Practice Habits for Post-Traumatic Mass Transfusion Diuresis
This study enrolls trauma physicians. The purpose of this study is to learn more about how trauma physicians treat post traumatic mass transfusion diuresis, which is a way to remove excess fluid from a patient.
Trauma physicians who participate in this study will complete an online survey.
Compensation is not available.
Massive transfusion (MT) is a protocol whereby large quantities of blood and blood products are used to resuscitate a patient in hemorrhagic shock. Following massive transfusion, patients may develop severe complications such as transfusion associated circulatory overload (TACO) or transfusion related acute lung injury (TRALI). Over-transfusion and, in general, volume overload has been shown to correlate with poorer outcomes in critically ill patients. In the last decade with there has been a push for standardization of resuscitative therapy in shock patients such as early goal directed fluid therapy (EGDT). Now, there is renewed interest in standardizing post resuscitation care or goal directed de-resuscitation. Studies have been done both in the medical and surgical population supporting the safety of post resuscitation diuresis, however, there remains no standard practice guidelines for de-resuscitation using diuretic therapy for massive transfusion patients.
To solve this problem, we will conduct a practice survey of the fellows of the America Association for the Surgery of Trauma (AAST) and the Eastern Association for the Surgery of Trauma (EAST). Fellows of AAST and EAST are surgeons who practice in trauma care are experts in massive transfusion as well as post resuscitation care of patients. We hypothesize that there will be significant practice variation with respect to diuretic usage after massive transfusion, with group stratifications in no, some and aggressive post transfusion diuresis.
Member of EAST (Eastern Association for the Surgery of Trauma)
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