Use of ultrasound guidance in central venous catheter placement by emergency physicians in Saudi Arabia

To determine the ultrasound guidance for central venous catheter (USG-CVC) placement rate of emergency physicians (EPs) in Kingdom of Saudi Arabia. A cross-sectional survey study regarding the respondents' demographic profiles, formal and informal training in USG-CVC placement, experiences, and...

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Bibliographic Details
Published in:Saudi medical journal 2020-07, Vol.41 (7), p.698-702
Main Authors: Al Aseri, Zohair A, Al Hussein, Reema M, Malabarey, Mohammed A, AlYahya, Bader A, Al Moaiqel, Faisal A, Al Ansari, Mariam A, Alrajhi, Khaled N
Format: Article
Language:English
Subjects:
Catheterization
Catheterization, Central Venous - methods
Catheterization, Central Venous - statistics & numerical data
Catheters
Central Venous Catheters
Cross-Sectional Studies
Emergency medical care
Emergency Medicine
Female
Humans
Internship and Residency - statistics & numerical data
Male
Original
Physicians
Procedures and Techniques Utilization - statistics & numerical data
Saudi Arabia - epidemiology
Surgery, Computer-Assisted - education
Surgery, Computer-Assisted - methods
Surgery, Computer-Assisted - statistics & numerical data
Surveys
Surveys and Questionnaires
Ultrasonic imaging
Ultrasonography
Ultrasonography, Interventional - methods
Ultrasonography, Interventional - statistics & numerical data
Ultrasound imaging
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Summary:To determine the ultrasound guidance for central venous catheter (USG-CVC) placement rate of emergency physicians (EPs) in Kingdom of Saudi Arabia. A cross-sectional survey study regarding the respondents' demographic profiles, formal and informal training in USG-CVC placement, experiences, and attitudes towards the procedure was emailed to all EPs registered with the Saudi Commission for Health Specialties (SCFHS) between October and December 2018. In total, 234/350 SCFHS-registered EPs completed the survey; the response rate was 66.9%. Most respondents (70.5%) were board-certified in emergency medicine (EM). Ninety percent indicated that US device for CVC placement assistance was available. Most EPs (78.2%) had performed USG-CVC placement; the US usage rate correlated significantly with recent graduation from residency (p=0.048). In total, 83.3% received formal training during residency. Of the 234 respondents, 53.8% felt extremely comfortable with CVC placement with USG and 19.7% without USG (p less than 0.01). Nevertheless, most respondents desired further USG-CVC training. Despite existing evidence and a consensus on its superiority over the landmark technique, USG-CVC placement has not been adopted by a small proportion of EPs into clinical practice. Formal training, education, and institutional provision of permanent onsite US machines may address any barriers.
ISSN:0379-5284
1658-3175
DOI:10.15537/SMJ.2020.7.25162