Exact(10)
The first heartbeatOn Jan . 6 , 1968Shumway did the landmark procedure which to his chagrin attracted worldwide media attention, with journalists climbing the hospital's walls to try to peek into the operating room.
What can justify to perform a landmark procedure if you have an US machine in your setting and you have been trained to US procedures?
But teaching the landmark procedure during emergency situations where you do not have the time to wait for the US (cardiac arrest for example) is not recommended.
Unavailability of the ultrasound machine was reported significantly more frequently as a reason for using the landmark procedure by residents than by senior physicians [43%% (n = 28) vs. 27%% (n = 34); p = 0.04].
Such situations could justify teaching the landmark technique as a rescue technique, especially as we have demonstrated that residents who have only learned the US-guided technique are unable to perform a landmark procedure [18].
In our region, only 11%% of physicians reported the absence of US training and 3%% reported absence of an ultrasound machine to explain the use of the landmark procedure, which could explain the more frequent use of US procedures in our region compared to previous surveys.
Similar(50)
However, several surveys have shown that the majority of physicians continue to perform landmark procedures.
Therefore, although residents and seniors both continue to perform landmark procedures, residents more frequently used US guidance than seniors.
However, US-guided procedures are far from being systematic, as several surveys have shown that many physicians continue to perform landmark procedures [6 8].
Conclusion Our survey shows that a large majority of the intensivists declare still performing landmark procedures while almost every physician received a formation on the ultrasound technique.
Despite more than 5 national and international guidelines recommending the use of US, some physicians still consider landmark procedures as a reasonable alternative.
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