Survey of anesthesiologists practicing in American neurointensive care units as neurointensivists

Michael L. James, Jeremy Dority, Marisa C. Gray, Steven T. Bellows, David L. McDonagh, Ansgar Brambrink

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)11-16
Number of pages6
JournalJournal of Neurosurgical Anesthesiology
Volume26
Issue number1
DOIs
StatePublished - Jan 2014

Fingerprint

Anesthesiology
Patient Care
Operating Rooms
Critical Care
Critical Illness
Anesthesiologists
Surveys and Questionnaires
Anesthesia
Physicians

Keywords

  • American
  • anesthesiology
  • neuroanesthesia
  • neurocritical care
  • neurointensive care
  • survey

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Clinical Neurology
  • Surgery

Cite this

Survey of anesthesiologists practicing in American neurointensive care units as neurointensivists. / James, Michael L.; Dority, Jeremy; Gray, Marisa C.; Bellows, Steven T.; McDonagh, David L.; Brambrink, Ansgar.

In: Journal of Neurosurgical Anesthesiology, Vol. 26, No. 1, 01.2014, p. 11-16.

Research output: Contribution to journalArticle

James, Michael L. ; Dority, Jeremy ; Gray, Marisa C. ; Bellows, Steven T. ; McDonagh, David L. ; Brambrink, Ansgar. / Survey of anesthesiologists practicing in American neurointensive care units as neurointensivists. In: Journal of Neurosurgical Anesthesiology. 2014 ; Vol. 26, No. 1. pp. 11-16.
@article{93e2f9cef0664d91860cab20dca23ad6,
title = "Survey of anesthesiologists practicing in American neurointensive care units as neurointensivists",
abstract = "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.",
keywords = "American, anesthesiology, neuroanesthesia, neurocritical care, neurointensive care, survey",
author = "James, {Michael L.} and Jeremy Dority and Gray, {Marisa C.} and Bellows, {Steven T.} and McDonagh, {David L.} and Ansgar Brambrink",
year = "2014",
month = "1",
doi = "10.1097/ANA.0b013e31829e705e",
language = "English (US)",
volume = "26",
pages = "11--16",
journal = "Journal of Neurosurgical Anesthesiology",
issn = "0898-4921",
publisher = "Lippincott Williams and Wilkins",
number = "1",

}

TY - JOUR

T1 - Survey of anesthesiologists practicing in American neurointensive care units as neurointensivists

AU - James, Michael L.

AU - Dority, Jeremy

AU - Gray, Marisa C.

AU - Bellows, Steven T.

AU - McDonagh, David L.

AU - Brambrink, Ansgar

PY - 2014/1

Y1 - 2014/1

N2 - 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.

AB - 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.

KW - American

KW - anesthesiology

KW - neuroanesthesia

KW - neurocritical care

KW - neurointensive care

KW - survey

UR - http://www.scopus.com/inward/record.url?scp=84890539788&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84890539788&partnerID=8YFLogxK

U2 - 10.1097/ANA.0b013e31829e705e

DO - 10.1097/ANA.0b013e31829e705e

M3 - Article

VL - 26

SP - 11

EP - 16

JO - Journal of Neurosurgical Anesthesiology

JF - Journal of Neurosurgical Anesthesiology

SN - 0898-4921

IS - 1

ER -