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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 
1   Department of Medicine, University of Udine, Italy
2   Department of Anesthesia and Intensive Care, University Hospital of Udine, Italy, Udine, Italy
,
Francesco Mojoli
3   Anesthesiology, Intensive Care and Pain Medicine, University of Pavia Faculty of Medicine and Surgery, Pavia, Italy
4   Anesthesia and Intensive Care, University Hospital of Pavia, Italy
,
Enrico Boero
5   Anesthesia and Intensive Care, Hospital Saint-Giovanni Bosco Turin, Italy
,
Paola Berchialla
6   Department of Clinical and Biological Sciences, University of Turin Faculty of Medicine and Surgery, Torino, Italy
,
Elena Giovanna Bignami
7   Department of Medicine and Surgery, University of Parma Department of Medicine and Surgery, Parma, Italy
,
Daniele Orso
8   Department of Medicine, University of Udine Department of Biological and Medical Sciences, Udine, Italy
,
Andrea Cortegiani
9   Department of Surgical, Oncological and Oral Science, University of Palermo Faculty of Medicine and Surgery, Palermo, Italy
10   Department of Anesthesia Intensive Care and Emergency, University Hospital Policlinic Paolo Giaccone, Palermo, Italy
,
Francesco Forfori
11   Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa School of Medicine, Pisa, Italy
,
Francesco Corradi
11   Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa School of Medicine, Pisa, Italy
,
Gianmaria Cammarota
12   Department of Medicine and Surgery, University of Perugia School of Medicine and Surgery, Perugia, Italy
,
Edoardo De Robertis
13   Department of Medicine and Surgery, University of Perugia Department of Medicine, Perugia, Italy
,
Silvia Mongodi
14   Anesthesiology and Intensive Care, University Hospital of Pavia, Italy
15   Dipartimento di Scienze Clinico-Chirurgiche, Diagnostiche e Pediatriche, University of Pavia Faculty of Medicine and Surgery, Pavia, Italy
,
Davide Chiumello
16   Department of Anesthesiology and Intensive Care, University of Milan, Milano, Italy
,
Daniele Poole
17   Anesthesia and Intensive Care Operative Unit, Hospital Saint-Martinus, Belluno, Italy
,
Mariachiara Ippolito
9   Department of Surgical, Oncological and Oral Science, University of Palermo Faculty of Medicine and Surgery, Palermo, Italy
10   Department of Anesthesia Intensive Care and Emergency, University Hospital Policlinic Paolo Giaccone, Palermo, Italy
,
Daniele Guerino Biasucci
18   Department of Anesthesia and Intensive Care, University Hospital Agostino Gemelli Department of Surgical and Medical Sciences, Rome, Italy
,
Paolo Persona
19   UOC Anesthesia and Intensive Care Unit, University Hospital of Padua, Padua, Italy, Padua, Italy
,
Tiziana Bove
8   Department of Medicine, University of Udine Department of Biological and Medical Sciences, Udine, Italy
2   Department of Anesthesia and Intensive Care, University Hospital of Udine, Italy, Udine, Italy
,
Lorenzo Ball
20   Department of Anesthesia and Intensive Care, University of Genoa School of Medical and Pharmaceutical Sciences, Genova, Italy
,
Paolo Pelosi
20   Department of Anesthesia and Intensive Care, University of Genoa School of Medical and Pharmaceutical Sciences, Genova, Italy
,
Paolo Navalesi
19   UOC Anesthesia and Intensive Care Unit, University Hospital of Padua, Padua, Italy, Padua, Italy
,
Massimo Antonelli
18   Department of Anesthesia and Intensive Care, University Hospital Agostino Gemelli Department of Surgical and Medical Sciences, Rome, Italy
,
Antonio Corcione
21   Unit of Anaesthesia and intensive Care, Monaldi Hospital Naples, Italy, Naples, Italy
,
Antonino Giarratano
22   Department of Surgical, Oncological and Oral Science, University of Palermo Faculty of Medicine and Surgery, Palermo, Italy
10   Department of Anesthesia Intensive Care and Emergency, University Hospital Policlinic Paolo Giaccone, Palermo, Italy
,
Flavia Petrini
23   Anesthesia, Intensive Care and Pain Management, President Italian Society of Anesthesia, Analgesia, Resuscitation, and Intensive Care (SIAARTI), Rome Italy, Rome, Italy
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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

Supporting information



Publikationsverlauf

Eingereicht: 22. Februar 2021

Angenommen: 05. August 2021

Artikel online veröffentlicht:
03. November 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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