{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T02:02:18Z","timestamp":1773280938771,"version":"3.50.1"},"reference-count":15,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2013,1,7]],"date-time":"2013-01-07T00:00:00Z","timestamp":1357516800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Anaesthesiol Scand"],"published-print":{"date-parts":[[2013,2]]},"abstract":"Introduction<\/jats:title>The development and implementation of practice guidelines might be an important tool to evaluate the different practices and to consider different local strategies.<\/jats:p><\/jats:sec>Methods<\/jats:title>A postal questionnaire with 37 questions was sent to the leading physicians of 80 intensive care units in G<\/jats:styled-content>ermany, treating patients after cardiothoracic surgery. The survey covered the same core questions on current practice of hemodynamic monitoring, volume replacement, inotropic\/vasopressor support, and transfusions before and after the publication of an S<\/jats:styled-content>3 guideline.<\/jats:p><\/jats:sec>Results<\/jats:title>A total of 77.5 % of the completed questionnaires were returned. Monitoring changed to increased use of central venous oxygen saturation (S<\/jats:styled-content>cv<\/jats:sub>O2<\/jats:sub><\/jats:styled-content>) in 55.1% (2005: 20.9%), end\u2010tidal CO2<\/jats:sub><\/jats:roman><\/jats:styled-content>\u2010monitoring 36.2% (2005: 24.3%), and decreased use of the left atrial pressure with 12.3% (2005: 23.3%) and pulmonary artery catheter 47.5% (2005: 58.2%). For volume therapy, there is a decreased use of Hydroxyethyl starch (HES<\/jats:styled-content>) with 38.7% (2005: 63.4%) and an increased use of crystalloids 41.9% (2005: 22.4%). For inotropes, there is a trend to a decreased use of dopamine with 9.7% (2005: 29.1%, P<\/jats:styled-content><\/jats:italic>\u2009=\u20090.074). The clinical relevance of the guidelines was judged \u2018high\u2019 by 43.5% and \u2018medium\u2019 by 50% of the responding physicians; however, change of treatments was reported by one quarter of respondents.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Despite ongoing variability in the use of monitoring devices, volume replacement and vasopressor\/inotrope use in cardiac surgery patients, there have been some changes in the therapy of these patients after publication of the guidelines. Because the guideline has been considered as clinically relevant, further interdisciplinary development and implementation support should be considered.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aas.12009","type":"journal-article","created":{"date-parts":[[2013,1,9]],"date-time":"2013-01-09T00:29:07Z","timestamp":1357691347000},"page":"206-213","source":"Crossref","is-referenced-by-count":23,"title":["Clinical impact of the publication of S3 guidelines for intensive care in cardiac surgery patients in Germany: results from a postal survey"],"prefix":"10.1111","volume":"57","author":[{"given":"M.","family":"KASTRUP","sequence":"first","affiliation":[{"name":"Campus Virchow\u2010Klinikum and Campus Charit\u00e9 Mitte Department of Anaesthesiology and Intensive Care Charit\u00e9\u2010University Medicine Berlin Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"CARL","sequence":"additional","affiliation":[{"name":"Campus Virchow\u2010Klinikum and Campus Charit\u00e9 Mitte Department of Anaesthesiology and Intensive Care Charit\u00e9\u2010University Medicine Berlin Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"SPIES","sequence":"additional","affiliation":[{"name":"Campus Virchow\u2010Klinikum and Campus Charit\u00e9 Mitte Department of Anaesthesiology and Intensive Care Charit\u00e9\u2010University Medicine Berlin Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"SANDER","sequence":"additional","affiliation":[{"name":"Campus Virchow\u2010Klinikum and Campus Charit\u00e9 Mitte Department of Anaesthesiology and Intensive Care Charit\u00e9\u2010University Medicine Berlin Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"MARKEWITZ","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery Central Military Hospital Koblenz Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"U.","family":"SCHIRMER","sequence":"additional","affiliation":[{"name":"Institute of Anaesthesiology Heart and Diabetes Center NRW Ruhr University of Bochum Bad Oeynhausen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,1,7]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-964939"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00103-002-0378-3"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-6576.2006.01190.x"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.3310\/hta8060"},{"key":"e_1_2_6_6_1","first-page":"1","volume-title":"ASA","author":"Delegates AHo","year":"2004"},{"key":"e_1_2_6_7_1","first-page":"89","article-title":"Apparative Ausstattung f\u00fcr Aufwachraum, Intensiv\u00fcberwachung und Intensivtherpie","volume":"38","author":"Opderbecke HW","year":"1997","journal-title":"An\u00e4sth Intensivmed"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa010307"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2006.09.022"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa070716"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2008.04.008"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2005.07.021"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehn309"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e318186b6f3"},{"issue":"2","key":"e_1_2_6_15_1","doi-asserted-by":"crossref","first-page":"S14","DOI":"10.1007\/s11606-006-0269-7","article-title":"Toward evidence\u2010based quality improvement. 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