Door to relocation time for dislocated hip prosthesis: multicentre comparison of emergency department procedural sedation versus theatre-based general anaesthesia
Background:Dislocation of a hip prosthesis is a painful event which has an incidence of 4% for primary total hip arthroplasty. Relocation is traditionally performed under general anaesthesia in the operating theatre, but relocation using sedation in the emergency department (ED) has been reported, w...
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| Veröffentlicht in: | Emergency medicine journal : EMJ 2009-01, Vol.26 (1), p.39-40 |
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| container_title | Emergency medicine journal : EMJ |
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| creator | Gagg, J Jones, L Shingler, G Bothma, N Simpkins, H Gill, S Benger, J Lloyd, G |
| description | Background:Dislocation of a hip prosthesis is a painful event which has an incidence of 4% for primary total hip arthroplasty. Relocation is traditionally performed under general anaesthesia in the operating theatre, but relocation using sedation in the emergency department (ED) has been reported, with a limited success rate of 62%. A study was undertaken to compare door to relocation times for ED sedation and theatre general anaesthesia.Methods:The notes of all patients attending five centres in the south west of England with prosthetic hip dislocation over a 12-month period between 2005 and 2006 were retrospectively reviewed using standardised data collection forms.Results:Successful ED reduction was significantly quicker than failed ED reduction and theatre-based general anaesthesia (2 h 21 min vs 8 h 32 min; p |
| doi_str_mv | 10.1136/emj.2008.057737 |
| format | Article |
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Relocation is traditionally performed under general anaesthesia in the operating theatre, but relocation using sedation in the emergency department (ED) has been reported, with a limited success rate of 62%. A study was undertaken to compare door to relocation times for ED sedation and theatre general anaesthesia.Methods:The notes of all patients attending five centres in the south west of England with prosthetic hip dislocation over a 12-month period between 2005 and 2006 were retrospectively reviewed using standardised data collection forms.Results:Successful ED reduction was significantly quicker than failed ED reduction and theatre-based general anaesthesia (2 h 21 min vs 8 h 32 min; p<0.001). No statistical difference was found between failed ED reduction and theatre general anaesthesia.Conclusions:Reduction of dislocated hip prostheses in the ED saves nearly 6 h compared with theatre-based general anaesthesia and is therefore advocated.</description><identifier>ISSN: 1472-0205</identifier><identifier>EISSN: 1472-0213</identifier><identifier>DOI: 10.1136/emj.2008.057737</identifier><identifier>PMID: 19104095</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine</publisher><subject>Anesthesia ; Arthroplasty, Replacement, Hip - methods ; Conscious Sedation - methods ; Emergency Service, Hospital - organization & administration ; England ; Hip Dislocation - surgery ; Hip Prosthesis - statistics & numerical data ; Humans ; Joint surgery ; Prostheses ; Prosthesis Failure ; Prosthesis Implantation - methods ; Studies ; Success ; Theater ; Time Factors ; Treatment Outcome</subject><ispartof>Emergency medicine journal : EMJ, 2009-01, Vol.26 (1), p.39-40</ispartof><rights>2009 BMJ Publishing Group Ltd and the British Association for Emergency Medicine</rights><rights>Copyright: 2009 2009 BMJ Publishing Group Ltd and the British Association for Emergency Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b437t-a5934b5ae47992ea79ddd5d387a5cae27513d11fb9e091a406da7e72f5bbdd113</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttp://emj.bmj.com/content/26/1/39.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttp://emj.bmj.com/content/26/1/39.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,314,780,784,3196,23571,27924,27925,77600,77631</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19104095$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gagg, J</creatorcontrib><creatorcontrib>Jones, L</creatorcontrib><creatorcontrib>Shingler, G</creatorcontrib><creatorcontrib>Bothma, N</creatorcontrib><creatorcontrib>Simpkins, H</creatorcontrib><creatorcontrib>Gill, S</creatorcontrib><creatorcontrib>Benger, J</creatorcontrib><creatorcontrib>Lloyd, G</creatorcontrib><title>Door to relocation time for dislocated hip prosthesis: multicentre comparison of emergency department procedural sedation versus theatre-based general anaesthesia</title><title>Emergency medicine journal : EMJ</title><addtitle>Emerg Med J</addtitle><description>Background:Dislocation of a hip prosthesis is a painful event which has an incidence of 4% for primary total hip arthroplasty. Relocation is traditionally performed under general anaesthesia in the operating theatre, but relocation using sedation in the emergency department (ED) has been reported, with a limited success rate of 62%. A study was undertaken to compare door to relocation times for ED sedation and theatre general anaesthesia.Methods:The notes of all patients attending five centres in the south west of England with prosthetic hip dislocation over a 12-month period between 2005 and 2006 were retrospectively reviewed using standardised data collection forms.Results:Successful ED reduction was significantly quicker than failed ED reduction and theatre-based general anaesthesia (2 h 21 min vs 8 h 32 min; p<0.001). No statistical difference was found between failed ED reduction and theatre general anaesthesia.Conclusions:Reduction of dislocated hip prostheses in the ED saves nearly 6 h compared with theatre-based general anaesthesia and is therefore advocated.