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Current research priorities in perioperative intensive care medicine

Current research priorities in perioperative intensive care medicine
Current research priorities in perioperative intensive care medicine
Introduction: Surgical treatments are offered to more patients than ever before, and increasingly to older patients with chronic disease. High-risk patients frequently require critical care either in the immediate postoperative period or after developing complications. The purpose of this review was to identify and prioritise themes for future research in perioperative intensive care medicine.

Methods: We undertook a priority setting process (PSP). A panel was convened, drawn from experts representing a wide geographical area, plus a patient representative. The panel was asked to suggest and prioritise key uncertainties and future research questions in the field of perioperative intensive care through a modified Delphi process. Clinical trial registries were searched for on-going research. A proposed “Population, Intervention, Comparator, Outcome” (PICO) structure for each question was provided.

Results: Ten key uncertainties and future areas of research were identified as priorities and ranked. Appropriate intravenous fluid and blood component therapy, use of critical care resources, prevention of delirium and respiratory management featured prominently.

Conclusion: Admissions following surgery contribute a substantial proportion of critical care workload. Studies aimed at improving care in this group could have a large impact on patient-centred outcomes and optimum use of healthcare resources. In particular, the optimum use of critical care resources in this group is an area that requires urgent research.
Intensive care, Surgery, Perioperative medicine
0342-4642
1-14
Gillies, Michael A.
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Sanders, Michael
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Shaw, Andrew
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Wijeysundera, Duminda N.
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Myburgh, John
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Aldecoa, Cesar
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Jammer, Ib
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Lobo, Suzana M.
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Pritchard, Naomi
657ee299-0ef0-4511-b98d-41c5b9505eae
Grocott, Michael P.W.
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Schultz, Marcus J.
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Pearse, Rupert M.
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Gillies, Michael A.
90dd48e4-c053-4464-b2c6-3b8e61d68306
Sanders, Michael
af9a6cdd-a415-44a8-b95d-2fd927bf38c3
Shaw, Andrew
ca9c2521-7de8-4faf-a1ac-14107eebc1cd
Wijeysundera, Duminda N.
4163d34d-519b-46cb-8305-3a68f8c53d53
Myburgh, John
52c5b642-a524-4816-808b-88c3cbe1f9f8
Aldecoa, Cesar
91a1edb0-4f5d-44b0-8bf1-a231c2408872
Jammer, Ib
fc68000f-c0ce-493e-a7c7-649716b25838
Lobo, Suzana M.
eec167a0-0bee-402f-827f-b636d0bedafb
Pritchard, Naomi
657ee299-0ef0-4511-b98d-41c5b9505eae
Grocott, Michael P.W.
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Schultz, Marcus J.
a4278974-9e38-4f52-af8b-bd3a71c64a1f
Pearse, Rupert M.
50f634bc-77c8-4f69-8650-e2b0a29ceaed

Gillies, Michael A., Sanders, Michael, Shaw, Andrew, Wijeysundera, Duminda N., Myburgh, John, Aldecoa, Cesar, Jammer, Ib, Lobo, Suzana M., Pritchard, Naomi, Grocott, Michael P.W., Schultz, Marcus J. and Pearse, Rupert M. (2017) Current research priorities in perioperative intensive care medicine. Intensive Care Medicine, 1-14. (doi:10.1007/s00134-017-4848-3).

Record type: Article

Abstract

Introduction: Surgical treatments are offered to more patients than ever before, and increasingly to older patients with chronic disease. High-risk patients frequently require critical care either in the immediate postoperative period or after developing complications. The purpose of this review was to identify and prioritise themes for future research in perioperative intensive care medicine.

Methods: We undertook a priority setting process (PSP). A panel was convened, drawn from experts representing a wide geographical area, plus a patient representative. The panel was asked to suggest and prioritise key uncertainties and future research questions in the field of perioperative intensive care through a modified Delphi process. Clinical trial registries were searched for on-going research. A proposed “Population, Intervention, Comparator, Outcome” (PICO) structure for each question was provided.

Results: Ten key uncertainties and future areas of research were identified as priorities and ranked. Appropriate intravenous fluid and blood component therapy, use of critical care resources, prevention of delirium and respiratory management featured prominently.

Conclusion: Admissions following surgery contribute a substantial proportion of critical care workload. Studies aimed at improving care in this group could have a large impact on patient-centred outcomes and optimum use of healthcare resources. In particular, the optimum use of critical care resources in this group is an area that requires urgent research.

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WITHREFS_FINAL_POIC_Research_Priorities_Revised200517 - Accepted Manuscript
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Accepted/In Press date: 17 May 2017
e-pub ahead of print date: 8 June 2017
Keywords: Intensive care, Surgery, Perioperative medicine

Identifiers

Local EPrints ID: 412655
URI: https://eprints.soton.ac.uk/id/eprint/412655
ISSN: 0342-4642
PURE UUID: ac3d268e-3778-4792-8c88-75a511182a52
ORCID for Michael P.W. Grocott: ORCID iD orcid.org/0000-0002-9484-7581

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Date deposited: 24 Jul 2017 16:33
Last modified: 10 Dec 2019 05:58

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Contributors

Author: Michael A. Gillies
Author: Michael Sanders
Author: Andrew Shaw
Author: Duminda N. Wijeysundera
Author: John Myburgh
Author: Cesar Aldecoa
Author: Ib Jammer
Author: Suzana M. Lobo
Author: Naomi Pritchard
Author: Marcus J. Schultz
Author: Rupert M. Pearse

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