Fluid resuscitation practices in cardiac surgery patients in the USA: a survey of health care providers

Perioperative Medicine
Solomon AronsonMartin Bunke

Abstract

Fluid resuscitation during cardiac surgery is common with significant variability in clinical practice. Our goal was to investigate current practice patterns of fluid volume expansion in patients undergoing cardiac surgeries in the USA. We conducted a cross-sectional online survey of 124 cardiothoracic surgeons, cardiovascular anesthesiologists, and perfusionists. Survey questions were designed to assess clinical decision-making patterns of intravenous (IV) fluid utilization in cardiovascular surgery for five types of patients who need volume expansion: (1) patients undergoing cardiopulmonary bypass (CPB) without bleeding, (2) patients undergoing CPB with bleeding, (3) patients undergoing acute normovolemic hemodilution (ANH), (4) patients requiring extracorporeal membrane oxygenation (ECMO) or use of a ventricular assist device (VAD), and (5) patients undergoing either off-pump coronary artery bypass graft (OPCABG) surgery or transcatheter aortic valve replacement (TAVR). First-choice fluid used in fluid boluses for these five patient types was requested. Descriptive statistics were performed using Kruskal-Wallis test and follow-up tests, including t tests, to evaluate differences among respondent groups. The most commonly pre...Continue Reading

Associated Clinical Trials

Nov 6, 2020·Ahmed Abd El-Rahim Abd El-Hamid Hammad

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Citations

Aug 9, 2020·Critical Care Explorations·Mbakise P MatebeleKiran Shekar
Mar 28, 2020·Hospital Pharmacy·Heather TorbicSteven Richardson
Mar 22, 2021·Journal of Cardiothoracic and Vascular Anesthesia·Leila J KatabiAndra E Duncan
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Aug 5, 2021·Journal of Cardiothoracic and Vascular Anesthesia·Christopher ThangMahesh Ramanan
Jul 28, 2021·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Ciara HanleyJustyna Bartoszko

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Methods Mentioned

BETA
coronary artery bypass

Software Mentioned

SPSS

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