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)

Luigi Vetrugno; Francesco Mojoli; Enrico Boero; Paola Berchialla; Elena Giovanna Bignami; Daniele Orso; Andrea Cortegiani; Francesco Forfori; Francesco Corradi; Gianmaria Cammarota; Edoardo De Robertis; Silvia Mongodi; Davide Chiumello; Daniele Poole; Mariachiara Ippolito; Daniele Guerino Biasucci; Paolo Persona; Tiziana Bove; Lorenzo Ball; Paolo Pelosi; Paolo Navalesi; Massimo Antonelli; Antonio Corcione; Antonino Giarratano; Flavia Petrini

doi:10.1055/a-1634-4710

Ultraschall in der Medizin - European Journal of Ultrasound, Inhaltsverzeichnis

CC BY-NC-ND 4.0 · Ultraschall Med 2022; 43(05): 464-472
DOI: 10.1055/a-1634-4710

Original Article

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)

Luigi Vetrugno

¹Department of Medicine, University of Udine, Italy

²Department of Anesthesia and Intensive Care, University Hospital of Udine, Italy, Udine, Italy

,

Francesco Mojoli

³Anesthesiology, Intensive Care and Pain Medicine, University of Pavia Faculty of Medicine and Surgery, Pavia, Italy

⁴Anesthesia and Intensive Care, University Hospital of Pavia, Italy

,

Enrico Boero

⁵Anesthesia and Intensive Care, Hospital Saint-Giovanni Bosco Turin, Italy

,

Paola Berchialla

⁶Department of Clinical and Biological Sciences, University of Turin Faculty of Medicine and Surgery, Torino, Italy

,

Elena Giovanna Bignami

⁷Department of Medicine and Surgery, University of Parma Department of Medicine and Surgery, Parma, Italy

,

Daniele Orso

⁸Department of Medicine, University of Udine Department of Biological and Medical Sciences, Udine, Italy

,

Andrea Cortegiani

⁹Department of Surgical, Oncological and Oral Science, University of Palermo Faculty of Medicine and Surgery, Palermo, Italy

¹⁰Department of Anesthesia Intensive Care and Emergency, University Hospital Policlinic Paolo Giaccone, Palermo, Italy

,

Francesco Forfori

¹¹Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa School of Medicine, Pisa, Italy

,

Francesco Corradi

¹¹Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa School of Medicine, Pisa, Italy

,

Gianmaria Cammarota

¹²Department of Medicine and Surgery, University of Perugia School of Medicine and Surgery, Perugia, Italy

,

Edoardo De Robertis

¹³Department of Medicine and Surgery, University of Perugia Department of Medicine, Perugia, Italy

,

Silvia Mongodi

¹⁴Anesthesiology and Intensive Care, University Hospital of Pavia, Italy

¹⁵Dipartimento di Scienze Clinico-Chirurgiche, Diagnostiche e Pediatriche, University of Pavia Faculty of Medicine and Surgery, Pavia, Italy

,

Davide Chiumello

¹⁶Department of Anesthesiology and Intensive Care, University of Milan, Milano, Italy

,

Daniele Poole

¹⁷Anesthesia and Intensive Care Operative Unit, Hospital Saint-Martinus, Belluno, Italy

,

Mariachiara Ippolito

⁹Department of Surgical, Oncological and Oral Science, University of Palermo Faculty of Medicine and Surgery, Palermo, Italy

¹⁰Department of Anesthesia Intensive Care and Emergency, University Hospital Policlinic Paolo Giaccone, Palermo, Italy

,

Daniele Guerino Biasucci

¹⁸Department of Anesthesia and Intensive Care, University Hospital Agostino Gemelli Department of Surgical and Medical Sciences, Rome, Italy

,

Paolo Persona

¹⁹UOC Anesthesia and Intensive Care Unit, University Hospital of Padua, Padua, Italy, Padua, Italy

