Abstract
BackgroundWe made a survey among Finnish anesthesiologists concerning the current perioperative anesthetic practice of hip fracture patients for further development in patient care.MethodsAll members of the Finnish Society of Anesthesiologists with a known e-mail address (786) were invited to participate in an internet-based survey.ResultsThe 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.ConclusionsThe survey suggests that the impact of more individualised analgesia regimens, both preoperatively and postoperatively, should be investigated in further studies.
Highlights
We made a survey among Finnish anesthesiologists concerning the current perioperative anesthetic practice of hip fracture patients for further development in patient care
Sandby-Thomas et al [4] conducted a national survey into the perioperative anesthetic management of hip fracture patients in the UK in 2006
In response to an initiative taken by the Finnish Medical Association (FMA), the World Medical Association (WMA) has adopted the Declaration on the Rights of the Patient which is binding on the medical profession in every country
Summary
We made a survey among Finnish anesthesiologists concerning the current perioperative anesthetic practice of hip fracture patients for further development in patient care. Hip fracture is a common injury and the leading fallrelated cause of death among the elderly patients, with significant 30-day and one-year mortality rates [1,2,3]. These patients constitute a significant workload, to operating departments and the surgical ward, but to the whole health care system. Due to a somewhat different practice of using regional anesthesia and analgesia techniques compared with the UK we conducted a corresponding survey among Finnish anesthesiologists. The major interest was in the answers of individual anesthetists
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