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

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

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Abstract Background We Butter Knives 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 Ski de fond - Equipement - Fixations - Skate regimens, both preoperatively and postoperatively, should be investigated in further studies.