TY - JOUR
T1 - Intravenous fluid therapy in perioperative and critical care setting–Knowledge test and practice
T2 - An international cross-sectional survey
AU - Nasa, Prashant
AU - Wise, Robert
AU - Elbers, Paul W. G.
AU - Wong, Adrian
AU - Dabrowski, Wojciech
AU - Regenmortel, Niels V.
AU - Monnet, Xavier
AU - Myatra, Sheila N.
AU - Malbrain, Manu L. N. G.
N1 - Publisher Copyright: © 2022 The Authors
PY - 2022/10/1
Y1 - 2022/10/1
N2 - Purpose: In the absence of recent international recommendations supported by scientific societies like Anesthesiology or Intensive Care Medicine, healthcare professionals (HCP) knowledge on IV fluid is expected to vary. We undertook a cross-sectional survey, aiming to assess prescription patterns and test the knowledge of HCP for IV fluid use in the operating room (OR) and intensive care unit (ICU). Methods: An online international cross-sectional survey was conducted between October 20, 2019, and November 27, 2021. The survey included multiple-choice questions on demographics, practice patterns and knowledge of IV fluids, and a hemodynamically unstable patient assessment. Results: 1045 HCP, from 97 countries responded to the survey. Nearly three-quarters reported the non-existence of internal hospital or ICU-based guidelines on IV fluids. The respondents' mean score on the knowledge assessment questions was 46.4 ± 14.4. The cumulative mean scores were significantly higher among those supervising trainees (p = 0.02), specialists (p < 0.001) and those working in high-income (p < 0.001) countries. Overall performance of respondents on the knowledge testing for IV fluid was unsatisfactory with only 6.5% respondents performed above average. Conclusion: There is a wide difference in the knowledge and prescription of IV fluids among the HCP surveyed. These findings reflect the urgent need for education on IV fluids.
AB - Purpose: In the absence of recent international recommendations supported by scientific societies like Anesthesiology or Intensive Care Medicine, healthcare professionals (HCP) knowledge on IV fluid is expected to vary. We undertook a cross-sectional survey, aiming to assess prescription patterns and test the knowledge of HCP for IV fluid use in the operating room (OR) and intensive care unit (ICU). Methods: An online international cross-sectional survey was conducted between October 20, 2019, and November 27, 2021. The survey included multiple-choice questions on demographics, practice patterns and knowledge of IV fluids, and a hemodynamically unstable patient assessment. Results: 1045 HCP, from 97 countries responded to the survey. Nearly three-quarters reported the non-existence of internal hospital or ICU-based guidelines on IV fluids. The respondents' mean score on the knowledge assessment questions was 46.4 ± 14.4. The cumulative mean scores were significantly higher among those supervising trainees (p = 0.02), specialists (p < 0.001) and those working in high-income (p < 0.001) countries. Overall performance of respondents on the knowledge testing for IV fluid was unsatisfactory with only 6.5% respondents performed above average. Conclusion: There is a wide difference in the knowledge and prescription of IV fluids among the HCP surveyed. These findings reflect the urgent need for education on IV fluids.
KW - Assessment educational
KW - Colloids
KW - Infusion drip
KW - Intravenous drip
KW - Intravenous infusions
KW - Knowledge, attitude, practice
KW - Stewardship
UR - http://www.scopus.com/inward/record.url?scp=85135041950&partnerID=8YFLogxK
U2 - https://doi.org/10.1016/j.jcrc.2022.154122
DO - https://doi.org/10.1016/j.jcrc.2022.154122
M3 - Article
C2 - 35908420
SN - 0883-9441
VL - 71
JO - Journal of Critical Care
JF - Journal of Critical Care
M1 - 154122
ER -