As part of a four-part workshop series focused on the use of ultrasound in the evaluation and management of hemodynamic instability, a hands-on Grand Rounds workshop was recently conducted for attending anesthesiologists. This session offered a comprehensive, case-based approach to perioperative ultrasound training, integrating clinical scenarios with real-time imaging and guided interpretation.

The workshop featured six stations, each designed around high-yield cases including pneumothorax, aortic dissection, Takotsubo cardiomyopathy, pulmonary embolism and undifferentiated hemodynamic instability. Participants engaged directly with both live models and high-fidelity manikins, performing bedside ultrasound examinations under faculty supervision. Ultrasound modalities used included transthoracic echocardiography (TTE), transesophageal echocardiography (TEE), lung ultrasound, and gastric ultrasound, with hands-on experience. Each station emphasized image acquisition, interpretation, and the integration of findings into real-time clinical decision-making.

At the conclusion of each station, brief faculty-led discussions highlighted key diagnostic features, differential diagnoses, and appropriate management strategies for each condition. These debriefs reinforced practical applications of ultrasound in critical perioperative scenarios. To optimize learning, participants received preparatory materials prior to the session, including a curated case library and didactic modules designed to build foundational knowledge and enhance the hands-on experience.