International Survey on Perioperative Management of Patients With Infective Endocarditis.
J Cardiothorac Vasc Anesth
; 37(10): 1951-1958, 2023 10.
Article
em En
| MEDLINE
| ID: mdl-37438180
ABSTRACT
OBJECTIVES:
To estimate the current practice in the perioperative management of patients undergoing cardiac surgery due to infective endocarditis.DESIGN:
A prospective, open, 24-item, web-based cross-sectional survey.SETTING:
Online survey endorsed by the European Association of Cardiothoracic Anesthesiology and Intensive Care (EACTAIC).PARTICIPANTS:
Members of the EACTAIC.INTERVENTIONS:
None. MEASUREMENTS AND MAINRESULTS:
A total of 156 responses from 44 countries were received, with a completion rate of 99%. The response rate was 16.6%. Most respondents (76%) practiced cardiac anesthesia in European hospitals, and most respondents stated that a multidisciplinary endocarditis team was not established at their center, that cardiac anesthesiologists appeared to be involved infrequently in those teams (36%), and that they were not involved in decision-making on indication and timing of surgery (88%). In contrast, the cardiac anesthesiologist performed intraoperative antibiotic therapy (62%) and intraoperative transesophageal echocardiography (90%). Furthermore, there was a relative heterogeneity concerning perioperative monitoring, as well as for coagulation and transfusion management.CONCLUSIONS:
This international survey evaluated current practice among cardiac anesthesiologists in the perioperative management of patients with infective endocarditis and the anesthesiologist's role in multidisciplinary decision-making. Heterogeneity in treatment approaches was identified, indicating relevant knowledge gaps that should encourage further clinical research to optimize treatment and postoperative outcomes in this specific population.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Endocardite
/
Procedimentos Cirúrgicos Cardíacos
Tipo de estudo:
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
En
Revista:
J Cardiothorac Vasc Anesth
Assunto da revista:
ANESTESIOLOGIA
/
CARDIOLOGIA
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
Holanda