. 2024 Oct;68(9):1234-1243.

doi: 10.1111/aas.14479. Epub 2024 Jun 21.

Preferences for albumin use in adult intensive care unit patients with shock: An international survey

Praleene Sivapalan^{1

2}, Karen Louise Ellekjaer^{1

2}, Anders Perner^{1

2

3}, Morten Hylander Møller^{1

2

3}, Anders Granholm^{1

2}, Lasse Grønningsæter⁴, Marlies Ostermann⁵, Rob Mac Sweeney⁶, Maria Cronhjort⁷, Johanna Hästbacka⁸, Carmen Pfortmueller⁹, Jan De Waele¹⁰, Marek Nalos¹¹, Tomas Jovaisa¹², Annika Reintam Blaser^{13

14}, Maurizio Cecconi^{15

16}, Begum Ergan¹⁷, Abdulrahman Al-Fares¹⁸, Paul J Young^{19

20

21

22}, Wojciech Szczeklik^{23

24}, Eric Keus²⁵, Fayez Alshamsi²⁶, Ashish K Khanna^{27

28}, Martin Ingi Sigurdsson^{29

30}, Tomoko Fujii³¹, Yaseen M Arabi³², Tine Sylvest Meyhoff^{1

2

33}; National investigators (NI) and site investigators

Collaborators, Affiliations

Collaborators

National investigators (NI) and site investigators:
Jan De Waele, Jan Benes, Roman Kula, Marek Nalos, Martin Balik, Vladimir Sramek, Jan Manak, Jaroslav Radej, Ronni Plovsing, Theis Itenov, Bjørn Anders Brandt, Lene Russel, Anne Sofie Andreasen, Morten Bestle, Mette Krag, Klaus Marcussen, Lone Poulsen, Thomas Hildebrandt, Bodil Rasmussen, Steffen Christensen, Peter Buhl, Praleene Sivapalan, Robert Winding, Anne Craveiro Brøchner, Jens Michelsen, Helle Bundgaard, Christoffer Sølling, Kirsten Møller, Liia Liibusk, Indrek Rätsep, Kadri Tamme, Ville Jalkanen, Matti Reinikainen, Juha Koskenkari, Kati Järvelä, Mika Valtonen, Elina Riihioja, Minna Bäcklund, Ari Alaspää, Anna Eklund, Anni Pulkkinen, Risto Kylänpää, Antti Mäkelä, Jouko Kähkönen, Martin Ingi Sigurdsson, Maurizio Cecconi, Tomoko Fujii, Ryo Yamamoto, Kyohei Miyamoto, Kenji Morimoto, Abdulrahman Al-Fares, Saulius Vosylius, Nerijus Klimas, Albinas Kalimavicius, Tomas Tamosuitis, Sarunas Judickas, Ingrida Lisauskiene, Paul J Young, Ole Kristian Fossum, Aasmund Godø, Oddvar Kvalsvik, Kenneth Lauvås, Gabor Nadas, Maria Elena H Condori, Karsten Hoff, Andersen, Finn Husøy, Kristian Strand, Tron Blien, Trond Olav Madsen, Lasse Grønningsæter, Lasse Grønningsæter, Trygve Tjugen, Thomas Christian, Risom Olsen, Stern Hod, Bror A Johnstad, Kristin Hauss, Peter Holm, Vegard Dokka, Peter Bohge, Frisvold Shirin Kordasti, Vibeke Sørensen, Stephan Balsliemke, Lars Fjeldstad, Kim Mikkelsen, Per Johan Lans, Helge L Wangberg, Robert Pedersen, Kurdra Steven, Bjørn Alne, Lasse Grønningsæter, Pål Klepstad, Wojciech Szczeklik, Yaseen M Arabi, Maria Cronhjort, Jonatan Oras, Michelle Chew, Jacob Hollenberg, Sandra Jonmarker, Peter Bentzer, Fredrik Sjövall, Johan Mårtensson, Miklos Lipcsey, Carmen Pfortmueller, Alexa Holliger, Annika Reintam Blaser, Urs Pietsch, Philipp Bühler, Matthias Nebiker, Eric Keus, Maarten Vollebergh, Anne Slot, Begum Ergan, Fayez Alshamsi, Jihad Mallat, Marlies Ostermann, Manav Bhavsar, Keith Oakes, John Strange, Raymond McKee, Rob Mac Sweeney, Ashish K Khanna, Andrew Nunn, Kristi L Tucker, Travis L Dotson

