Survey of thoracic anesthetic practice in Italy.

Abstract

OBJECTIVE:

The object of this study was to conduct and analyze the output of a survey involving a cohort of all Italian hospitals performing thoracic surgery to gather data on anesthetic management, one-lung ventilation (OLV) management, and post-thoracotomy pain relief in thoracic anesthesia.

DESIGN:

Survey.

SETTING:

Italy.

PARTICIPANTS:

An invitation to participate in the survey was e-mailed to all the members of the Italian Society of Anesthesia and Intensive Care Medicine.

INTERVENTION:

None.

MEASUREMENTS AND MAIN RESULTS:

A total of 62 responses were received from 47 centers. The key findings were: Double-lumen tube is still the first choice lung separation technique in current use; pressure-controlled ventilation and volume-controlled ventilation modes are homogenously distributed across the sample and, a tidal volumes (VT) of 4-6 mL/kg during OLV was preferred to all others; moderate or restrictive fluid management were the most used strategies of fluid administration in thoracic anesthesia; thoracic epidural analgesia represented the "gold standard" for post-thoracotomy pain relief in combination with intravenous analgesia.

CONCLUSION:

The results of this survey showed that Italian anesthesiologist follow the recommended standard of care for anesthetic management during OLV.

• Authors: Giorgio Della Rocca, Nicola Langiano, Antonio Baroselli, Saskia Granzotti, Chiara Pravisani
• Journal: Journal of cardiothoracic and vascular anesthesia (J Cardiothorac Vasc Anesth) Vol. 27 Issue 6 Pg. 1321-9 (Dec 2013) ISSN: 1532-8422 [Electronic] United States
• PMID: 24035062 (Publication Type: Journal Article)
• Copyright: Copyright © 2013 Elsevier Inc. All rights reserved.

Topics

• Airway Management (statistics & numerical data, trends)
• Anesthesia (statistics & numerical data, trends)
• Anesthesiology (statistics & numerical data, trends)
• Cohort Studies
• Consciousness Monitors
• Fluid Therapy (statistics & numerical data, trends)
• Health Care Surveys
• Humans
• Italy
• Monitoring, Intraoperative
• One-Lung Ventilation
• Pain, Postoperative (drug therapy)
• Surveys and Questionnaires
• Thoracic Surgical Procedures (statistics & numerical data, trends)
• Thoracotomy (adverse effects)