ICU Fluid Utilization Survey in Southeast Asia
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: 10-min online survey.
- Кому может быть актуально
- Состояния в реестре: Critical Illness. Базовые параметры: 18 лет — 60 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Таиланд
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Обзор
The objective of this study is to examine the use of different types of fluids for resuscitation in different phases of fluid management in 3 types of critically ill patients including (1) not bleeding, not septic but need volume resuscitation (representing normal condition), (2) bleeding but not septic (representing normal vascular integrity but with a loss of intravascular colloids), (3) septic (representing the condition with increase vascular permeability and endothelium damage) in the ICU within Southeast Asia. The data are collected by a 10-min online survey administered to included physicians which will be distributed via multiple online channels through representatives of each countries.
Подробное описание
The objective of this study is to examine the use of different types of fluids for resuscitation in different phases of fluid management in 3 types of critically ill patients including (1) not bleeding, not septic but need volume resuscitation (representing normal condition), (2) bleeding but not septic (representing normal vascular integrity but with a loss of intravascular colloids), (3) septic (representing the condition with increase vascular permeability and endothelium damage) in the ICU within Southeast Asia, and to determine whether co-morbidities with hypoalbuminemia, clinician specialties, hospital practice settings, geographic locations and re-imbursement limitation especially for colloids influence the practice patterns of fluid utilization in different phases in the 3 types of patients. Ultimately, the information provided by this study could also provide basic background information for the design of future clinical trials regarding fluid resuscitation strategies.
The data are collected by a 10-min online survey administered to included physicians which will be distributed via multiple online channels through representatives of each countries.
The survey will start with an inform-consent form prior to starting the survey questions which consist of 13-item questionnaire obtaining information on
1. Demographics data of clinicians taking the survey on primary specialty, region or country of practice and hospital settings. 2. Preferences for volume status indicators. 3. Preferences for fluid resuscitation in 3 types of patients (1. Septic 2. bleeding but not septic 3. not bleeding and not septic) during resuscitation and optimization phase. 4. Preferences for fluid resuscitation in the 3 types of patients with hypoalbuminemia including (1) cirrhosis (2) nephrotic syndrome (3) other significant hypoalbuminemia during resuscitation/optimization phase and stabilization phase 5. The reasons for using colloids for volume expansion 6. The experience of adverse reactions to albumin 7. The awareness and importance of non-oncotic properties of albumin 8. The impact of reimbursement for colloids on resuscitation fluid choice
Вмешательства
- Другое 10-min online survey
This is a cross-sectional study. The data are collected by a 10-min online survey administered to included physicians which will be distributed via online channels such as such as official website or Facebook pages of Society of intensive care or Society of nephrology of corresponding countries.
Первичные конечные точки
- Fluid resuscitation practice pattern [Срок оценки: 1/9/23-1/9/24]
Вторичные конечные точки (2)
- Preferences for volume status indicators. [Срок оценки: 1/9/23-1/9/24]
- Fluid resuscitation practice pattern in hypoalbuminemic state [Срок оценки: 1/9/23-1/9/24]
Критерии участия
Критерии включения
- Specialty must be in Anesthesiology, Surgery, Critical Care Medicine, Pulmonology, Nephrology, Internal Medicine, General Practitioner
- Practice must be in Southeast Asia hospitals
- Must work in Surgical ICU, Medical ICU , and/or Mixed ICU
Критерии исключения
1.Physicians who worked in cardiac, neurology or pediatric ICUs
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Да
Дизайн исследования
- Модель наблюдения
- Другое
Центры проведения
Таиланд · 1 центр
- Chulalongkorn university — Bangkok
Публикации
- Miller TE, Bunke M, Nisbet P, Brudney CS. Fluid resuscitation practice patterns in intensive care units of the USA: a cross-sectional survey of critical care physicians. Perioper Med (Lond). 2016 Jun 16;5:15. doi: 10.1186/s13741-016-0035-2. eCollection 2016. PMID 27313844
Идентификаторы
NCT: NCT06034990 · IRB.457/66