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Haskins SC, Bronshteyn Y, Perlas A, et al. American Society of Regional Anesthesia and Pain Medicine expert panel recommendations on point-of-care ultrasound education and training for regional anesthesiologists and pain physicians-part I: clinical indications. Reg Anesth Pain Med. 2021;46(12):1031-1047doi: 10.1136/rapm-2021-102560.
Haskins, S. C., Bronshteyn, Y., Perlas, A., El-Boghdadly, K., Zimmerman, J., Silva, M., Boretsky, K., Chan, V., Kruisselbrink, R., Byrne, M., Hernandez, N., Boublik, J., Manson, W. C., Hogg, R., Wilkinson, J. N., Kalagara, H., Nejim, J., Ramsingh, D., Shankar, H., Nader, A., Souza, D., & Narouze, S. (2021). American Society of Regional Anesthesia and Pain Medicine expert panel recommendations on point-of-care ultrasound education and training for regional anesthesiologists and pain physicians-part I: clinical indications. Regional anesthesia and pain medicine, 46(12), 1031-1047. https://doi.org/10.1136/rapm-2021-102560
Haskins, Stephen C, et al. "American Society of Regional Anesthesia and Pain Medicine expert panel recommendations on point-of-care ultrasound education and training for regional anesthesiologists and pain physicians-part I: clinical indications." Regional anesthesia and pain medicine vol. 46,12 (2021): 1031-1047. doi: https://doi.org/10.1136/rapm-2021-102560
Haskins SC, Bronshteyn Y, Perlas A, El-Boghdadly K, Zimmerman J, Silva M, Boretsky K, Chan V, Kruisselbrink R, Byrne M, Hernandez N, Boublik J, Manson WC, Hogg R, Wilkinson JN, Kalagara H, Nejim J, Ramsingh D, Shankar H, Nader A, Souza D, Narouze S. American Society of Regional Anesthesia and Pain Medicine expert panel recommendations on point-of-care ultrasound education and training for regional anesthesiologists and pain physicians-part I: clinical indications. Reg Anesth Pain Med. 2021 Dec;46(12):1031-1047. doi: 10.1136/rapm-2021-102560. Epub 2021 Feb 24. PMID: 33632778.
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Reg Anesth Pain Med. 2021 Dec;46(12):1031-1047. doi: 10.1136/rapm-2021-102560. Epub 2021 Feb 24.

American Society of Regional Anesthesia and Pain Medicine expert panel recommendations on point-of-care ultrasound education and training for regional anesthesiologists and pain physicians-part I: clinical indications.

Regional anesthesia and pain medicine

Stephen C Haskins, Yuriy Bronshteyn, Anahi Perlas, Kariem El-Boghdadly, Joshua Zimmerman, Marcos Silva, Karen Boretsky, Vincent Chan, Richelle Kruisselbrink, Melissa Byrne, Nadia Hernandez, Jan Boublik, William Clark Manson, Rosemary Hogg, Jonathan N Wilkinson, Hari Kalagara, Jemiel Nejim, Davinder Ramsingh, Hariharan Shankar, Antoun Nader, Dmitri Souza, Samer Narouze

Affiliations

  1. Anesthesiology, Critical Care & Pain Management, Hospital for Special Surgery, New York, New York, USA [email protected].
  2. Anesthesiology, Weill Cornell Medical College, New York, New York, USA.
  3. Anesthesiology, Duke University School of Medicine, Durham, North Carolina, USA.
  4. Anesthesiology and Pain Management, Toronto Western Hospital, Toronto, Ontario, Canada.
  5. Anaesthesia, Guy's & St Thomas' NHS Foundation Trust, London, UK.
  6. Anesthesiology, University of Utah Health, Salt Lake City, Utah, USA.
  7. Anesthesiology, Critical Care and Pain Medicine, Harvard Medical School, Boston, Massachusetts, USA.
  8. Anesthesiology, McMaster University, Hamilton, Ontario, Canada.
  9. Anesthesiology, University of Michigan, Ann Arbor, Michigan, USA.
  10. Anesthesiology, University of Texas Health Science Center at Houston, Houston, Texas, USA.
  11. Anesthesiology, Stanford Hospital and Clinics, Stanford, California, USA.
  12. Anesthesiology, University of Virginia Health System, Charlottesville, Virginia, USA.
  13. Anaesthesia, Belfast Health and Social Care Trust, Belfast, UK.
  14. Intensive Care and Anaesthesia, Northampton General Hospital, Northampton, Northamptonshire, UK.
  15. Anesthesiology, UAB, Birmingham, Alabama, USA.
  16. Anesthesiology, Critical Care & Pain Management, Hospital for Special Surgery, New York, New York, USA.
  17. Anesthesiology, Loma Linda University Medical Center, Loma Linda, California, USA.
  18. Anesthesiology, Clement Zablocki VA Medical Center/Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
  19. Anesthesiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
  20. Center for Pain Medicine, Western Reserve Hospital, Cuyahoga Falls, Ohio, USA.

PMID: 33632778 DOI: 10.1136/rapm-2021-102560

Abstract

Point-of-care ultrasound (POCUS) is a critical skill for all regional anesthesiologists and pain physicians to help diagnose relevant complications related to routine practice and guide perioperative management. In an effort to inform the regional anesthesia and pain community as well as address a need for structured education and training, the American Society of Regional Anesthesia and Pain Medicine (ASRA) commissioned this narrative review to provide recommendations for POCUS. The guidelines were written by content and educational experts and approved by the Guidelines Committee and the Board of Directors of the ASRA. In part I of this two-part series, clinical indications for POCUS in the perioperative and chronic pain setting are described. The clinical review addresses airway ultrasound, lung ultrasound, gastric ultrasound, the focus assessment with sonography for trauma examination and focused cardiac ultrasound for the regional anesthesiologist and pain physician. It also provides foundational knowledge regarding ultrasound physics, discusses the impact of handheld devices and finally, offers insight into the role of POCUS in the pediatric population.

© American Society of Regional Anesthesia & Pain Medicine 2021. No commercial re-use. See rights and permissions. Published by BMJ.

Keywords: critical care; education; pain management; technology; ultrasonography

Conflict of interest statement

Competing interests: None declared.

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