Fluid Therapy; Biochemistry, Genetics and Molecular Biology (all); General Biochemistry, Genetics and Molecular Biology; General Medicine
Abstract :
[en] ("[en] OBJECTIVES: The introduction of a new technology has the potential to modify clinical practices, especially if easy to use, reliable and non-invasive. This observational before/after multicenter service evaluation compares fluid management practices during surgery (with fluids volumes as primary outcome), and clinical outcomes (secondary outcomes) before and after the introduction of the Pleth Variability Index (PVI), a non-invasive fluid responsiveness monitoring.
RESULTS: In five centers, 23 anesthesiologists participated during a 2-years period. Eighty-eight procedures were included. Median fluid volumes infused during surgery were similar before and after PVI introduction (respectively, 1000 ml [interquartile range 25-75 [750-1700] and 1000 ml [750-2000]). The follow-up was complete for 60 from these and outcomes were similar. No detectable change in the fluid management was observed after the introduction of a new technology in low to moderate risk surgery. These results suggest that the introduction of a new technology should be associated with an implementation strategy if it is intended to be associated with changes in clinical practice.","[en] ","")
Disciplines :
Anesthesia & intensive care
Author, co-author :
Forget, Patrice ; Institute of Applied Health Sciences, Epidemiology group, School of Medicine, Medical Sciences and Nutrition, University of Aberdeen, NHS Grampian, Department of Anaesthesia, Aberdeen, UK. forgetpatrice@yahoo.fr
Lacroix, Simon; Clinique Saint-Luc of Bouge, Department of Anaesthesia, Extracorporeal Circulation Team, Namur, Belgium
Deflandre, Eric ; Université de Liège - ULiège > Département des sciences cliniques > Anesthésie et réanimation ; Clinique Saint-Luc of Bouge, Department of Anaesthesia, Extracorporeal Circulation Team, Namur, Belgium ; Clinique Saint-Luc of Bouge, Department of Anaesthesia, Namur, Belgium ; Cabinet Medical ASTES, Jambes, Belgium
Pirson, Anne; Grand Hopital de Charleroi, Charleroi, Belgium
Hustinx, Nicolas; Grand Hopital de Charleroi, Charleroi, Belgium
Simonet, Olivier; Centre Hospitalier de Wallonie Picarde, Department of Anaesthesia, Tournai, Belgium
Wandji, Fabrice; Centre Hospitalier de Wallonie Picarde, Department of Anaesthesia, Tournai, Belgium
von Montigny, Serge; Centre Hospitalier Mons-Warquignies, Department of Anaesthesia, Mons, Belgium
Amraoui, Jibba; Institut du Cancer, Montpellier, France
Language :
English
Title :
Pleth variability index and fluid management practices: a multicenter service evaluation.
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