Table 3.
Comparison of the residents and senior physician answers to the last 6 questions of the survey (use of the ultrasound technique)
| Residents n = 65 |
Seniors n = 125 |
p value | |
|---|---|---|---|
| Use of ultrasound for CVC placement | |||
| Always | 23 % (n = 15) | 16 % (n = 20) | 0.3 |
| Almost always | 66 % (n = 43) | 41 % (n = 51) | 0.001 |
| Half of the time | 8 % (n = 5) | 22 % (n = 27) | 0.03 |
| Almost never | 2 % (n = 1) | 14 % (n = 17) | 0.01 |
| Never | 2 % (n = 1) | 8 % (n = 10) | 0.1 |
| Reasons you do not use ultrasound (MR) | |||
| You think you do not need it | 28 % (n = 18) | 40 % (n = 50) | 0.1 |
| Not available | 43 % (n = 28) | 27 % (n = 34) | 0.04 |
| No equipment | 9 % (n = 6) | 0 | – |
| You think the procedure is longer with ultrasound | 14 % (n = 9) | 22 % (n = 27) | 0.3 |
| Lack of training | 5 % (n = 3) | 14 % (n = 18) | 0.07 |
| Other reasons | 8 % (n = 5) | 22 % (n = 28) | 0.02 |
| Which ultrasound technique do you use? | |||
| Skin mark | 3 % (n = 2) | 11 % (n = 13) | 0.13 |
| Ultrasound guided | 81 % (n = 52) | 65 % (n = 74) | 0.007 |
| Both | 16 % (n = 10) | 24 % (n = 27) | 0.4 |
| Which situations would encourage you to use ultrasound? (MR) | |||
| Obesity | 57 % (n = 37) | 52 % (n = 65) | 0.6 |
| Clotting abnormalities | 65 % (n = 42) | 64 % (n = 80)) | 0.9 |
| Jugular site | 51 % (n = 33) | 42 % (n = 52 | 0.3 |
| Femoral site | 12 % (n = 8) | 23 % (n = 29) | 0.1 |
| Subclavian site | 17 % (n = 11) | 5 % (n = 6) | 0.01 |
| Anatomic difficulties | 57 % (n = 37) | 50 % (n = 62) | 0.4 |
| Missed landmark procedure | 37 % (n = 24) | 46 % (n = 57) | 0.3 |
| None | 0 | 5 % (n = 6) | – |
| How many times have you experienced an emergency situation in which ultrasound was not available sufficiently rapidly during the last 12 months? | |||
| 0 | 40 % (n = 26) | 50 % (n = 63) | 0.2 |
| <2 | 35 % (n = 23) | 17 % (n = 21) | 0.007 |
| 2–5 | 21 % (n = 14) | 26 % (n = 32) | 0.6 |
| 6–10 | 3 % (n = 2) | 6 % (n = 7) | 0.7 |
| >10 | 0 | 2 % (n = 2) | – |
| Do you think the landmark procedure should still be taught to residents? | |||
| Yes | 95 % (n = 62) | 89 % (n = 111) | 0.4 |
| No | 5 % (n = 3) | 11 % (n = 14) | 0.2 |
CVC central venous catheter, MR multiple responses