A national survey into the peri-operative anaesthetic management of patients presenting for surgical correction of a fractured neck of femur.

Abstract:

:We conducted a national postal survey of trauma anaesthetists in the UK to ascertain current practice for the peri-operative anaesthetic management in patients with fractured necks of femur. We received 155 replies from 218 questionnaires sent (71.1% response rate). Regional anaesthesia was preferred by 75.8% of respondents, with 95.5% of these employing a spinal technique. This was generally performed bad side down (45.7%) using ketamine (37.3%) and/or midazolam (41.2%) to aid positioning. In all, 31.4% used fentanyl in the intrathecal injectate, whereas only 5.9% used morphine. Paracetamol and morphine were the most commonly used postoperative analgesic regimens with non-steroidal anti-inflammatory drugs used by only 27.4%. Continuous epidural or nerve block infusions were used rarely. Of the anaesthetists, 50.6% would only request a pre-operative echo if there were suspicious signs or symptoms in patients with a previously undiagnosed heart murmur. The peri-operative management of these patients can be readily improved.

journal_name

Anaesthesia

journal_title

Anaesthesia

authors

Sandby-Thomas M,Sullivan G,Hall JE

doi

10.1111/j.1365-2044.2007.05328.x

subject

Has Abstract

pub_date

2008-03-01 00:00:00

pages

250-8

issue

3

eissn

0003-2409

issn

1365-2044

pii

ANA5328

journal_volume

63

pub_type

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