A national survey into perioperative anesthetic management of patients with a fractured neck of femur.

BMC Anesthesiol

Department of Anesthesia, Intensive Care Medicine, Emergency Medicine and Pain Medicine, Turku University Hospital, Turku, Finland.

Published: July 2012

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Article Abstract

Background: We made a survey among Finnish anesthesiologists concerning the current perioperative anesthetic practice of hip fracture patients for further development in patient care.

Methods: All members of the Finnish Society of Anesthesiologists with a known e-mail address (786) were invited to participate in an internet-based survey.

Results: The overall response rate was 55% (423 responses); 298 respondents participated in the care of hip fracture patients. Preoperative analgesia was mostly managed with oxycodone and paracetamol; every fifth respondent applied an epidural infusion. Most respondents (98%) employed a spinal block with or without an epidural catheter for intraoperative anesthesia. Midazolam, propofol and/or fentanyl were used for additional sedation. General anesthesia was used rarely. Postoperatively, paracetamol and non-steroidal anti-inflammatory drugs and occasionally peroral oxycodone, were prescribed in addition to epidural analgesia.

Conclusions: The survey suggests that the impact of more individualised analgesia regimens, both preoperatively and postoperatively, should be investigated in further studies.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3432003PMC
http://dx.doi.org/10.1186/1471-2253-12-14DOI Listing

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