Anaesthesia practice in Denmark for relocation of the dislocated hip after total hip arthroplasty

TY - JOUR

T1 - Anaesthesia practice in Denmark for relocation of the dislocated hip after total hip arthroplasty

AU - Holler, Christine P

AU - Lohse, Nicolai

AU - Foss, Nicolai B

N1 - Articles published in the DMJ are “open access”. This means that the articles are distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits any non-commercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.

PY - 2018/5

Y1 - 2018/5

N2 - INTRODUCTION: The prevalence of hip dislocations after total hip arthroplasty (THA) is 2-4% in Denmark. Patients with a dislocated THA are often elderly citizens with comorbidities and severe pain in the pre-reposition phase. Evidence as to which method of anaesthesia and airway management is best for hip relocation is lacking. The aim of this study was to determine how anaesthesiologists in Denmark provide anaesthesia for relocation of THAs, and if a local guideline is available. METHODS: A questionnaire was distributed by e-mail to all members of the Danish Association of Anaesthesiology and Intensive Care and the Danish Society of Young Anaesthesiologists. RESULTS: A total of 480 doctors completed the questionnaire. Of these, 61% (291/480) worked at a department providing anaesthesia for relocation of THAs of whom 85% (248/291) had provided anaesthesia during at least one hip dislocation during the past two years. A total of 27% (67/248) had access to a local guideline of whom 72% (48/67) followed the guideline. In all, 55% (134/248) preferred the patient to be fasting before anaesthesia. The preferred methods of anaesthesia were general anaesthesia with laryngeal mask 43% (106/248) and endotracheal intubation 45% (112/248). Five percent (12/248) had experienced complications to anaesthesia. Cardiovascular complications and aspiration were the most frequently reported complications. CONCLUSIONS: Provision of anaesthesia for relocation of a dislocated THA varies across Denmark. Few anaesthesiologists have access to a local guideline.

AB - INTRODUCTION: The prevalence of hip dislocations after total hip arthroplasty (THA) is 2-4% in Denmark. Patients with a dislocated THA are often elderly citizens with comorbidities and severe pain in the pre-reposition phase. Evidence as to which method of anaesthesia and airway management is best for hip relocation is lacking. The aim of this study was to determine how anaesthesiologists in Denmark provide anaesthesia for relocation of THAs, and if a local guideline is available. METHODS: A questionnaire was distributed by e-mail to all members of the Danish Association of Anaesthesiology and Intensive Care and the Danish Society of Young Anaesthesiologists. RESULTS: A total of 480 doctors completed the questionnaire. Of these, 61% (291/480) worked at a department providing anaesthesia for relocation of THAs of whom 85% (248/291) had provided anaesthesia during at least one hip dislocation during the past two years. A total of 27% (67/248) had access to a local guideline of whom 72% (48/67) followed the guideline. In all, 55% (134/248) preferred the patient to be fasting before anaesthesia. The preferred methods of anaesthesia were general anaesthesia with laryngeal mask 43% (106/248) and endotracheal intubation 45% (112/248). Five percent (12/248) had experienced complications to anaesthesia. Cardiovascular complications and aspiration were the most frequently reported complications. CONCLUSIONS: Provision of anaesthesia for relocation of a dislocated THA varies across Denmark. Few anaesthesiologists have access to a local guideline.

KW - Anesthesia/adverse effects

KW - Anesthesiologists

KW - Arthroplasty, Replacement, Hip/adverse effects

KW - Denmark

KW - Female

KW - Guideline Adherence

KW - Hip Dislocation/etiology

KW - Hip Prosthesis/adverse effects

KW - Humans

KW - Male

KW - Practice Guidelines as Topic

KW - Registries

KW - Surveys and Questionnaires

M3 - Journal article

C2 - 29726317

SN - 1603-9629

VL - 65

JO - Danish Medical Journal

JF - Danish Medical Journal

IS - 5

M1 - A5480

ER -