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Peri-operative use of synthetic intravenous fluid by peri-operative physicians in South Africa
Background Peri-operative physicians increasingly acknowledge that fluid management influences patient outcome. Studies have attempted to understand the changes in practice following recently published evidence, although none have included significant contributions from South Africa. Methods An obse...
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| Format: | Thesis |
| Language: | English |
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Department of Anaesthesia and Perioperative Medicine
2020
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| _version_ | 1867613242864435200 |
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| access_status_str | Open Access |
| author | Jagga, Willem Marcelle |
| author2 | Picken, Guy |
| author_browse | Jagga, Willem Marcelle Picken, Guy |
| author_facet | Picken, Guy Jagga, Willem Marcelle |
| author_sort | Jagga, Willem Marcelle |
| collection | Thesis |
| description | Background Peri-operative physicians increasingly acknowledge that fluid management influences patient outcome. Studies have attempted to understand the changes in practice following recently published evidence, although none have included significant contributions from South Africa. Methods An observational cohort study using an interactive online survey was conducted. Five underlying questions where highlighted during data analysis and these data were summarized into simplified categories for better comparison. Results Three hundred questionnaires where completed. During resuscitation of an unstable trauma patient, 233/300 (78%) use crystalloids, although 107/300 (36%) prefer blood products if available. Synthetic colloids for trauma patients unresponsive to initial fluid (normal haemoglobin) would be chosen first by 179/300 (60%), and 12/28 (46%) of non-anaesthesia physicians prefer blood products. Of interest, 10/300 (3%) would use either albumin or hypertonic saline when resuscitating a non-responding trauma patient. Concerning was 14/300 (5%) of respondents who would use fluid other than blood products for trauma patients with low haemoglobin. A relatively large proportion 47/300 (16%) would use synthetic colloids to resuscitate haemodynamically unstable septic patients. Conclusion The results presented are largely from anaesthesia practitioners and practice follows international trends. However, synthetic colloids are used in septic patients where evidence suggests otherwise. A lack of access to blood products probably influences practice. Findings suggest the need for continued attempts to translate research into clinical practice. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/31481 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:33:01.081Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2020 |
| publishDateRange | 2020 |
| publishDateSort | 2020 |
| publisher | Department of Anaesthesia and Perioperative Medicine |
| publisherStr | Department of Anaesthesia and Perioperative Medicine |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/31481 Peri-operative use of synthetic intravenous fluid by peri-operative physicians in South Africa Jagga, Willem Marcelle Picken, Guy Wise, Robert medicine Background Peri-operative physicians increasingly acknowledge that fluid management influences patient outcome. Studies have attempted to understand the changes in practice following recently published evidence, although none have included significant contributions from South Africa. Methods An observational cohort study using an interactive online survey was conducted. Five underlying questions where highlighted during data analysis and these data were summarized into simplified categories for better comparison. Results Three hundred questionnaires where completed. During resuscitation of an unstable trauma patient, 233/300 (78%) use crystalloids, although 107/300 (36%) prefer blood products if available. Synthetic colloids for trauma patients unresponsive to initial fluid (normal haemoglobin) would be chosen first by 179/300 (60%), and 12/28 (46%) of non-anaesthesia physicians prefer blood products. Of interest, 10/300 (3%) would use either albumin or hypertonic saline when resuscitating a non-responding trauma patient. Concerning was 14/300 (5%) of respondents who would use fluid other than blood products for trauma patients with low haemoglobin. A relatively large proportion 47/300 (16%) would use synthetic colloids to resuscitate haemodynamically unstable septic patients. Conclusion The results presented are largely from anaesthesia practitioners and practice follows international trends. However, synthetic colloids are used in septic patients where evidence suggests otherwise. A lack of access to blood products probably influences practice. Findings suggest the need for continued attempts to translate research into clinical practice. 2020-03-05T06:34:56Z 2020-03-05T06:34:56Z 2019 2020-03-05T06:27:00Z Master Thesis Masters MMed http://hdl.handle.net/11427/31481 eng application/pdf Department of Anaesthesia and Perioperative Medicine Faculty of Health Sciences |
| spellingShingle | medicine Jagga, Willem Marcelle Peri-operative use of synthetic intravenous fluid by peri-operative physicians in South Africa |
| thesis_degree_str | Master's |
| title | Peri-operative use of synthetic intravenous fluid by peri-operative physicians in South Africa |
| title_full | Peri-operative use of synthetic intravenous fluid by peri-operative physicians in South Africa |
| title_fullStr | Peri-operative use of synthetic intravenous fluid by peri-operative physicians in South Africa |
| title_full_unstemmed | Peri-operative use of synthetic intravenous fluid by peri-operative physicians in South Africa |
| title_short | Peri-operative use of synthetic intravenous fluid by peri-operative physicians in South Africa |
| title_sort | peri operative use of synthetic intravenous fluid by peri operative physicians in south africa |
| topic | medicine |
| url | http://hdl.handle.net/11427/31481 |
| work_keys_str_mv | AT jaggawillemmarcelle perioperativeuseofsyntheticintravenousfluidbyperioperativephysiciansinsouthafrica |