Evidence map›Paper›PMID 35378686›Full record

ArticleCanadian journal of anaesthesia = Journal canadien d'anesthesie2022

Albumin use for fluid resuscitation in cardiac surgical patients: a survey of Canadian perioperative care providers.

Laura Liu, Stuart A McCluskey, Michael Law, Lusine Abrahamyan, Miki Peer, Gordon Tait, Vivek Rao, Duminda N Wijeysundera, Damon C Scales, Jeannie Callum and 2 more

Open access · bronzeAbstract read
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In one paragraph

Article in Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. In reply: Initiatives to support rural access to anesthesia.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2022
    Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 6 institutions in 1 country.

Laura LiuTemerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Stuart A McCluskeyDepartment of Anesthesia and Pain Management, Toronto General Hospital - University Health Network, Sinai Health System, Women's College Hospital, University of Toronto, Toronto, ON, Canada.
Michael LawDepartment of Anesthesia, Pharmacology & Therapeutics, The University of British Columbia, Vancouver, BC, Canada.
Lusine AbrahamyanToronto General Hospital Research Institute, University Health Network, Toronto, ON, Canada.
Miki PeerDepartment of Anesthesia and Pain Management, Toronto General Hospital - University Health Network, Sinai Health System, Women's College Hospital, University of Toronto, Toronto, ON, Canada.
Gordon TaitDepartment of Anesthesia and Pain Management, Toronto General Hospital - University Health Network, Sinai Health System, Women's College Hospital, University of Toronto, Toronto, ON, Canada.
Vivek RaoDivision of Cardiac Surgery, Department of Surgery, University of Toronto, Toronto, ON, Canada.
Duminda N WijeysunderaDepartment of Anesthesiology and Pain Medicine, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Damon C ScalesSunnybrook Research Institute, Toronto, ON, Canada.
Jeannie CallumSunnybrook Research Institute, Toronto, ON, Canada.
Keyvan KarkoutiDepartment of Anesthesia and Pain Management, Toronto General Hospital - University Health Network, Sinai Health System, Women's College Hospital, University of Toronto, Toronto, ON, Canada.
Justyna BartoszkoDepartment of Anesthesia and Pain Management, Toronto General Hospital - University Health Network, Sinai Health System, Women's College Hospital, University of Toronto, Toronto, ON, Canada. justyna.bartoszko@uhn.ca.ORCID http://orcid.org/0000-0002-0738-0451
University Health Network · CAUniversity of Toronto · CAKingston Health Sciences Centre · CASt. Michael's Hospital · CASunnybrook Health Science Centre · CAUniversity of British Columbia · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the perceptions and practices of Canadian cardiovascular anesthesiologists and intensivists towards intravenous albumin as a resuscitation fluid in patients undergoing cardiac surgery.

methodsWe conducted a cross-sectional survey of cardiac anesthesiologists and intensivists involved in the care of cardiac surgical patients. The 22-item survey included seven open-ended questions and assessed practice patterns and attitudes towards albumin. Descriptive statistics were analyzed using counts and proportions. Qualitative data were analyzed to identify themes describing albumin use patterns in Canada.

resultsA total of 133 respondents from seven provinces participated, with 83 (62%) using albumin perioperatively. The majority of respondents (77%) felt a low fluid balance in cardiac surgical patients was important, and that supplementing crystalloids with albumin was helpful for this objective (67%). There was poor agreement among survey respondents regarding the role of albumin for faster vasopressor weaning or intensive care discharge, and ≥ 90% did not feel albumin reduced mortality, renal injury, or coagulopathy. Nevertheless, cardiac surgical patients were identified as a distinct population where albumin may help to minimize fluid balance. There was an acknowledged paucity of formal evidence supporting possible benefits. Fewer than 10% of respondents could identify institutional or national guidelines for albumin use. A lack of evidence supporting albumin use in cardiac surgical patients, especially those at highest risk of complications, was a frequently identified concern.

conclusionsThe majority of Canadian anesthesiologists and intensivists (62%) use albumin in cardiac surgical patients. There is clinical equipoise regarding its utility, and an acknowledged need for higher quality evidence to guide practice.

Indexed as

Cardiac Surgical ProceduresAlbuminsCanadaCross-Sectional StudiesHumansPerioperative CareSurveys and QuestionnairesAlbuminsalbumincardiac surgerycolloidstransfusion

Identifiers

PMID35378686
OpenAlexW4225694787

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.