Physicians' Clinical Behavior During Fluid Evaluation Encounters.

ABSTRACT: We sought to identify factors affecting physicians' cognition and clinical behavior when evaluating patients that may need fluid therapy.

Background

Proponents of dynamic fluid responsiveness testing advocate measuring cardiac output or stroke volume after a maneuver to prove that further fluids will increase cardiac output. However, surveys suggest that fluid therapy in clinical practice is often given without prior responsiveness testing.

Design

Thematic analysis of face-to-face structured interviews.

Setting

ICUs and medical-surgical wards in acute care hospitals.

Subjects

Intensivists and hospitalist physicians.

Interventions

None.

Measurements and main results

We conducted 43 interviews with experienced physicians in 19 hospitals. Hospitalized

SUBMITTER: Syed MKH 

PROVIDER: S-EPMC10306425 | biostudies-literature | 2023 Jul

REPOSITORIES: biostudies-literature