Management of hypotension after general anaesthesia induction - multicenter questionnaire study

Czech version

Authors: O.- Jor ^{1 3}; T. Vymazal ⁴; O. Klementová ⁵; L. Zach ⁶; J. Čapková ⁷; T. Pařízek ⁸; M. Pauliny ⁹; K. Bezděk ¹⁰; M. Litschmannová ¹¹; J. Máca ^1,2; P. Ševčík ^1,2; J. Firment ⁷; V. Černý ^3,8,12,13
Authors‘ workplace: Klinika anesteziologie, resuscitace a intenzivní medicíny, Fakultní nemocnice Ostrava ¹; Katedra intenzivní medicíny a forenzních oborů, Lékařská fakulta, Ostravská univerzita v Ostravě ²; Klinika anesteziologie, resuscitace a intenzivní medicíny, Lékařská fakulta v Hradci Králové, Univerzita Karlova ³; Klinika anesteziologie, resuscitace a intenzivní medicíny, 2. lékařská fakulta, Univerzita Karlova a Fakultní nemocnice v Motole ⁴; Klinika anesteziologie, resuscitace a intenzivní medicíny, Fakultní nemocnice Olomouc ⁵; Klinika anesteziologie, resuscitace a intenzivní medicíny, Ústřední vojenská nemocnice – Vojenská fakultní nemocnice Praha ⁶; Klinika anestéziológie a intenzívnej medicíny, Univerzitná nemocnica L. Pasteura Košice ⁷; Klinika anesteziologie, perioperační a intenzivní medicíny, Masarykova nemocnice v Ústí nad Labem ⁸; Klinika anestéziológie a intenzívnej medicíny, Univerzitná nemocnica Bratislava ⁹; Anesteziologicko-resuscitační oddělení, Nemocnice Nový Jičín a. s. ¹⁰; Katedra aplikované matematiky, Fakulta elektrotechniky a informatiky, Vysoká škola báňská – Technická univerzita Ostrava ¹¹; Centrum pro výzkum a vývoj, Fakultní nemocnice Hradec Králové ¹²; Department of Anesthesia, Pain Management and Perioperative Medicine, Dalhousie University, Halifax, Kanada ¹³
Published in: Anest. intenziv. Med., 30, 2019, č. 3-4, s. 119-125
Category:

Overview

Objective: The aim of our study was to assess the management of hypotension after general anaesthesia induction (GAIH).

Design: Multicenter questionnaire study.

Setting: Eight different size anaesthesiology departments located in the Czech or Slovak Republics.

Materials and methods: The respondents responded to three identification questions (workplace, length of practice, specialized competence) and ten GAIH management questions in our online questionnaire. Simple descriptive statistics describing the representation of the respondents' answers in absolute and relative terms were used. Normalized entropy (H) was used to assess the variability of responses.

Results: A fully completed questionnaire was obtained from 172 respondents. The highest rate of variability was observed in question 1.: “As the baseline blood pressure value (BP), to which I compare other BP values, I consider…” H = 0.966. The lowest response variability rate was observed in question 4.: “As hypotension, I consider the decrease of BP…” H = 0.07).

Conclusion: Our results indicate high variability of GAIH management among anaesthetists.

Keywords:

Hypotension – general anaesthesia induction – haemodynamics

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