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29.10.2018 | original article | Ausgabe 23-24/2018 Open Access

Wiener klinische Wochenschrift 23-24/2018

Postoperative management of patients undergoing cardiac surgery in Austria

A national survey on current clinical practice in hemodynamic monitoring and postoperative management

Zeitschrift:
Wiener klinische Wochenschrift > Ausgabe 23-24/2018
Autoren:
Johannes Menger, Maximilian Edlinger-Stanger, Martin Dworschak, Barbara Steinlechner
Wichtige Hinweise

Electronic supplementary material

The online version of this article (https://​doi.​org/​10.​1007/​s00508-018-1403-3) contains supplementary material, which is available to authorized users.

Summary

Background

No data are currently available regarding the current clinical practice in postoperative care of cardiac surgical patients in Austria.

Objective

The study investigated the current intensive care management concerning hemodynamic monitoring and strategies to treat common perioperative disorders of patients after cardiac surgery in Austria.

Methods

A survey consisting of 31 questions was sent to intensivists at all 9 hospitals offering cardiac surgery in Austria.

Results

The response rate was 100%. The mean number of procedures on cardiopulmonary bypass per centre was 722 ± 223. In the majority of cases postoperative critical care is performed by anesthesiologists. Blood gas analysis, pulse oximetry, electrocardiogram, temperature, central venous pressure, arterial pressure and hourly urine output are de facto standard monitoring in all centers. Transesophageal echocardiography is available in all centers and is frequently used. Crystalloids are the first choice for volume replacement, whereas levosimendan and adrenaline are employed for the treatment of low cardiac output syndrome.

Conclusions

This study provides insights into the current state of postoperative management of cardiac surgical patients in Austria. Standard monitoring as proposed by international guidelines is well established in Austrian intensive care units. Echocardiography is widely seen as a very important tool in the postoperative care of cardiac surgical patients. Knowledge about the status quo of postoperative intensive care management of cardiac surgical patients enables further development of patient care.
Zusatzmaterial
Electronic supplementary material: Original questionnaire [German]
508_2018_1403_MOESM1_ESM.docx
Literatur
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