Intravenous fluid therapy in perioperative and critical care setting- Knowledge test and practice: An international cross-sectional survey

被引:8
作者
Nasa, Prashant [1 ]
Wise, Robert [2 ,3 ,4 ]
Elbers, Paul W. G. [5 ]
Wong, Adrian [6 ]
Dabrowski, Wojciech [7 ]
Regenmortel, Niels, V [8 ]
Monnet, Xavier [9 ]
Myatra, Sheila N. [10 ]
Malbrain, Manu L. N. G. [7 ]
机构
[1] NMC Specialty Hosp, Dubai, U Arab Emirates
[2] Vrije Univ Brussel, Brussels, Belgium
[3] Univ KwaZulu Natal, Sch Clin Med, Durban, South Africa
[4] Oxford Univ Hosp NHS Fdn Trust, John Radcliffe Hosp, Adult Intens Care, Oxford, England
[5] Vrije Univ, Amsterdam UMC, Amsterdam, Netherlands
[6] Kings Coll Hosp London, London, England
[7] Med Univ Lublin, Dept Anaesthesiol & Intens Therapy 1, St 8, PL-20954 Lublin, Poland
[8] ZNA Stuivenberg, Ziekenhuis Netwerk Antwerpen, Intens Care Unit, Antwerp, Belgium
[9] Univ Paris Saclay, CARMAS, FHU SEPSIS,1AP HP, Inserm,UMR S 999,DMU CORREVE 4,Hop Bicetre,Serv M, 78 Rue Gen Leclerc, F-94270 Le Kremlin Bicetre, France
[10] Homi Bhabha Natl Inst, Tata Mem Hosp, Mumbai, Maharashtra, India
关键词
Intravenous infusions; Intravenous drip; Infusion drip; Colloids; Stewardship; Knowledge; attitude; practice; Assessment educational; MAJOR ABDOMINAL-SURGERY; HYDROXYETHYL STARCH; SALINE; RESUSCITATION; MANAGEMENT; ILL; COMPLICATIONS; GUIDELINES; CHALLENGE; OUTCOMES;
D O I
10.1016/j.jcrc.2022.154122
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Purpose: In the absence of recent international recommendations supported by scientific societies like Anesthe-siology or Intensive Care Medicine, healthcare professionals (HCP) knowledge on IV fluid is expected to vary. We undertook a cross-sectional survey, aiming to assess prescription patterns and test the knowledge of HCP for IV fluid use in the operating room (OR) and intensive care unit (ICU). Methods: An online international cross-sectional survey was conducted between October 20, 2019, and Novem-ber 27, 2021. The survey included multiple-choice questions on demographics, practice patterns and knowledge of IV fluids, and a hemodynamically unstable patient assessment.Results: 1045 HCP, from 97 countries responded to the survey. Nearly three-quarters reported the non-existence of internal hospital or ICU-based guidelines on IV fluids. The respondents' mean score on the knowledge assess-ment questions was 46.4 +/- 14.4. The cumulative mean scores were significantly higher among those supervising trainees (p = 0.02), specialists (p < 0.001) and those working in high-income (p < 0.001) countries. Overall per-formance of respondents on the knowledge testing for IV fluid was unsatisfactory with only 6.5% respondents performed above average.Conclusion: There is a wide difference in the knowledge and prescription of IV fluids among the HCP surveyed. These findings reflect the urgent need for education on IV fluids.(c) 2022 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY license (http:// creativecommons.org/licenses/by/4.0/).
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页数:9
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