Abstract
50 patients with hip fractures were audited regarding the anaesthetic management. The practice was compared with the standards set by the Association of Anaesthetists of Great Britain and Ireland. Anaesthetic management was of a satisfactory standard. Awareness of current guidelines, performance of spinal anaesthesia in the lateral position, use of lower limb nerve blocks and management of post-operative complications needed further improvement.
Highlights
The elderly population composes nearly 25% of the total population and providing health care for them is a challenge
Surgical management is the key treatment of hip fracture as it ensures effective analgesia, facilitates rehabilitation and reduces risk of complications related to mobility[1].This audit is an effort to look at our practice and to identify deficits with a view to improve the quality of anaesthesia in Sri Lanka related to hip fracture management
Grade and experience of anaesthetist Anaesthesia was provided mostly by medical officers (43 patients), while 5 registrars, 1 senior registrar and 1 consultant anaesthetised the others. 6 anaesthetists had less than 5 years experience while 24 had 5-10 years, and 20 had more than 10 years’ experience
Summary
The elderly population composes nearly 25% of the total population and providing health care for them is a challenge. Back ground TheAnaesthetic Sprint Audit of Practice (ASAP) was conducted throughout United Kingdom to profile individual hospital’s compliance with the 12 standards for perioperative care described by Association of Anaesthetists in Great Britain and Ireland (AAGBI). The principal author was fortunate to contribute to this audit by collecting data in her hospital. Dissanayake and Wijesuriya have previously published an audit of peri-operative management of hip fracture patients at North Colombo Teaching Hospital, Ragama[3]. Our audit is confined to the anaesthetic management of hip fracture surgeries in theatres. Method The audit was conducted in Orthopaedic/Trauma operating theatres of National Hospital of Sri. Lanka (NHSL) from mid-August to end November. Data collection was by a questionnaire designed to get details of anaesthetic practice complying with 12 standards set by AAGBI.
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