Research priorities in perioperative fluid therapy and hemodynamic monitoring: A Delphi Consensus Survey from the Fluid Therapy and Hemodynamic Monitoring Subcommittee of the Hemostasis, Transfusion Medicine and Fluid Therapy Section (SHTF) of the Spanish Society of Anesthesiology and Critical Care (SEDAR)

Data de publicació:

Autors de IIS La Fe

Autors aliens a IIS La Fe

  • Ripolles-Melchor, J.
  • Colomina, M. J.
  • Aldecoa, C.
  • Alonso-Cabello, J.
  • Aya, H.
  • Basora, M.
  • Clau-Terre, F.
  • del Cojo-Peces, E.
  • Cota-Delgado, F.
  • Ferrandis-Comes, R.
  • Galan-Menendez, P.
  • Garcia-Lopez, D.
  • Garruti, I.
  • Lopez, I. J.
  • Jover-Pinillos, J. L.
  • Llau-Pitarch, J. V.
  • Lorente, J. V.
  • Mesquida, J.
  • Mojarro, I.
  • Monge-Garcia, M. I.
  • Montesinos-Fadrique, S. C.
  • Munoz-Rodes, J. L.
  • de Nadal, M.
  • Ramasco, F.
  • Tome-Roca, J. L.
  • Perez, A.
  • Una-Orejon, R.
  • Yanes, G.
  • Zorrilla-Vaca, A.
  • Escarraman, D.
  • Garcia-Fernandez, J.

Grups d'Investigació

Abstract

Background: Research on perioperative fluid therapy and hemodynamic monitoring is difficult and expensive. The objectives of the present study were to summarize and prioritize these issues, in order of research importance. research importance.Methods: Structured electronic Delphi questionnaire over three rounds among 30 experts in fluid therapy and hemodynamic monitoring identified through the Subcommittee on Fluid The-rapy and Hemodynamic Monitoring Subcommittee of the Hemostasis, Transfusion Medicine and Fluid Therapy Section of the Spanish Society of Anesthesiology and Resuscitation.Results: 77 issues were identified, which were ranked in order of prioritization. The were cate-gorized into crystalloid, colloid, hemodynamic monitoring and others. and others. Thirty-one issues were categorized as of essential research priority, to determine whether intraoperative hemodynamic optimization algorithms based on the index of invasive or noninvasive hypo -tension prediction index versus other management strategies could reduce the incidence of postoperative reduce the incidence of postoperative complications, as well as whether the use of biomarkers of renal stress in conjunction biomarkers of renal stress in conjunction with a goal-directed fluid therapy protocol could reduce hospital stay and the hospital stay and the incidence of acute renal failure in adult patients undergoing non-cardiac surgery, and whether the non-cardiac surgery, achieving the highest consensus.Conclusions: The Subcommittee on Fluid Therapy and Hemodynamic Monitoring of the Section of Hemostasis, Transfusion Medicine and Fluid Therapy of the Spanish Society of Anesthesiology and Resuscitation of the Spanish Society of Anesthesiology and Resuscitation will use these results for further research.& COPY; 2023 Sociedad Espan & SIM;ola de Anestesiologi & PRIME;a, Reanimacion y Terapeutica del Dolor. Published by Elsevier Espan & SIM;a, S.L.U. All rights reserved.

Dades de la publicació

ISSN/ISSNe:
0034-9356, 2340-3284

Revista espanola de anestesiologia y reanimacion  ELSEVIER SCIENCE BV

Tipus:
Article
Pàgines:
319-326
PubMed:
37279834
Factor d'Impacte:
0,258 SCImago
Quartil:
Q3 SCImago

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Keywords

  • Fluid therapy; Hemodynamics; Research

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