Publication Date


Degree Awarded Date

December 22, 2022



Background and Review of Literature: Currently, there is a knowledge gap in CRNA education. As anesthesia providers, CRNAs are licensed to perform cardiac diagnostic imaging such as TTE during surgery, yet it is often missing from CRNA school curriculum. Other studies have shown that simulation is an effective way of teaching this crucial skill.

Purpose: The project’s goal was to establish the efficacy of using a mixed model computerized and in-person simulation program for training CRNAs in the use of TTE during non-cardiac surgery.

Methods: A training program was created that uses a computerized training session along with a hands-on simulation. This program focuses on ultrasound basics, landmark identification, and diagnosis of hypovolemia and ventricular dysfunction. A cohort of CRNA participants engaged in the training to study its efficacy.

Implementation Plan/Procedure: A pretest and posttest that included an attitudes survey was given to the participants to evaluate increases in competency and comfort in performing TTE skills as a result of the training program. A skills checkoff was also completed to demonstrate competency.

Implications/Conclusion: Data analysis suggests that the program was effective in increasing TTE knowledge and creating a base level of skill and competency in the use of TTE for all participants.


English (en)

Document Type



Torres, Brian DNP, CRNA (Chair) Barnes Jewish College, Goldfarb School of Nursing

Associated Committee

Zerlan, Mary DNP, CRNA (Committee Member) Washington University School of Medicine in St. Louis

Lakshminarasimhachar, Anand MD (Mentor) Washington University School of Medicine in St. Louis

Included in

Nursing Commons