Monitoring, management, and outcome of hypotension in Intensive Care Unit patients, an international survey of the European Society of Intensive Care Medicine
| Autor: | Thomas Scheeren, Thomas G. V. Cherpanath, S Roerhorst, Jaap Schuurmans, Patrick Thoral, Frederique Paulus, Paul W. G. Elbers, Wim K. Lagrand, J Schenk, Jan Bakker, Bart F. Geerts, Alexander P.J. Vlaar, Pieter R. Tuinman, Denise P. Veelo, W H van der Ven |
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| Přispěvatelé: | Intensive Care, Critical care, Anesthesiology, Peri-operative and Emergency medicine (CAPE), Graduate School, Intensive Care Medicine, ACS - Microcirculation, Nursing, ANS - Neuroinfection & -inflammation, Anesthesiology, ACS - Diabetes & metabolism, ACS - Heart failure & arrhythmias, APH - Digital Health, APH - Personalized Medicine, APH - Quality of Care, AII - Inflammatory diseases, ACS - Pulmonary hypertension & thrombosis, Intensive care medicine |
| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
Inotrope
medicine.medical_specialty Complications Critical Care medicine.medical_treatment Trendelenburg position ACUTE KIDNEY INJURY Critical Care and Intensive Care Medicine law.invention Nursing care DOPAMINE law Physicians Surveys and Questionnaires medicine Humans Intensive care medicine Outcome SEPSIS business.industry RESUSCITATION MORTALITY International survey TRENDELENBURG POSITION Guideline ASSOCIATION Intensive care unit Intensive Care Units Blood pressure NOREPINEPHRINE SHOCK Dobutamine Hypotension business CONSENSUS medicine.drug |
| Zdroj: | Journal of Critical Care, 67, 118-125. Elsevier Journal of Critical Care, 67, 118-125. W B SAUNDERS CO-ELSEVIER INC on behalf of the Cardiovascular Dynamics Section of the ESICM 2022, ' Monitoring, management, and outcome of hypotension in Intensive Care Unit patients, an international survey of the European Society of Intensive Care Medicine ', Journal of Critical Care, vol. 67, pp. 118-125 . https://doi.org/10.1016/j.jcrc.2021.10.008 Journal of critical care, 67, 118-125. Elsevier BV Journal of Critical Care, 67, 118-125. Elsevier BV |
| ISSN: | 0883-9441 |
| DOI: | 10.1016/j.jcrc.2021.10.008 |
| Popis: | INTRODUCTION: Hypotension in the ICU is common, yet management is challenging and variable. Insight in management by ICU physicians and nurses may improve patient care and guide future hypotension treatment trials and guidelines.METHODS: We conducted an international survey among ICU personnel to provide insight in monitoring, management, and perceived consequences of hypotension.RESULTS: Out of 1464 respondents, 1197 (81.7%) were included (928 physicians (77.5%) and 269 nurses (22.5%)). The majority indicated that hypotension is underdiagnosed (55.4%) and largely preventable (58.8%). Nurses are primarily in charge of monitoring changes in blood pressure, physicians are in charge of hypotension treatment. Balanced crystalloids, dobutamine, norepinephrine, and Trendelenburg position were the most frequently reported fluid, inotrope, vasopressor, and positional maneuver used to treat hypotension. Reported complications believed to be related to hypotension were AKI and myocardial injury. Most ICUs do not have a specific hypotension treatment guideline or protocol (70.6%), but the majority would like to have one in the future (58.1%).CONCLUSIONS: Both physicians and nurses report that hypotension in ICU patients is underdiagnosed, preventable, and believe that hypotension influences morbidity. Hypotension management is generally not protocolized, but the majority of respondents would like to have a specific hypotension management protocol. |
| Databáze: | OpenAIRE |
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