• Prashant Nasa, Robert Wise, ElbersPaul W GPWGAmsterdam UMC, Vrije Universiteit, Amsterdam, the Netherlands., Adrian Wong, Wojciech Dabrowski, Niels V Regenmortel, Xavier Monnet, Sheila N Myatra, and MalbrainManu L N GMLNGFirst Department of Anaesthesiology and Intensive Therapy, Medical University of Lublin, Poland. Electronic address: manu.malbrain@umlub.pl..
• NMC Specialty Hospital, Dubai, United Arab Emirates.
• J Crit Care. 2022 Oct 1; 71: 154122.

PurposeIn the absence of recent international recommendations supported by scientific societies like Anesthesiology or Intensive Care Medicine, healthcare professionals (HCP) knowledge on IV fluid is expected to vary. We undertook a cross-sectional survey, aiming to assess prescription patterns and test the knowledge of HCP for IV fluid use in the operating room (OR) and intensive care unit (ICU).MethodsAn online international cross-sectional survey was conducted between October 20, 2019, and November 27, 2021. The survey included multiple-choice questions on demographics, practice patterns and knowledge of IV fluids, and a hemodynamically unstable patient assessment.Results1045 HCP, from 97 countries responded to the survey. Nearly three-quarters reported the non-existence of internal hospital or ICU-based guidelines on IV fluids. The respondents' mean score on the knowledge assessment questions was 46.4 ± 14.4. The cumulative mean scores were significantly higher among those supervising trainees (p = 0.02), specialists (p < 0.001) and those working in high-income (p < 0.001) countries. Overall performance of respondents on the knowledge testing for IV fluid was unsatisfactory with only 6.5% respondents performed above average.ConclusionThere is a wide difference in the knowledge and prescription of IV fluids among the HCP surveyed. These findings reflect the urgent need for education on IV fluids.Copyright © 2022 The Authors. Published by Elsevier Inc. All rights reserved.

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