Postoperative management of patients undergoing cardiac surgery in Austria: A national survey on current clinical practice in hemodynamic monitoring and postoperative management
Open accessAbstract
BACKGROUND: No data are currently available regarding the current clinical practice in postoperative care of cardiac surgical patients in Austria. OBJECTIVE: The study investigated the current intensive care management concerning hemodynamic monitoring and strategies to treat common perioperative disorders of patients after cardiac surgery in Austria. METHODS: A survey consisting of 31 questions was sent to intensivists at all 9 hospitals offering cardiac surgery in Austria. RESULTS: The response rate was 100%. The mean number of procedures on cardiopulmonary bypass per centre was 722 ± 223. In the majority of cases postoperative critical care is performed by anesthesiologists. Blood gas analysis, pulse oximetry, electrocardiogram, temperature, central venous pressure, arterial pressure and hourly urine output are de facto standard monitoring in all centers. Transesophageal echocardiography is available in all centers and is frequently used. Crystalloids are the first choice for volume replacement, whereas levosimendan and adrenaline are employed for the treatment of low cardiac output syndrome. CONCLUSIONS: This study provides insights into the current state of postoperative management of cardiac surgical patients in Austria. Standard monitoring as proposed by international guidelines is well established in Austrian intensive care units. Echocardiography is widely seen as a very important tool in the postoperative care of cardiac surgical patients. Knowledge about the status quo of postoperative intensive care management of cardiac surgical patients enables further development of patient care.
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There is no consensus and substantial heterogeneity in bedside hemodynamic monitoring practices for neonates after cardiac surgery.
“highlighting the lack of a gold standard in pediatric hemodynamic monitoring, which leads to variability between institutions regarding the postoperative hemodynamic surveillance protocol [9].”
From Trends and Challenges in Noninvasive Hemodynamic Monitoring of Neonates Following Cardiac Surgery: A Narrative Review (2025) · cites this paper as [9]
The Introduction says guidelines give relatively non-specific recommendations and that postoperative cardiac-surgery practices vary between institutions. The Results and Discussion also document variation across Austrian centers in some monitoring practices. But the paper concerns adult cardiac-surgery patients, not neonates or pediatric monitoring, and it does not establish a lack of a pediatric gold standard. (LLM, conf=0.85)
Experimental — accuracy not yet measuredThe guideline does not recommend a specific method, highlighting the lack of a gold standard in pediatric hemodynamic monitoring.
“However, the guideline does not recommend a specific method, highlighting the lack of a gold standard in pediatric hemodynamic monitoring, which leads to variability between institutions regarding the postoperative hemodynamic surveillance protocol [9].”
From Trends and Challenges in Noninvasive Hemodynamic Monitoring of Neonates Following Cardiac Surgery: A Narrative Review (2025) · cites this paper as [9]
The Introduction (page unavailable) says guidelines give relatively non-specific hemodynamic recommendations and that postoperative strategies vary between institutions. But it identifies the relevant guidelines as addressing adult cardiac-surgery patients; the paper does not establish a lack of a gold standard in pediatric monitoring. The Discussion also lists monitoring methods the German guidelines consider standard. (LLM, conf=0.88)
Experimental — accuracy not yet measured
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- Authors
- Menger, J., Edlinger-Stanger, M., Dworschak, M., & Steinlechner, B.
- Affiliations
- Medical University of Vienna (AT)
- Corresponding author
- Menger, Johannes
- Venue
- Wiener klinische Wochenschrift
- Published
- 2018-10-29
- Volume
- 130
- Issue
- 23-24
- Pages
- 716-721
- ISSN
- 0043-5325 (ISSN-L)
- 1613-7671
- PMC
- PMC6290729
- OpenAlex
- W2899275110
- Cited by
- 11
- References
- 26
- Citations by year
- 2026: 1 · 2025: 2 · 2023: 2 · 2022: 1 · 2021: 2 · 2020: 3
- FWCI
- 1.30
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Wiener klinische Wochenschrift (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Medical University of Vienna
- Topics
- Health Sciences › Medicine › Surgery › Hemodynamic Monitoring and Therapy
- Health Sciences › Medicine › Surgery › Cardiac and Coronary Surgery Techniques
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac, Anesthesia and Surgical Outcomes
- Keywords
- postoperative care, cardiac surgery, postoperative intensive care, hemodynamic monitoring, transesophageal echocardiography, low cardiac output syndrome, levosimendan, epinephrine, crystalloids, volume replacement, blood gas analysis
- MeSH terms
- Hemodynamic Monitoring, Austria, Germany, Humans, Surveys and Questionnaires
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