Author :
Nang Sujali Choupoo, Astha Guliani, Saurabh Kumar Das, Parveen Kaur
Volume :
1
Issue :
2
Abstract :
Objective: Despite the widespread compliance of surviving sepsis guidelines, heterogeneity may exist in clinical practice while using vasopressors in ICU setting. Due to paucity of clear-cut evidences and recommendations in some areas of management of septic shock, this multinational survey was conducted to know how physicians use vasopressors and inotropes to manage patients with septic shock.
Method: The survey consisted of nine questions pertinent to use of vasoactive drugs and one question about country of responder. Data were collected automatically using SurveyMonkey Inc. (www.surveymonkey.com). The survey link (https://www.surveymonkey.com/r/JN5GMPX) was distributed by e-mail, text message, and WhatsApp to qualified medical practitioners that treat critically ill patients.
Results: A total of 142 physicians from ten countries participated in the survey. Majority of the responders start vasopressor before completion of fluid bolus, through a peripheral venous access and use vasopressin infusion as second line vasopressor. But opinions are divided at what dose of norepinephrine infusion, vasopressin and steroid are added and how to de-escalate vasopressor after resolution of septic shock.
Conclusion: This survey reveals that some areas in the management of septic shock need uniformity in clinical practice and require further research.