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Postoperative management of patients undergoing cardiac surgery in Austria: A national survey on current clinical practice in hemodynamic monitoring and postoperative management
BACKGROUND: No data are currently available regarding the current clinical practice in postoperative care of cardiac surgical patients in Austria. OBJECTIVE: The study investigated the current intensive care management concerning hemodynamic monitoring and strategies to treat common perioperative di...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Vienna
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6290729/ https://www.ncbi.nlm.nih.gov/pubmed/30374775 http://dx.doi.org/10.1007/s00508-018-1403-3 |
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author | Menger, Johannes Edlinger-Stanger, Maximilian Dworschak, Martin Steinlechner, Barbara |
author_facet | Menger, Johannes Edlinger-Stanger, Maximilian Dworschak, Martin Steinlechner, Barbara |
author_sort | Menger, Johannes |
collection | PubMed |
description | BACKGROUND: No data are currently available regarding the current clinical practice in postoperative care of cardiac surgical patients in Austria. OBJECTIVE: The study investigated the current intensive care management concerning hemodynamic monitoring and strategies to treat common perioperative disorders of patients after cardiac surgery in Austria. METHODS: A survey consisting of 31 questions was sent to intensivists at all 9 hospitals offering cardiac surgery in Austria. RESULTS: The response rate was 100%. The mean number of procedures on cardiopulmonary bypass per centre was 722 ± 223. In the majority of cases postoperative critical care is performed by anesthesiologists. Blood gas analysis, pulse oximetry, electrocardiogram, temperature, central venous pressure, arterial pressure and hourly urine output are de facto standard monitoring in all centers. Transesophageal echocardiography is available in all centers and is frequently used. Crystalloids are the first choice for volume replacement, whereas levosimendan and adrenaline are employed for the treatment of low cardiac output syndrome. CONCLUSIONS: This study provides insights into the current state of postoperative management of cardiac surgical patients in Austria. Standard monitoring as proposed by international guidelines is well established in Austrian intensive care units. Echocardiography is widely seen as a very important tool in the postoperative care of cardiac surgical patients. Knowledge about the status quo of postoperative intensive care management of cardiac surgical patients enables further development of patient care. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s00508-018-1403-3) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-6290729 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Springer Vienna |
record_format | MEDLINE/PubMed |
spelling | pubmed-62907292018-12-27 Postoperative management of patients undergoing cardiac surgery in Austria: A national survey on current clinical practice in hemodynamic monitoring and postoperative management Menger, Johannes Edlinger-Stanger, Maximilian Dworschak, Martin Steinlechner, Barbara Wien Klin Wochenschr Original Article BACKGROUND: No data are currently available regarding the current clinical practice in postoperative care of cardiac surgical patients in Austria. OBJECTIVE: The study investigated the current intensive care management concerning hemodynamic monitoring and strategies to treat common perioperative disorders of patients after cardiac surgery in Austria. METHODS: A survey consisting of 31 questions was sent to intensivists at all 9 hospitals offering cardiac surgery in Austria. RESULTS: The response rate was 100%. The mean number of procedures on cardiopulmonary bypass per centre was 722 ± 223. In the majority of cases postoperative critical care is performed by anesthesiologists. Blood gas analysis, pulse oximetry, electrocardiogram, temperature, central venous pressure, arterial pressure and hourly urine output are de facto standard monitoring in all centers. Transesophageal echocardiography is available in all centers and is frequently used. Crystalloids are the first choice for volume replacement, whereas levosimendan and adrenaline are employed for the treatment of low cardiac output syndrome. CONCLUSIONS: This study provides insights into the current state of postoperative management of cardiac surgical patients in Austria. Standard monitoring as proposed by international guidelines is well established in Austrian intensive care units. Echocardiography is widely seen as a very important tool in the postoperative care of cardiac surgical patients. Knowledge about the status quo of postoperative intensive care management of cardiac surgical patients enables further development of patient care. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s00508-018-1403-3) contains supplementary material, which is available to authorized users. Springer Vienna 2018-10-29 2018 /pmc/articles/PMC6290729/ /pubmed/30374775 http://dx.doi.org/10.1007/s00508-018-1403-3 Text en © The Author(s) 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Original Article Menger, Johannes Edlinger-Stanger, Maximilian Dworschak, Martin Steinlechner, Barbara Postoperative management of patients undergoing cardiac surgery in Austria: A national survey on current clinical practice in hemodynamic monitoring and postoperative management |
title | Postoperative management of patients undergoing cardiac surgery in Austria: A national survey on current clinical practice in hemodynamic monitoring and postoperative management |
title_full | Postoperative management of patients undergoing cardiac surgery in Austria: A national survey on current clinical practice in hemodynamic monitoring and postoperative management |
title_fullStr | Postoperative management of patients undergoing cardiac surgery in Austria: A national survey on current clinical practice in hemodynamic monitoring and postoperative management |
title_full_unstemmed | Postoperative management of patients undergoing cardiac surgery in Austria: A national survey on current clinical practice in hemodynamic monitoring and postoperative management |
title_short | Postoperative management of patients undergoing cardiac surgery in Austria: A national survey on current clinical practice in hemodynamic monitoring and postoperative management |
title_sort | postoperative management of patients undergoing cardiac surgery in austria: a national survey on current clinical practice in hemodynamic monitoring and postoperative management |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6290729/ https://www.ncbi.nlm.nih.gov/pubmed/30374775 http://dx.doi.org/10.1007/s00508-018-1403-3 |
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