,

Tiziana Bove

⁸Department of Medicine, University of Udine Department of Biological and Medical Sciences, Udine, Italy

²Department of Anesthesia and Intensive Care, University Hospital of Udine, Italy, Udine, Italy

,

Lorenzo Ball

²⁰Department of Anesthesia and Intensive Care, University of Genoa School of Medical and Pharmaceutical Sciences, Genova, Italy

,

Paolo Pelosi

²⁰Department of Anesthesia and Intensive Care, University of Genoa School of Medical and Pharmaceutical Sciences, Genova, Italy

,

Paolo Navalesi

¹⁹UOC Anesthesia and Intensive Care Unit, University Hospital of Padua, Padua, Italy, Padua, Italy

,

Massimo Antonelli

¹⁸Department of Anesthesia and Intensive Care, University Hospital Agostino Gemelli Department of Surgical and Medical Sciences, Rome, Italy

,

Antonio Corcione

²¹Unit of Anaesthesia and intensive Care, Monaldi Hospital Naples, Italy, Naples, Italy

,

Antonino Giarratano

²²Department of Surgical, Oncological and Oral Science, University of Palermo Faculty of Medicine and Surgery, Palermo, Italy

¹⁰Department of Anesthesia Intensive Care and Emergency, University Hospital Policlinic Paolo Giaccone, Palermo, Italy

,

Flavia Petrini

²³Anesthesia, Intensive Care and Pain Management, President Italian Society of Anesthesia, Analgesia, Resuscitation, and Intensive Care (SIAARTI), Rome Italy, Rome, Italy

› Institutsangaben

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.

Zusammenfassung

Ziel Das Ziel dieser Umfrage war es, den Einsatz und die Verbreitung von Lungenultraschall (LUS), den Ausbildungstand vor und während der COVID-19-Pandemie sowie die klinische Bedeutung des LUS auf COVID-19-Fälle auf Intensivstationen (ICU) von Februar 2020 bis Mai 2020 zu beschreiben.

Material und Methoden Die „Italian Lung Ultrasound Survey“ (ITALUS) war eine landesweite Online-Umfrage, die italienischen Anästhesisten und Intensivmedizinern nach der ersten Welle der COVID-19-Pandemie unterbreitet wurde. Sie bestand aus 27 quantitativen und qualitativen Fragen.

Ergebnisse 807 Ärzte nahmen an der Umfrage teil. Die Vorerfahrung im LUS lag bei median 3 Jahren (IQR 1,0–6,0). 473 (60,9 %) gaben an, vor der COVID-19-Pandemie mindestens eine Schulung zu LUS besucht zu haben. 519 (73,9 %) gaben an, mit dem LUS-Score vertraut zu sein. 404 (52 %) gaben an, LUS ohne Aufsicht nutzen zu können. 479 (68,2 %) gaben an, dass LUS ihre klinische Entscheidungsfindung beeinflusst, vor allem in Bezug auf die Patientenüberwachung. Während der Pandemie stieg der Median der Patienten, die täglich mit LUS untersucht wurden, um das 3-Fache (p < 0,001), der tägliche Einsatz des allgemeinen LUS erhöhte sich von 10,4 % auf 28,9 % (p < 0,001), und insbesondere der tägliche Einsatz des LUS-Scores stieg von 1,6 % auf 9,0 % (p < 0,001).

Schlussfolgerung Diese Umfrage zeigte, dass LUS bereits während der ersten Welle der COVID-19-Pandemie von Anästhesisten und Intensivmedizinern in Italien in großem Umfang eingesetzt wurde und dann weiter zugenommen hat. In der Facharztausbildung wird LUS bereits zunehmend eingeführt. Allerdings hatten in der Stichprobe 76,7 % keine LUS-Zertifizierung.

Key words

lung ultrasound - intensive care - COVID-19 - SARS-CoV-2 - ARDS

Volltext

Referenzen

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