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Current practice in hemodynamic monitoring and management in high-risk surgery patients: a national survey of Korean anesthesiologists

BACKGROUND: Hemodynamic optimization improves postoperative outcomes in high-risk surgery patients. The monitoring of cardiac output (CO) and dynamic parameters of fluid responsiveness can guide hemodynamic optimization. We conducted a survey to assess the current hemodynamic monitoring and manageme...

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Autores principales: Kim, Sang-Hyun, Kim, Min-Jae, Lee, Joon-Ho, Cho, Sung-Hwan, Chae, Won-Seok, Cannesson, Maxime
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Anesthesiologists 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3726841/
https://www.ncbi.nlm.nih.gov/pubmed/23904935
http://dx.doi.org/10.4097/kjae.2013.65.1.19
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author Kim, Sang-Hyun
Kim, Min-Jae
Lee, Joon-Ho
Cho, Sung-Hwan
Chae, Won-Seok
Cannesson, Maxime
author_facet Kim, Sang-Hyun
Kim, Min-Jae
Lee, Joon-Ho
Cho, Sung-Hwan
Chae, Won-Seok
Cannesson, Maxime
author_sort Kim, Sang-Hyun
collection PubMed
description BACKGROUND: Hemodynamic optimization improves postoperative outcomes in high-risk surgery patients. The monitoring of cardiac output (CO) and dynamic parameters of fluid responsiveness can guide hemodynamic optimization. We conducted a survey to assess the current hemodynamic monitoring and management practices of Korean anesthesiologists during high-risk surgery. METHODS: E-mails containing a link to our survey, which consisted of 33 questions relating to hemodynamic monitoring during high-risk surgery, were sent to 3,943 members of the Korean Society of Anesthesiologists (KSA). The survey web page was open from December 30, 2011 to March 31, 2012. RESULTS: A total of 139 anesthesiologists responded during the survey period. Invasive arterial pressure (97.2%) and central venous pressure (93.4%) were routinely monitored. CO was monitored in 58.5% of patients; stroke volume variations were monitored in 50.9% of patients. However, CO was consistently optimized by < 20% of anesthesiologists. An arterial pressure waveform-derived CO monitor was the most frequently used device to monitor CO (79.0%). Blood pressure, urine output, central venous pressure, and clinical experience were considered to be the best indicators of volume expansion than CO or dynamic parameters of fluid responsiveness. CONCLUSIONS: The survey revealed that KSA members frequently monitor CO and dynamic parameters of fluid responsiveness during high-risk surgery. However, static indices were used more often to judge volume expansion. The current study reveals that CO is not frequently optimized despite the relatively high incidence of CO monitoring during high-risk surgery in Korea.
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spelling pubmed-37268412013-07-31 Current practice in hemodynamic monitoring and management in high-risk surgery patients: a national survey of Korean anesthesiologists Kim, Sang-Hyun Kim, Min-Jae Lee, Joon-Ho Cho, Sung-Hwan Chae, Won-Seok Cannesson, Maxime Korean J Anesthesiol Clinical Research Article BACKGROUND: Hemodynamic optimization improves postoperative outcomes in high-risk surgery patients. The monitoring of cardiac output (CO) and dynamic parameters of fluid responsiveness can guide hemodynamic optimization. We conducted a survey to assess the current hemodynamic monitoring and management practices of Korean anesthesiologists during high-risk surgery. METHODS: E-mails containing a link to our survey, which consisted of 33 questions relating to hemodynamic monitoring during high-risk surgery, were sent to 3,943 members of the Korean Society of Anesthesiologists (KSA). The survey web page was open from December 30, 2011 to March 31, 2012. RESULTS: A total of 139 anesthesiologists responded during the survey period. Invasive arterial pressure (97.2%) and central venous pressure (93.4%) were routinely monitored. CO was monitored in 58.5% of patients; stroke volume variations were monitored in 50.9% of patients. However, CO was consistently optimized by < 20% of anesthesiologists. An arterial pressure waveform-derived CO monitor was the most frequently used device to monitor CO (79.0%). Blood pressure, urine output, central venous pressure, and clinical experience were considered to be the best indicators of volume expansion than CO or dynamic parameters of fluid responsiveness. CONCLUSIONS: The survey revealed that KSA members frequently monitor CO and dynamic parameters of fluid responsiveness during high-risk surgery. However, static indices were used more often to judge volume expansion. The current study reveals that CO is not frequently optimized despite the relatively high incidence of CO monitoring during high-risk surgery in Korea. The Korean Society of Anesthesiologists 2013-07 2013-07-19 /pmc/articles/PMC3726841/ /pubmed/23904935 http://dx.doi.org/10.4097/kjae.2013.65.1.19 Text en Copyright © the Korean Society of Anesthesiologists, 2013 http://creativecommons.org/licenses/by-nc/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Research Article
Kim, Sang-Hyun
Kim, Min-Jae
Lee, Joon-Ho
Cho, Sung-Hwan
Chae, Won-Seok
Cannesson, Maxime
Current practice in hemodynamic monitoring and management in high-risk surgery patients: a national survey of Korean anesthesiologists
title Current practice in hemodynamic monitoring and management in high-risk surgery patients: a national survey of Korean anesthesiologists
title_full Current practice in hemodynamic monitoring and management in high-risk surgery patients: a national survey of Korean anesthesiologists
title_fullStr Current practice in hemodynamic monitoring and management in high-risk surgery patients: a national survey of Korean anesthesiologists
title_full_unstemmed Current practice in hemodynamic monitoring and management in high-risk surgery patients: a national survey of Korean anesthesiologists
title_short Current practice in hemodynamic monitoring and management in high-risk surgery patients: a national survey of Korean anesthesiologists
title_sort current practice in hemodynamic monitoring and management in high-risk surgery patients: a national survey of korean anesthesiologists
topic Clinical Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3726841/
https://www.ncbi.nlm.nih.gov/pubmed/23904935
http://dx.doi.org/10.4097/kjae.2013.65.1.19
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