Knowledge of and Compliance with Surviving Sepsis Campaign Guidelines among Anesthesiologists: A Nationwide Survey in China.
Knowledge of and Compliance with Surviving Sepsis Campaign Guidelines among Anesthesiologists: A Nationwide Survey in China.
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麻醉医师对拯救脓毒症运动指南的了解和遵守情况：中国全国范围内的调查
DOI：
10.1155/2021/1877166
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发表时间：
2021
影响因子：
--
通讯作者：
Fang X
中科院分区：
文献类型：
--
作者：
Li H;Yu X;Zhou R;Wang Y;Zhang X;Song S;Chen Q;Cheng B;Fang X
我们的目的是描述麻醉医师在脓毒症患者围手术期管理中对生存脓毒症运动（SSC）指南的了解和遵守情况。我们设计了一个基于问卷的横断面调查。我们在2019年发布了在线问卷，以评估中国麻醉医师在围手术期管理中是否熟悉和应用SSC指南。我们还比较了不同级别医院麻醉医师对指南的知识和遵守情况。在这项研究中，我们从全国麻醉科获得了971份反馈。调查结果显示，39.0%的麻醉师认为他们对SSC指南的了解“非常熟悉”或至少“有点熟悉”。总体而言，68.9%的受访者选择“初始液体复苏后频繁血流动力学再评估”作为脓毒性休克患者的治疗策略；62.0%的麻醉医师在临床实践中选择乳酸作为初始复苏的标志，39.1%的麻醉医师认为需要在败血症诊断后1小时内开始捆绑治疗。共有37.1%和27.1%的受访者分别选择羟乙基淀粉和明胶作为感染性休克的首选液体。727名（74.9%）麻醉医师选择去甲肾上腺素作为脓毒症患者首选血管加压药物。三级甲等医院麻醉医师对SSC指南的熟悉度和依从性高于其他医院麻醉医师（P < 0.001）。总之，中国的麻醉医师对SSC指南有一定的了解，并倾向于按照这些指南进行实践。然而，对于某些项目，麻醉师没有跟上最新版本的SSC指南。在不同级别的医院中，这些指南的普及程度并不相同。麻醉师必须加强他们对SSC指南的了解，并定期及时地更新他们的实践，特别是在其他三级和初级医院。
We aimed to describe anesthesiologists' knowledge of and compliance with the Surviving Sepsis Campaign (SSC) guidelines in the perioperative management of patients with sepsis in China. We designed a questionnaire-based, cross-sectional survey. We sent out online questionnaires during 2019 to evaluate whether anesthesiologists in China were familiar with and applied SSC guidelines in perioperative management. We also compared anesthesiologists' knowledge of and compliance with the guidelines among different levels of hospital. In this study, we obtained 971 responses from anesthesiology departments across China. The survey responses showed that 39.0% of anesthesiologists rated their knowledge of the SSC guidelines as being “very familiar” or at least “somewhat familiar.” In total, 68.9% of respondents chose “Initial fluid resuscitation followed by frequent hemodynamic reassessment” as their therapy strategy for patients with septic shock; 62.0% of anesthesiologists chose lactate as a marker of initial resuscitation in clinical practice, and 39.1% thought bundle therapy needed to be started within 1 hour of sepsis diagnosis. A total of 37.1% and 27.1% of respondents chose hydroxyethyl starches and gelatins, respectively, as the preferred fluids for septic shock. As the first choice of vasopressors in patients with sepsis, 727 (74.9%) anesthesiologists chose the correct answer (norepinephrine). Anesthesiologists from tertiary hospitals (class A) had greater familiarity and compliance with the SSC guidelines than those from other hospitals (P < 0.001). In summary, anesthesiologists in China have some knowledge of the SSC guidelines and tend to practice in keeping with these guidelines. However, for some items, anesthesiologists are not up to date with the latest version of the SSC guidelines. The popularity of these guidelines is not homogenous among different levels of hospital. Anesthesiologists must strengthen their knowledge of the SSC guidelines and update their practice in a regular and timely manner, especially in other tertiary and primary hospitals.
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DOI：
10.1136/bmj.f839
发表时间：
2013-02-15
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Haase N;Perner A;Hennings LI;Siegemund M;Lauridsen B;Wetterslev M;Wetterslev J
通讯作者：
Wetterslev J
影响因子：
120.7
作者：
Jones, Alan E.;Shapiro, Nathan I.;Trzeciak, Stephen;Arnold, Ryan C.;Claremont, Heather A.;Kline, Jeffrey A.
通讯作者：
Kline, Jeffrey A.
影响因子：
3.7
作者：
Djurkovic, Svetolik;Baracaldo, Juan C.;Haupt, Marilyn T.
通讯作者：
Haupt, Marilyn T.
影响因子：
38.9
作者：
Rhodes, Andrew;Evans, Laura E.;Dellinger, R. Phillip
通讯作者：
Dellinger, R. Phillip
DOI：
10.1186/s13054-016-1403-5
发表时间：
2016-08-13
期刊：
Critical care (London, England)
影响因子：
--
作者：
Vincent JL;Quintairos E Silva A;Couto L Jr;Taccone FS
通讯作者：
Taccone FS