Uploaded July 2025 | Updated September 2026, 7 hours ago
How did point-of-care ultrasound go from a niche skill to an emerging standard in anesthesiology training? In this episode of POCUS Power Hour, Dr. Davinder Ramsingh is joined by a panel of anesthesiologists and intensivists, Dr. Nishant Shah, Dr. Stephen Haskins, Dr. Jody Leng, and Dr. Yuriy Bronshteyn, along with Dr. Peter Weimersheimer and Dr. John Martin of Butterfly Network, to trace the rise of POCUS across perioperative medicine, from individual "aha moments" at the bedside to formal ASA certification pathways.
The panel shares real clinical cases where handheld ultrasound changed management in real time: diagnosing severe aortic stenosis before a case, catching intra-abdominal fluid extravasation after hip arthroscopy, avoiding aspiration risk in a patient with an undiagnosed gastric outlet obstruction, and using gastric and bladder ultrasound to improve throughput in ambulatory surgery centers. The discussion also covers the history and future of POCUS credentialing in anesthesiology, the role of associate providers like CRNAs, the limits of handheld Doppler technology, and where AI is headed next.
Timestamps:
0:03 Welcome and introduction to the panel
1:17 Dr. Nishant Shah's journey into POCUS via regional anesthesia
2:23 Dr. Stephen Haskins on TEE and becoming a "POCUS enthusiast"
5:11 Dr. Jody Leng's background and introduction to POCUS
7:06 Dr. Yuriy Bronshteyn on the origin of the ASA POCUS certificate
12:13 Dr. Peter Weimersheimer and Dr. John Martin join the discussion
14:10 The evolution of POCUS in perioperative medicine
15:39 Case study: FAST exam and intra-abdominal fluid after hip arthroscopy
19:01 How the FAST exam evolved into a tool for identifying causes of shock
22:26 Case study: diagnosing severe aortic stenosis pre-operatively
24:07 Teaching POCUS to residents: setting realistic expectations
26:08 Gastric and bladder ultrasound in ambulatory surgery centers
30:20 Dr. Yuriy Bronshteyn: a near-miss case and the value of cardiac ultrasound
33:49 The history and adoption of the ASA POCUS certificate
37:33 How ASRA and ASA embraced point-of-care ultrasound
42:54 The role of CRNAs and associate providers in POCUS
45:12 Cultural adoption: getting institutional buy-in
48:09 Technology advances: portability and handheld devices
50:40 Q&A: Limitations of pulse wave vs. continuous wave Doppler
52:32 The importance of "indeterminate" as a diagnostic category
56:40 Cost, portability, and adoption in ambulatory care centers
58:18 Closing thoughts from the panel
1:01:03 POCUS as the "21st century stethoscope"
1:02:24 Final remarks from Dr. John Martin
Learn more about point-of-care ultrasound and Butterfly's handheld imaging technology: butterflynetwork.com
Like, comment, and subscribe for more POCUS Power Hour webinars, and share this episode with anesthesiologists, CRNAs, residency programs, and perioperative teams looking to advance point-of-care ultrasound adoption.
Disclaimer: For prescription use only. Butterfly iQ3™ is a portable ultrasound system designed for external ultrasound imaging. Read the User Manual for warnings, precautions, and contraindications.
#POCUS #Anesthesiology #PerioperativeMedicine #ButterflyNetwork #PointOfCareUltrasound #RegionalAnesthesia #GastricUltrasound #CardiacUltrasound #MedicalEducation #ButterflyIQ #POCUSPowerHour #DiagnosticImaging #HealthcareTechnology #ASAcertification
How did point-of-care ultrasound go from a niche skill to an emerging standard in anesthesiology training? In this episode of POCUS Power Hour, Dr. Davinder Ramsingh is joined by a panel of anesthesiologists and intensivists, Dr. Nishant Shah, Dr. Stephen Haskins, Dr. Jody Leng, and Dr. Yuriy Bronshteyn, along with Dr. Peter Weimersheimer and Dr. John Martin of Butterfly Network, to trace the rise of POCUS across perioperative medicine, from individual "aha moments" at the bedside to formal ASA certification pathways.
The panel shares real clinical cases where handheld ultrasound changed management in real time: diagnosing severe aortic stenosis before a case, catching intra-abdominal fluid extravasation after hip arthroscopy, avoiding aspiration risk in a patient with an undiagnosed gastric outlet obstruction, and using gastric and bladder ultrasound to improve throughput in ambulatory surgery centers. The discussion also covers the history and future of POCUS credentialing in anesthesiology, the role of associate providers like CRNAs, the limits of handheld Doppler technology, and where AI is headed next.
Timestamps:
0:03 Welcome and introduction to the panel
1:17 Dr. Nishant Shah's journey into POCUS via regional anesthesia
2:23 Dr. Stephen Haskins on TEE and becoming a "POCUS enthusiast"
5:11 Dr. Jody Leng's background and introduction to POCUS
7:06 Dr. Yuriy Bronshteyn on the origin of the ASA POCUS certificate
12:13 Dr. Peter Weimersheimer and Dr. John Martin join the discussion
14:10 The evolution of POCUS in perioperative medicine
15:39 Case study: FAST exam and intra-abdominal fluid after hip arthroscopy
19:01 How the FAST exam evolved into a tool for identifying causes of shock
22:26 Case study: diagnosing severe aortic stenosis pre-operatively
24:07 Teaching POCUS to residents: setting realistic expectations
26:08 Gastric and bladder ultrasound in ambulatory surgery centers
30:20 Dr. Yuriy Bronshteyn: a near-miss case and the value of cardiac ultrasound
33:49 The history and adoption of the ASA POCUS certificate
37:33 How ASRA and ASA embraced point-of-care ultrasound
42:54 The role of CRNAs and associate providers in POCUS
45:12 Cultural adoption: getting institutional buy-in
48:09 Technology advances: portability and handheld devices
50:40 Q&A: Limitations of pulse wave vs. continuous wave Doppler
52:32 The importance of "indeterminate" as a diagnostic category
56:40 Cost, portability, and adoption in ambulatory care centers
58:18 Closing thoughts from the panel
1:01:03 POCUS as the "21st century stethoscope"
1:02:24 Final remarks from Dr. John Martin
Learn more about point-of-care ultrasound and Butterfly's handheld imaging technology: butterflynetwork.com
Like, comment, and subscribe for more POCUS Power Hour webinars, and share this episode with anesthesiologists, CRNAs, residency programs, and perioperative teams looking to advance point-of-care ultrasound adoption.
Disclaimer: For prescription use only. Butterfly iQ3™ is a portable ultrasound system designed for external ultrasound imaging. Read the User Manual for warnings, precautions, and contraindications.
#POCUS #Anesthesiology #PerioperativeMedicine #ButterflyNetwork #PointOfCareUltrasound #RegionalAnesthesia #GastricUltrasound #CardiacUltrasound #MedicalEducation #ButterflyIQ #POCUSPowerHour #DiagnosticImaging #HealthcareTechnology #ASAcertification