Affiliations

¹ Department of Intensive Care, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
² Collaboration for Research in Intensive Care (CRIC), Copenhagen, Denmark.
³ Department of Clinical Medicine, Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark.
⁴ Division of Emergencies and Critical Care, Oslo University Hospital, Oslo, Norway.
⁵ King's College London, Guy's & St Thomas' Hospital London, London, UK.
⁶ Department of Intensive care, Royal Victoria Hospital, Belfast, UK.
⁷ Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Solna, Sweden.
⁸ Department of Intensive Care, Tampere University Hospital, Wellbeing Services County of Pirkanmaa and Tampere University, Faculty of Medicine and Health Technology, Tampere, Finland.
⁹ Department of Intensive Care, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
¹⁰ Department of Intensive Care Medicine, Ghent University Hospital, Ghent, Belgium.
¹¹ Department of Anaesthesiology, Perioperative Medicine and Intensive Care, J. E. Purkinje University, Masaryk Hospital, Usti nad Labem, Czech Republic.
¹² Clinic of Anaesthesiology and Intensive Care, Vilnius University Faculty of Medicine, Vilnius, Lithuania.
¹³ University of Tartu, Tartu, Estonia.
¹⁴ Department of Intensive Care, Cantonal Hospital of Lucerne, Lucerne, Switzerland.
¹⁵ Biomedical Sciences Department, Humanitas University, Pieve Emanuele, Milan, Italy.
¹⁶ Department of Anaesthesia and Intensive Care, IRCCS-Humanitas Research Hospital, Rozzano, Italy.
¹⁷ Department of Pulmonary and Critical Care, Dokuz Eylül University, Izmir, Turkey.
¹⁸ Department of Anaesthesia, Critical Care Medicine and Pain Medicine, Kuwait Extracorporeal Life Support Program, Al-Amiri Hospital. Ministry of Health, Kuwait City, Kuwait.
¹⁹ Intensive Care Unit, Wellington Hospital, Wellington, New Zealand.
²⁰ Medical Research Institute of New Zealand, Wellington, New Zealand.
²¹ Australian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, Victoria, Australia.
²² Department of Critical Care, University of Melbourne, Melbourne, Victoria, Australia.
²³ Centre for Intensive Care and Perioperative Medicine, Jagiellonian University Medical College, Krakow, Poland.
²⁴ Military Hospital, Krakow, Poland.
²⁵ Department of Critical Care, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
²⁶ Department of Internal Medicine, College of Medicine & Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates.
²⁷ Section on Critical Care Medicine, Department of Anesthesiology, Wake Forest School of Medicine, Atrium Health Wake Forest Baptist Medical Center, Winston-Salem, North Carolina, USA.
²⁸ Outcomes Research Consortium, Cleveland, Ohio, USA.
²⁹ Faculty of Medicine, University of Iceland, Reykjavik, Iceland.
³⁰ Department of Anaesthesiology and Critical Care Medicine, Landspitali - The National University Hospital of Iceland, Reykjavik, Iceland.
³¹ Department of Intensive Care, Jikei University Hospital, Tokyo, Japan.
³² Intensive Care Department, King Abdulaziz Medical City, Ministry of National Guard-Health Affairs, King Abdullah International Medical Research Center, College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
³³ Department of Anaesthesia and Intensive Care, Lillebaelt Hospital, Kolding, Denmark.

PMID: 39302760
DOI: 10.1111/aas.14479

Free article

Preferences for albumin use in adult intensive care unit patients with shock: An international survey

Praleene Sivapalan et al. Acta Anaesthesiol Scand. 2024 Oct.

Free article

. 2024 Oct;68(9):1234-1243.

doi: 10.1111/aas.14479. Epub 2024 Jun 21.

