[A study of practice patterns of albumin administration in surgical patients by anesthetists]

The establishment of guidelines has to take into account the current practice patterns. For the preparation of the consensus conference organized by the French Society of Anesthesia and intensive care (SFAR) on the prescription of albumin, an interview with a questionnaire was undertaken in order to assess the practice patterns of anaesthetists during the perioperative period. A group of 498 anaesthetists were interviewed during a congress. Two out of three prescribe albumin. In case of haemorrhage, the decision to administer albumin depends on the limits for using other colloids (for 65% of the responders), the amount of blood loss (46%) and albuminaemia (for only 26%). In other cases, albumin is mainly administered in the burn patient and for recurring ascite; albuminaemia is a decision criterion for one anesthetist out of two. About 25% of them use a 20% concentration, another 25% of them a 4% concentration and the remaining 50% use both concentrations. Adverse effects have been seen in less than 5% of the responders. These data have been presented at the consensus conference and can also be used for the assessment of the impact of the guidelines after their publication.