TY - JOUR
T1 - Current research priorities in perioperative intensive care medicine
AU - Gillies, Michael A.
AU - Sander, Michael
AU - Shaw, Andrew
AU - Wijeysundera, Duminda N.
AU - Myburgh, John
AU - Aldecoa, Cesar
AU - Jammer, Ib
AU - Lobo, Suzana M.
AU - Pritchard, Naomi
AU - Grocott, Michael P. W.
AU - Schultz, Marcus J.
AU - Pearse, Rupert M.
PY - 2017
Y1 - 2017
N2 - Introduction: Surgical treatments are offered to more patients than ever before, and increasingly to older patients with chronic disease. High-risk patients frequently require critical care either in the immediate postoperative period or after developing complications. The purpose of this review was to identify and prioritise themes for future research in perioperative intensive care medicine. Methods: We undertook a priority setting process (PSP). A panel was convened, drawn from experts representing a wide geographical area, plus a patient representative. The panel was asked to suggest and prioritise key uncertainties and future research questions in the field of perioperative intensive care through a modified Delphi process. Clinical trial registries were searched for on-going research. A proposed "Population, Intervention, Comparator, Outcome" (PICO) structure for each question was provided. Results: Ten key uncertainties and future areas of research were identified as priorities and ranked. Appropriate intravenous fluid and blood component therapy, use of critical care resources, prevention of delirium and respiratory management featured prominently. Conclusion: Admissions following surgery contribute a substantial proportion of critical care workload. Studies aimed at improving care in this group could have a large impact on patient-centred outcomes and optimum use of healthcare resources. In particular, the optimum use of critical care resources in this group is an area that requires urgent research
AB - Introduction: Surgical treatments are offered to more patients than ever before, and increasingly to older patients with chronic disease. High-risk patients frequently require critical care either in the immediate postoperative period or after developing complications. The purpose of this review was to identify and prioritise themes for future research in perioperative intensive care medicine. Methods: We undertook a priority setting process (PSP). A panel was convened, drawn from experts representing a wide geographical area, plus a patient representative. The panel was asked to suggest and prioritise key uncertainties and future research questions in the field of perioperative intensive care through a modified Delphi process. Clinical trial registries were searched for on-going research. A proposed "Population, Intervention, Comparator, Outcome" (PICO) structure for each question was provided. Results: Ten key uncertainties and future areas of research were identified as priorities and ranked. Appropriate intravenous fluid and blood component therapy, use of critical care resources, prevention of delirium and respiratory management featured prominently. Conclusion: Admissions following surgery contribute a substantial proportion of critical care workload. Studies aimed at improving care in this group could have a large impact on patient-centred outcomes and optimum use of healthcare resources. In particular, the optimum use of critical care resources in this group is an area that requires urgent research
U2 - https://doi.org/10.1007/s00134-017-4848-3
DO - https://doi.org/10.1007/s00134-017-4848-3
M3 - Review article
C2 - 28597121
SN - 0342-4642
VL - 43
SP - 1173
EP - 1186
JO - Intensive care medicine
JF - Intensive care medicine
IS - 9
ER -