Authors

Collaborators

National investigators (NI) and site investigators:
Jan De Waele, Jan Benes, Roman Kula, Marek Nalos, Martin Balik, Vladimir Sramek, Jan Manak, Jaroslav Radej, Ronni Plovsing, Theis Itenov, Bjørn Anders Brandt, Lene Russel, Anne Sofie Andreasen, Morten Bestle, Mette Krag, Klaus Marcussen, Lone Poulsen, Thomas Hildebrandt, Bodil Rasmussen, Steffen Christensen, Peter Buhl, Praleene Sivapalan, Robert Winding, Anne Craveiro Brøchner, Jens Michelsen, Helle Bundgaard, Christoffer Sølling, Kirsten Møller, Liia Liibusk, Indrek Rätsep, Kadri Tamme, Ville Jalkanen, Matti Reinikainen, Juha Koskenkari, Kati Järvelä, Mika Valtonen, Elina Riihioja, Minna Bäcklund, Ari Alaspää, Anna Eklund, Anni Pulkkinen, Risto Kylänpää, Antti Mäkelä, Jouko Kähkönen, Martin Ingi Sigurdsson, Maurizio Cecconi, Tomoko Fujii, Ryo Yamamoto, Kyohei Miyamoto, Kenji Morimoto, Abdulrahman Al-Fares, Saulius Vosylius, Nerijus Klimas, Albinas Kalimavicius, Tomas Tamosuitis, Sarunas Judickas, Ingrida Lisauskiene, Paul J Young, Ole Kristian Fossum, Aasmund Godø, Oddvar Kvalsvik, Kenneth Lauvås, Gabor Nadas, Maria Elena H Condori, Karsten Hoff, Andersen, Finn Husøy, Kristian Strand, Tron Blien, Trond Olav Madsen, Lasse Grønningsæter, Lasse Grønningsæter, Trygve Tjugen, Thomas Christian, Risom Olsen, Stern Hod, Bror A Johnstad, Kristin Hauss, Peter Holm, Vegard Dokka, Peter Bohge, Frisvold Shirin Kordasti, Vibeke Sørensen, Stephan Balsliemke, Lars Fjeldstad, Kim Mikkelsen, Per Johan Lans, Helge L Wangberg, Robert Pedersen, Kurdra Steven, Bjørn Alne, Lasse Grønningsæter, Pål Klepstad, Wojciech Szczeklik, Yaseen M Arabi, Maria Cronhjort, Jonatan Oras, Michelle Chew, Jacob Hollenberg, Sandra Jonmarker, Peter Bentzer, Fredrik Sjövall, Johan Mårtensson, Miklos Lipcsey, Carmen Pfortmueller, Alexa Holliger, Annika Reintam Blaser, Urs Pietsch, Philipp Bühler, Matthias Nebiker, Eric Keus, Maarten Vollebergh, Anne Slot, Begum Ergan, Fayez Alshamsi, Jihad Mallat, Marlies Ostermann, Manav Bhavsar, Keith Oakes, John Strange, Raymond McKee, Rob Mac Sweeney, Ashish K Khanna, Andrew Nunn, Kristi L Tucker, Travis L Dotson

