesiology

Published
2019-06-30
How to Cite
Shrestha, G., Acharya, S., Shrestha, P., Shrestha, N., Paneru, H., Paudel, S., Lohani, B., Pradhan, S., Aryal, D., Bista, N., Shah, B., Bhattarai, A., Parajuli, B., Koirala, M., Acharya, P., Koirala, S., Amatya, A., Bhandari, S., Gurung, A., Shrestha, B., Sigdel, S., Shakya, B., Keyal, N., Thakur, A., Sharma, A., & Bajracharya, T. (2019). Point-of-care ultrasonography: training, applications and barriers. A survey study. Journal of Advances in Internal Medicine, 8(1), 1-4. https://doi.org/10.3126/jaim.v8i1.27995
Section
Original Articles