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 M. Brambrink

Research output: Contribution to journalArticle

4 Scopus citations

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 1 2014

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Keywords

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

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology
  • Anesthesiology and Pain Medicine

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