PMID- 37438180
OWN - NLM
STAT- MEDLINE
DCOM- 20230912
LR  - 20230913
IS  - 1532-8422 (Electronic)
IS  - 1053-0770 (Linking)
VI  - 37
IP  - 10
DP  - 2023 Oct
TI  - International Survey on Perioperative Management of Patients With Infective 
      Endocarditis.
PG  - 1951-1958
LID - S1053-0770(23)00389-0 [pii]
LID - 10.1053/j.jvca.2023.06.019 [doi]
AB  - OBJECTIVES: To estimate the current practice in the perioperative management of 
      patients undergoing cardiac surgery due to infective endocarditis. DESIGN: A 
      prospective, open, 24-item, web-based cross-sectional survey. SETTING: Online 
      survey endorsed by the European Association of Cardiothoracic Anesthesiology and 
      Intensive Care (EACTAIC). PARTICIPANTS: Members of the EACTAIC. INTERVENTIONS: 
      None. MEASUREMENTS AND MAIN RESULTS: A total of 156 responses from 44 countries 
      were received, with a completion rate of 99%. The response rate was 16.6%. Most 
      respondents (76%) practiced cardiac anesthesia in European hospitals, and most 
      respondents stated that a multidisciplinary endocarditis team was not established 
      at their center, that cardiac anesthesiologists appeared to be involved 
      infrequently in those teams (36%), and that they were not involved in 
      decision-making on indication and timing of surgery (88%). In contrast, the 
      cardiac anesthesiologist performed intraoperative antibiotic therapy (62%) and 
      intraoperative transesophageal echocardiography (90%). Furthermore, there was a 
      relative heterogeneity concerning perioperative monitoring, as well as for 
      coagulation and transfusion management. CONCLUSIONS: This international survey 
      evaluated current practice among cardiac anesthesiologists in the perioperative 
      management of patients with infective endocarditis and the anesthesiologist's 
      role in multidisciplinary decision-making. Heterogeneity in treatment approaches 
      was identified, indicating relevant knowledge gaps that should encourage further 
      clinical research to optimize treatment and postoperative outcomes in this 
      specific population.
CI  - Copyright (c) 2023 The Authors. Published by Elsevier Inc. All rights reserved.
FAU - Breel, Jennifer S
AU  - Breel JS
AD  - Department of Anesthesiology, Amsterdam University Medical Center, Amsterdam, The 
      Netherlands.
FAU - Eberl, Susanne
AU  - Eberl S
AD  - Department of Anesthesiology, Amsterdam University Medical Center, Amsterdam, The 
      Netherlands. Electronic address: s.eberl@amsterdamumc.nl.
FAU - Preckel, Benedikt
AU  - Preckel B
AD  - Department of Anesthesiology, Amsterdam University Medical Center, Amsterdam, The 
      Netherlands.
FAU - Huhn, Ragnar
AU  - Huhn R
AD  - Department of Anesthesiology, Kerckhoff-Clinic, Bad Nauheim, Germany.
FAU - Hollmann, Markus W
AU  - Hollmann MW
AD  - Department of Anesthesiology, Amsterdam University Medical Center, Amsterdam, The 
      Netherlands.
FAU - Rex, Steffen
AU  - Rex S
AD  - Department of Anesthesiology, University Hospitals Leuven, Leuven, Belgium.
FAU - Hermanns, Henning
AU  - Hermanns H
AD  - Department of Anesthesiology, Amsterdam University Medical Center, Amsterdam, The 
      Netherlands.
LA  - eng
PT  - Journal Article
DEP - 20230614
PL  - United States
TA  - J Cardiothorac Vasc Anesth
JT  - Journal of cardiothoracic and vascular anesthesia
JID - 9110208
SB  - IM
MH  - Humans
MH  - Cross-Sectional Studies
MH  - Prospective Studies
MH  - *Cardiac Surgical Procedures
MH  - Surveys and Questionnaires
MH  - *Endocarditis/surgery
OTO - NOTNLM
OT  - anesthesia
OT  - cardiac surgery
OT  - infective endocarditis
OT  - survey
COIS- Declaration of Competing Interest The authors declare that they have no known 
      competing financial interests or personal relationships that could have appeared 
      to influence the work reported in this paper.
EDAT- 2023/07/13 01:06
MHDA- 2023/09/12 06:41
CRDT- 2023/07/12 21:58
PHST- 2023/05/11 00:00 [received]
PHST- 2023/06/02 00:00 [revised]
PHST- 2023/06/11 00:00 [accepted]
PHST- 2023/09/12 06:41 [medline]
PHST- 2023/07/13 01:06 [pubmed]
PHST- 2023/07/12 21:58 [entrez]
AID - S1053-0770(23)00389-0 [pii]
AID - 10.1053/j.jvca.2023.06.019 [doi]
PST - ppublish
SO  - J Cardiothorac Vasc Anesth. 2023 Oct;37(10):1951-1958. doi: 
      10.1053/j.jvca.2023.06.019. Epub 2023 Jun 14.