Survey of anesthesiologists practicing in American neurointensive care units as neurointensivists
| Autor: | Steven T. Bellows, Michael L. James, Ansgar M. Brambrink, Jeremy S. Dority, Marisa C. Gray, David L. McDonagh |
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| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
Critical Care Subspecialty Nursing Anesthesiology Physicians Surveys and Questionnaires medicine Fellowship training business.industry Critically ill Data Collection Neurointensive care Internship and Residency medicine.disease United States Future study Intensive Care Units Anesthesiology and Pain Medicine Workforce Surgery Neurology (clinical) Medical emergency Nervous System Diseases business Working environment |
| Zdroj: | Journal of neurosurgical anesthesiology. 26(1) |
| ISSN: | 1537-1921 |
| Popis: | BACKGROUND A group of anesthesiologists practice as intensivists in neurointensive care units (NeuroICU). The current nature and implications of the role of anesthesiology-based neurointensivist remain unclear. The purpose of this survey was to assess today's practice environment of anesthesiology-based neurointensivists as a framework for future study. METHODS During the period between January 2011 and March 2011, we identified anesthesiologists who provide patient care in specialized NeuroICUs in the United States. We used an online, 15-question survey to gauge the environment and their role in the delivery of care to critically ill patients admitted to NeuroICUs. RESULTS Of the 104 NeuroICUs in the United States, 22 institutions include anesthesiology-based neurointensivists (n=41). With a response from 33 of 41 requested surveys, anesthesiology-based neurointensivists reported that background training and roles for providing patient care in the NeuroICU setting varied widely between institutions. In contrast, these practices were similar in providing 24-hour coverage (76%), working with neurosurgical (88%) and anesthesiology residents (85%), and having critical-care fellowship training (97%). Almost all surveyed individuals practice both neurocritical care and anesthesia in the operating room, and 76% reported satisfaction with their working environment in the NeuroICU relative to other responsibilities. CONCLUSIONS Anesthesiology-based neurointensivists currently represent a small subgroup within the rapidly growing neurointensivist workforce in the United States and consider neurocritical care a valuable aspect of their career. Promoting subspecialty training in neurocritical care among anesthesiologists may provide an opportunity for new patient-care frontiers and address the increasing need for NeuroICU physicians. |
| Databáze: | OpenAIRE |
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