Key result
A survey of 156 EACTAIC members showed that 88% of cardiac anesthesiologists were not involved in surgical decision-making for infective endocarditis, highlighting practice heterogeneity.
Why the study?
Current practice in the perioperative management of patients undergoing cardiac surgery for infective endocarditis needed to be estimated.
Cross-Sectional (n=156)
Open-label
Yes
There is significant heterogeneity in the perioperative management of infective endocarditis among cardiac anesthesiologists, highlighting the need for standardized multidisciplinary approaches.
Highlights variability in perioperative IE management; leaves open need for standardized, evidence-based protocols from prospective trials.
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.
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Breel et al. (2023) conducted a cross-sectional in Infective endocarditis (n=156). Survey on perioperative management practices was evaluated on Current practice in the perioperative management of patients undergoing cardiac surgery due to infective endocarditis. A survey of 156 EACTAIC members showed that 88% of cardiac anesthesiologists were not involved in surgical decision-making for infective endocarditis, highlighting practice heterogeneity.
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