</description><subject>Anesthesia</subject><subject>Arthroplasty, Replacement, Hip - methods</subject><subject>Conscious Sedation - methods</subject><subject>Emergency Service, Hospital - organization & administration</subject><subject>England</subject><subject>Hip Dislocation - surgery</subject><subject>Hip Prosthesis - statistics & numerical data</subject><subject>Humans</subject><subject>Joint surgery</subject><subject>Prostheses</subject><subject>Prosthesis Failure</subject><subject>Prosthesis Implantation - methods</subject><subject>Studies</subject><subject>Success</subject><subject>Theater</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><issn>1472-0205</issn><issn>1472-0213</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNqFkU9v1DAQxSNERf_AmRuyhMQBKVs7ieOYG9pSWmkBCQFXaxJPqJck3toOar8On5RZsioSF062Zn7z3mhelj0XfCVEWZ_juF0VnDcrLpUq1aPsRFSqyHkhyscPfy6Ps9MYt5wLqavmSXYstOAV1_Ik-3XhfWDJs4CD7yA5P7HkRmQ9la2Lf4po2Y3bsV3wMd1gdPENG-chuQ6nFJB1ftxBcJFGfc9wxPAdp-6eWaRyGgnaj3Zo5wADi2gXm58Y4hwZKQKp5C1Qh9Ek7imYABczeJod9TBEfHZ4z7Kvl---rK_yzaf31-u3m7ytSpVykLqsWglYKa0LBKWttdKWjQLZARZKitIK0bcauRZQ8dqCQlX0sm0tNcqz7NWiS8vezuRuRhc7HAaY0M_R1LWSqq4bAl_-A279HCbazQjV0JULXhREnS9UR2eLAXuzC26EcG8EN_vwDIVn9uGZJTyaeHHQndsR7V_-kBYB-QK4mPDuoQ_hh6lJQJqP39bm8-ZCVR9kY2riXy98S07_c_8NzW22Cw</recordid><startdate>200901</startdate><enddate>200901</enddate><creator>Gagg, J</creator><creator>Jones, L</creator><creator>Shingler, G</creator><creator>Bothma, N</creator><creator>Simpkins, H</creator><creator>Gill, S</creator><creator>Benger, J</creator><creator>Lloyd, G</creator><general>BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine</general><general>BMJ Publishing Group LTD</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RQ</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>200901</creationdate><title>Door to relocation time for dislocated hip prosthesis: multicentre comparison of emergency department procedural sedation versus theatre-based general anaesthesia</title><author>Gagg, J ; Jones, L ; Shingler, G ; Bothma, N ; Simpkins, H ; Gill, S ; Benger, J ; Lloyd, G</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b437t-a5934b5ae47992ea79ddd5d387a5cae27513d11fb9e091a406da7e72f5bbdd113</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Anesthesia</topic><topic>Arthroplasty, Replacement, Hip - methods</topic><topic>Conscious Sedation - methods</topic><topic>Emergency Service, Hospital - organization & administration</topic><topic>England</topic><topic>Hip Dislocation - surgery</topic><topic>Hip Prosthesis - statistics & numerical data</topic><topic>Humans</topic><topic>Joint surgery</topic><topic>Prostheses</topic><topic>Prosthesis Failure</topic><topic>Prosthesis Implantation - methods</topic><topic>Studies</topic><topic>Success</topic><topic>Theater</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gagg, J</creatorcontrib><creatorcontrib>Jones, L</creatorcontrib><creatorcontrib>Shingler, G</creatorcontrib><creatorcontrib>Bothma, N</creatorcontrib><creatorcontrib>Simpkins, H</creatorcontrib><creatorcontrib>Gill, S</creatorcontrib><creatorcontrib>Benger, J</creatorcontrib><creatorcontrib>Lloyd, G</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Career & Technical Education Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Emergency medicine journal : EMJ</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gagg, J</au><au>Jones, L</au><au>Shingler, G</au><au>Bothma, N</au><au>Simpkins, H</au><au>Gill, S</au><au>Benger, J</au><au>Lloyd, G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Door to relocation time for dislocated hip prosthesis: multicentre comparison of emergency department procedural sedation versus theatre-based general anaesthesia</atitle><jtitle>Emergency medicine journal : EMJ</jtitle><addtitle>Emerg Med J</addtitle><date>2009-01</date><risdate>2009</risdate><volume>26</volume><issue>1</issue><spage>39</spage><epage>40</epage><pages>39-40</pages><issn>1472-0205</issn><eissn>1472-0213</eissn><abstract>Background:Dislocation of a hip prosthesis is a painful event which has an incidence of 4% for primary total hip arthroplasty. Relocation is traditionally performed under general anaesthesia in the operating theatre, but relocation using sedation in the emergency department (ED) has been reported, with a limited success rate of 62%. A study was undertaken to compare door to relocation times for ED sedation and theatre general anaesthesia.Methods:The notes of all patients attending five centres in the south west of England with prosthetic hip dislocation over a 12-month period between 2005 and 2006 were retrospectively reviewed using standardised data collection forms.Results:Successful ED reduction was significantly quicker than failed ED reduction and theatre-based general anaesthesia (2 h 21 min vs 8 h 32 min; p<0.001). No statistical difference was found between failed ED reduction and theatre general anaesthesia.Conclusions:Reduction of dislocated hip prostheses in the ED saves nearly 6 h compared with theatre-based general anaesthesia and is therefore advocated.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine</pub><pmid>19104095</pmid><doi>10.1136/emj.2008.057737</doi><tpages>2</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Anesthesia Arthroplasty, Replacement, Hip - methods Conscious Sedation - methods Emergency Service, Hospital - organization & administration England Hip Dislocation - surgery Hip Prosthesis - statistics & numerical data Humans Joint surgery Prostheses Prosthesis Failure Prosthesis Implantation - methods Studies Success Theater Time Factors Treatment Outcome |
| title | Door to relocation time for dislocated hip prosthesis: multicentre comparison of emergency department procedural sedation versus theatre-based general anaesthesia |
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