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Survey of Thoracic Anesthetic Practice in Italy
- Source :
- Journal of Cardiothoracic and Vascular Anesthesia. 27:1321-1329
- Publication Year :
- 2013
- Publisher :
- Elsevier BV, 2013.
-
Abstract
- Objective The object of this study was to conduct and analyze the output of a survey involving a cohort of all Italian hospitals performing thoracic surgery to gather data on anesthetic management, one-lung ventilation (OLV) management, and post-thoracotomy pain relief in thoracic anesthesia. Design Survey. Setting Italy. Participants An invitation to participate in the survey was e-mailed to all the members of the Italian Society of Anesthesia and Intensive Care Medicine. Intervention None. Measurements and Main Results A total of 62 responses were received from 47 centers. The key findings were: Double-lumen tube is still the first choice lung separation technique in current use; pressure-controlled ventilation and volume-controlled ventilation modes are homogenously distributed across the sample and, a tidal volumes (VT) of 4-6 mL/kg during OLV was preferred to all others; moderate or restrictive fluid management were the most used strategies of fluid administration in thoracic anesthesia; thoracic epidural analgesia represented the “gold standard” for post-thoracotomy pain relief in combination with intravenous analgesia. Conclusion The results of this survey showed that Italian anesthesiologist follow the recommended standard of care for anesthetic management during OLV.
- Subjects :
- medicine.medical_specialty
double-lumen tube
medicine.medical_treatment
Anesthetic management
Fluid management
law.invention
Cohort Studies
bronchial blockers
Consciousness Monitors
Anesthesiology
law
Monitoring, Intraoperative
Surveys and Questionnaires
medicine
Humans
Anesthesia
Airway Management
Pain, Postoperative
thoracic anesthesia
airway management
one-lung ventilation
fluid management
postoperative pain relief
business.industry
Gold standard
Thoracic Surgical Procedures
One-Lung Ventilation
Anesthesiology and Pain Medicine
Italy
Thoracotomy
Cardiothoracic surgery
Health Care Surveys
Ventilation (architecture)
Cohort
Anesthetic
Fluid Therapy
Airway management
Cardiology and Cardiovascular Medicine
business
medicine.drug
Subjects
Details
- ISSN :
- 10530770
- Volume :
- 27
- Database :
- OpenAIRE
- Journal :
- Journal of Cardiothoracic and Vascular Anesthesia
- Accession number :
- edsair.doi.dedup.....8afde3a817abe0eca0455c93d8279e0f
- Full Text :
- https://doi.org/10.1053/j.jvca.2013.03.026