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Intravenous fluid therapy in perioperative and critical care setting-Knowledge test and practice: An international cross-sectional survey.
Nasa, Prashant; Wise, Robert; Elbers, Paul W G; Wong, Adrian; Dabrowski, Wojciech; Regenmortel, Niels V; Monnet, Xavier; Myatra, Sheila N; Malbrain, Manu L N G.
  • Nasa P; NMC Specialty Hospital, Dubai, United Arab Emirates.
  • Wise R; Vrije Universiteit Brussel, Brussels, Belgium; School of Clinical Medicine, University of KwaZulu-Natal, Durban, South Africa; Adult Intensive Care, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
  • Elbers PWG; Amsterdam UMC, Vrije Universiteit, Amsterdam, the Netherlands.
  • Wong A; King's College Hospital, London, United Kingdom.
  • Dabrowski W; First Department of Anaesthesiology and Intensive Therapy, Medical University of Lublin, Poland.
  • Regenmortel NV; Intensive Care Unit, Ziekenhuis Netwerk Antwerpen, ZNA Stuivenberg, Antwerp, Belgium.
  • Monnet X; 1AP-HP, Service de Médecine Intensive-réanimation, Hôpital de Bicêtre, DMU 4 CORREVE, Inserm UMR S_999, FHU SEPSIS, CARMAS, Université Paris-Saclay, 78 rue du Général Leclerc, 94270, Le Kremlin-Bicêtre, France.
  • Myatra SN; Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, India.
  • Malbrain MLNG; First Department of Anaesthesiology and Intensive Therapy, Medical University of Lublin, Poland. Electronic address: manu.malbrain@umlub.pl.
J Crit Care ; 71: 154122, 2022 10.
Article in English | MEDLINE | ID: covidwho-2015609
ABSTRACT

PURPOSE:

In the absence of recent international recommendations supported by scientific societies like Anesthesiology 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 November 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 assessment 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 performance 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.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Fluid Therapy / Intensive Care Units Type of study: Observational study / Prognostic study / Randomized controlled trials Limits: Humans Language: English Journal: J Crit Care Journal subject: Critical Care Year: 2022 Document Type: Article Affiliation country: J.jcrc.2022.154122

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Fluid Therapy / Intensive Care Units Type of study: Observational study / Prognostic study / Randomized controlled trials Limits: Humans Language: English Journal: J Crit Care Journal subject: Critical Care Year: 2022 Document Type: Article Affiliation country: J.jcrc.2022.154122