A webbased Italian survey of current trends habi

Authors: Gianni Biancofiore Maurizio Cecconi Giorgio Della Rocca

Publish Date: 2014/12/12

Volume: 29, Issue: 5, Pages: 635-642

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Abstract

Significant evidence outlines that the management of the highrisk surgical patient with perioperative hemodynamic optimization leads to significant benefits This study aimed at studying the current practice of hemodynamic monitoring and management of Italian anesthesiologists An invitation to participate in a webbased survey was published on the web site of the Società Italiana di Anestesia Analgesia Rianimazione Terapia Intensiva Overall 478 questionnaires were completed The most frequently used monitoring techniques was invasive blood pressure 941  Cardiac output was used in 413  of the cases mainly throughout lessinvasive methods When cardiac output was not monitored the main reason given was that other surrogate techniques mainly central venous oxygen saturation 405  Written protocols concerning hemodynamic management in highrisk surgical patients were used by the 291  of the respondents 63  of the respondents reported not to be aware if such document was available at their institution 863  of the respondents reported that they usually optimize high risk patients but to use blood flow assessment rarely 397  The most used parameter in clinical practice to assess the effects of volume loading were an increase in urine output and arterial blood pressure together with a decrease in heart rate and blood lactates The 451  or the respondents outlined that hemodynamic optimization in the high risk patients is of major clinical value Our study outlines an important gap between available evidence and clinical practice emphasizing the need for a better awareness more information and knowledge on the specific topic

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