Percentage of adult cardiac cases in which colloids were not administered intraoperatively.

There is a lack of consistent evidence to suggest improved survival with the use of colloids as compared to crystalloids in the surgical population. Colloids are also more expensive than crystalloids. It is the expectation that providers will uphold the ASA’s Choosing Wisely program by avoiding colloids and using crystalloid instead when appropriate.

Anesthesia Start to Anesthesia End

Adult cardiac patients as determined by Procedure Type: Cardiac value codes >0

• Age < 18 years
• ASA 5 & 6 cases including Organ Procurement (CPT: 01990)
• EBL ≥ 2L
• Non-cardiac cases as determined by the MPOG Procedure Type: Cardiac phenotype (value = 0: No/Non-Cardiac)
• Patients that are in the prone or Trendelenburg position for more than 4 hours
• Patients with ascites (Concept ID: 10500)
• PRBC transfusion ≥ 4 units

Colloids are not administered during the case.

*This measure will include only valid MPOG cases as defined by the Is Valid Case phenotype.

Not applicable

The provider signed in at the time of the colloid administration.

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