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)

Research in fluid therapy and perioperative hemodynamic monitoring is difficult and expensive. The objectives of this study were to summarize these topics and to prioritize these topics in order of research importance. Electronic structured Delphi questionnaire over three rounds among 30 experts in...

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Published in:Revista española de anestesiología y reanimación (English ed.) 2023-06, Vol.70 (6), p.319-326
Main Authors: Ripollés-Melchor, J., Colomina, M.J., Aldecoa, C., Alonso-Cabello, J., Alonso-Íñigo, J.M., Aya, H., Basora, M., Clau-Terre, F., del Cojo-Peces, E., Cota-Delgado, F., Ferrandis-Comes, R., Galán-Menéndez, P., García-López, D., Garruti, I., López, I.J., Jover-Pinillos, J.L., Llau-Pitarch, J.V., Lorente, J.V., Mesquida, J., Mojarro, I., Monge-García, M.I., Montesinos-Fadrique, S.C., Muñoz-Rodes, J.L., de Nadal, M., Ramasco, F., Tomé-Roca, J.L., Pérez, A., Uña-Orejón, R., Yanes, G., Zorrilla-Vaca, A., Escarraman, D., García-Fernández, J.
Format: Article
Language:English
Subjects:
Fluid therapy
Fluidoterapia
Hemodinámica
Hemodynamics
Investigación
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Summary:Research in fluid therapy and perioperative hemodynamic monitoring is difficult and expensive. The objectives of this study were to summarize these topics and to prioritize these topics in order of research importance. Electronic structured Delphi questionnaire over three rounds among 30 experts in fluid therapy and hemodynamic monitoring identified through the Fluid Therapy and Hemodynamic Monitoring Subcommittee of the Hemostasis, Transfusion Medicine and Fluid Therapy Section of the Spanish Society of Anesthesiology and Critical Care. 77 topics were identified and ranked in order of prioritization. Topics were categorized into themes of crystalloids, colloids, hemodynamic monitoring and others. 31 topics were ranked as essential research priority. To determine whether intraoperative hemodynamic optimization algorithms based on the invasive or noninvasive Hypotension Prediction Index versus other management strategies could decrease the incidence of postoperative complications. As well as whether the use of renal stress biomarkers together with a goal-directed fluid therapy protocol could reduce hospital stay and the incidence of acute kidney injury in adult patients undergoing non-cardiac surgery, reached the highest consensus. The Fluid Therapy and Hemodynamic Monitoring Subcommittee of the Hemostasis, Transfusion Medicine and Fluid Therapy Section of the Spanish Society of Anesthesiology and Critical Care will use these results to carry out the research. La investigación sobre fluidoterapia y monitorización hemodinámica perioperatorias es difícil y costosa. Los objetivos del presente estudio fueron resumir y priorizar estas cuestiones, en orden de importancia investigadora. Cuestionario estructurado electrónico Delphi a lo largo de tres rondas entre 30 expertos en fluidoterapia y monitorización hemodinámica identificados a través del Subcomité de Fluidoterapia y Monitorización hemodinámica de la Sección de Hemostasis, Medicina Transfusional y Fluidoterapia de la Sociedad española de Anestesiología y Reanimación. Se identificaron 77 cuestiones, que se clasificaron en orden de priorización. Las cuestiones se categorizaron en temas de cristaloides, coloides, monitorización hemodinámica y otros. Se categorizaron 31 cuestiones como de prioridad investigadora esencial, para determinar si los algoritmos de optimización hemodinámica intraoperatorios basados en el Índice de predicción de hipotensión invasivo o no invasivo frente a otras estrategias de manejo p
ISSN:2341-1929
2341-1929
DOI:10.1016/j.redare.2022.04.003