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Open Access Highly Accessed Research article

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

Mirka Soinikoski1, Kristiina Kuusniemi14*, Jouko Jalonen2, Sari Kuitunen3, Tapani Tuppurainen1 and Kari Leino1

Author Affiliations

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

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

3 Medical E-learning, Faculty of Medicine, University of Turku, Turku, Finland

4 Department of Anesthesia, Intensive Care Medicine, Emergency Medicine and Pain Medicine, Turku University Hospital, Kiinamyllynkatu 4-8, 20520, Turku, FI-20520, Finland

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BMC Anesthesiology 2012, 12:14  doi:10.1186/1471-2253-12-14

Published: 28 July 2012

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.

Keywords:
Hip fracture; Perioperative management; Anesthetic practice