ArticleAnnals of the Royal College of Surgeons of England2002
Peri-operative fluid and electrolyte management: a survey of consultant surgeons in the UK.
Article in Annals of the Royal College of Surgeons of England, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
20 citing papers in PubMed.
- Half-molar sodium-lactate solution has a beneficial effect in patients after coronary artery bypass grafting.Intensive care medicine · 2008Trial
- Investigating the fluid and electrolyte prescribing knowledge of Foundation Year doctors.Annals of the Royal College of Surgeons of England · 2026Article
- Article
- Fluid management knowledge in hospital physicians: 'Greenshoots' of improvement but still a cause for concern.Clinical medicine (London, England) · 2020Article
- Fluid and electrolyte balance-establishing the knowledge base of Foundation Year One doctors.Irish journal of medical science · 2019Article
- Fluency training in medical education: Improving competence in IV fluid therapy knowledge and skills.MedEdPublish (2016) · 2019Article
- Acute kidney injury following resection of hepatocellular carcinoma: prognostic value of the acute kidney injury network criteriaCanadian journal of surgery. Journal canadien de chirurgie · 2018Article
- Zero fluid balance and normotension prevents complications, not the amount of fluid per se.World journal of urology · 2018Article
- Intravenous fluid selection rationales in acute clinical management.World journal of emergency medicine · 2018Article
- Learning to prescribe intravenous fluids: A scoping review.Perspectives on medical education · 2017Article
- Time to Strengthen Our Knowledge in the Areas of Acid-Base and Electrolytes.Kidney diseases (Basel, Switzerland) · 2016Article
- 0.9% saline is neither normal nor physiological.Journal of Zhejiang University. Science. B · 2016Review
- Undergraduate medical textbooks do not provide adequate information on intravenous fluid therapy: a systematic survey and suggestions for improvement.BMC medical education · 2014Article
- Intravenous fluid prescribing: Improving prescribing practices and documentation in line with NICE CG174 guidance.BMJ quality improvement reports · 2014Article
- Intravenous fluid prescribing practices by foundation year one doctors - a questionnaire study.JRSM short reports · 2012Article
- Hypo- and hypernatraemia in surgical patients: is there room for improvement?World journal of surgery · 2010Article
- Fluid balance and acute kidney injury.Nature reviews. Nephrology · 2010Review
- Substantial variation of both opinions and practice regarding perioperative fluid resuscitation.Canadian journal of surgery. Journal canadien de chirurgie · 2009Article
- [Perioperative fluid management: an analysis of the present situation].Der Anaesthesist · 2006Review
- Pharmacist intervention to enhance postoperative fluid prescribing practice in an Iraqi hospital through implementation of NICE guideline.Pharmacy practiceArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCurrent peri-operative fluid and electrolyte management in the UK may be suboptimal. We assessed the attitudes of consultant surgeons to fluid and electrolyte prescribing and gathered suggestions for improvement in education on the subject.
methodsA postal questionnaire survey was sent to 1091 Fellows of the Association of Surgeons of Great Britain and Ireland. Of the 730 (67%) replies, 20 were invalid or incomplete, and 710 (65%) questionnaires were analysed. Outcome measures included provision of guidelines and teaching to junior staff on fluid and electrolyte prescribing, appropriateness of fluid management and suggestions to improve standards.
resultsJunior staff were given written guidelines in 22% of instances. Only 16% of respondents felt that their preregistration house officers (PRHOs) were adequately trained in the subject before joining the firm; 15% also stated that PRHOs did not receive much training on their firm. 65% felt that fluid balance charts were accurately maintained, nursing shortages being the commonest reason for inaccuracies. Only 30% felt that postoperative patients were receiving appropriate amounts of water, sodium and potassium. Respondents who had been consultants for > 5 years were more likely to prefer erring on the side of under-replacement of fluid than those who were consultants for 5 years (63% versus 47%, P < 0.0005). Suggestions for improvement in education included problem-oriented ward rounds, written guidelines, and discussion of patient scenarios.
conclusionsConsultant surgeons feel that present practice in peri-operative fluid management is unsatisfactory. Higher standards within clinical governance and risk management may be achieved by focused practical training combined with formal written guidelines.
Indexed as
Identifiers
12092863PMC2503821What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.