Affiliations

¹ Department of Intensive Care, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
² Collaboration for Research in Intensive Care (CRIC), Copenhagen, Denmark.
³ Department of Clinical Medicine, Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark.
⁴ Division of Emergencies and Critical Care, Oslo University Hospital, Oslo, Norway.
⁵ King's College London, Guy's & St Thomas' Hospital London, London, UK.
⁶ Department of Intensive care, Royal Victoria Hospital, Belfast, UK.
⁷ Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Solna, Sweden.
⁸ Department of Intensive Care, Tampere University Hospital, Wellbeing Services County of Pirkanmaa and Tampere University, Faculty of Medicine and Health Technology, Tampere, Finland.
⁹ Department of Intensive Care, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
¹⁰ Department of Intensive Care Medicine, Ghent University Hospital, Ghent, Belgium.
¹¹ Department of Anaesthesiology, Perioperative Medicine and Intensive Care, J. E. Purkinje University, Masaryk Hospital, Usti nad Labem, Czech Republic.
¹² Clinic of Anaesthesiology and Intensive Care, Vilnius University Faculty of Medicine, Vilnius, Lithuania.
¹³ University of Tartu, Tartu, Estonia.
¹⁴ Department of Intensive Care, Cantonal Hospital of Lucerne, Lucerne, Switzerland.
¹⁵ Biomedical Sciences Department, Humanitas University, Pieve Emanuele, Milan, Italy.
¹⁶ Department of Anaesthesia and Intensive Care, IRCCS-Humanitas Research Hospital, Rozzano, Italy.
¹⁷ Department of Pulmonary and Critical Care, Dokuz Eylül University, Izmir, Turkey.
¹⁸ Department of Anaesthesia, Critical Care Medicine and Pain Medicine, Kuwait Extracorporeal Life Support Program, Al-Amiri Hospital. Ministry of Health, Kuwait City, Kuwait.
¹⁹ Intensive Care Unit, Wellington Hospital, Wellington, New Zealand.
²⁰ Medical Research Institute of New Zealand, Wellington, New Zealand.
²¹ Australian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, Victoria, Australia.
²² Department of Critical Care, University of Melbourne, Melbourne, Victoria, Australia.
²³ Centre for Intensive Care and Perioperative Medicine, Jagiellonian University Medical College, Krakow, Poland.
²⁴ Military Hospital, Krakow, Poland.
²⁵ Department of Critical Care, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
²⁶ Department of Internal Medicine, College of Medicine & Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates.
²⁷ Section on Critical Care Medicine, Department of Anesthesiology, Wake Forest School of Medicine, Atrium Health Wake Forest Baptist Medical Center, Winston-Salem, North Carolina, USA.
²⁸ Outcomes Research Consortium, Cleveland, Ohio, USA.
²⁹ Faculty of Medicine, University of Iceland, Reykjavik, Iceland.
³⁰ Department of Anaesthesiology and Critical Care Medicine, Landspitali - The National University Hospital of Iceland, Reykjavik, Iceland.
³¹ Department of Intensive Care, Jikei University Hospital, Tokyo, Japan.
³² Intensive Care Department, King Abdulaziz Medical City, Ministry of National Guard-Health Affairs, King Abdullah International Medical Research Center, College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
³³ Department of Anaesthesia and Intensive Care, Lillebaelt Hospital, Kolding, Denmark.

PMID: 39302760
DOI: 10.1111/aas.14479

Erratum in

Correction to "Preferences for albumin use in adult intensive care unit patients with shock: An international survey".
Alcoran EJ. Alcoran EJ. Acta Anaesthesiol Scand. 2025 Jan;69(1):e14557. doi: 10.1111/aas.14557. Acta Anaesthesiol Scand. 2025. PMID: 39651866 No abstract available.

Abstract

Introduction: Use of albumin is suggested for some patients with shock, but preferences for its use may vary among intensive care unit (ICU) physicians.

Methods: We conducted an international online survey of ICU physicians with 20 questions about their use of albumin and their opinion towards a randomised trial among adults with shock comparing the use versus no use of albumin.

Results: A total of 1248 respondents participated, with a mean response rate of 37%, ranging from 18% to 75% across 21 countries. Respondents mainly worked in mixed ICUs and 92% were specialists in intensive care medicine. The reported use of albumin in general shock varied as 18% reported 'almost never', 22% 'rarely', 34% 'occasionally', 22% 'frequently' and 4% 'almost always' using albumin. In septic shock, 19% reported 'almost never', 22% 'rarely', 29% 'occasionally', 22% 'frequently' and 7% 'almost always' using albumin. Physicians' preferences were more consistent for haemorrhagic- and cardiogenic shock, with more than 45% reporting 'almost never' using albumin. While the reported use of albumin for other purposes than resuscitation was infrequent (40%-85% reported 'almost never' for five other indications), the most frequent other indications were low serum albumin levels and improvement of the efficacy of diuretics. Most respondents (93%) would randomise adult ICU patients with shock to a trial of albumin versus no albumin.

Conclusions: In this international survey, the reported preferences for the use of albumin in adult ICU patients with shock varied considerably among surveyed ICU physicians. The support for a future randomised trial was high.

Keywords: albumin; fluid therapy; intensive care unit; shock; survey.

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References

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Preferences for albumin use in adult intensive care unit patients with shock: An international survey

Collaborators

Affiliations

Preferences for albumin use in adult intensive care unit patients with shock: An international survey

Authors

Collaborators

Affiliations

Erratum in

Abstract

References

REFERENCES

MeSH terms

Substances

LinkOut - more resources

Full Text Sources