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Door to relocation time for dislocated hip prosthesis: Multicentre comparison of emergency department procedural sedation versus theatre-based general anaesthesia

Gagg, James; Jones, Lewis; Simpkins, Howell; Gill, Sukdeep; Benger, Jonathan; Shingler, G.; Bothma, N.; Lloyd, Gavin

Door to relocation time for dislocated hip prosthesis: Multicentre comparison of emergency department procedural sedation versus theatre-based general anaesthesia Thumbnail


Authors

James Gagg

Lewis Jones

Howell Simpkins

Sukdeep Gill

Jonathan Benger

G. Shingler

N. Bothma

Gavin Lloyd



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

Citation

Gagg, J., Jones, L., Shingler, G., Bothma, N., Simpkins, H., Gill, S., …Lloyd, G. (2009). Door to relocation time for dislocated hip prosthesis: Multicentre comparison of emergency department procedural sedation versus theatre-based general anaesthesia. Emergency Medicine Journal, 26(1), 39-40. https://doi.org/10.1136/emj.2008.057737

Journal Article Type Article
Publication Date Jan 1, 2009
Deposit Date Jan 21, 2010
Publicly Available Date Mar 9, 2016
Journal Emergency Medicine Journal
Print ISSN 1472-0205
Electronic ISSN 1472-0213
Publisher BMJ Publishing Group
Peer Reviewed Peer Reviewed
Volume 26
Issue 1
Pages 39-40
DOI https://doi.org/10.1136/emj.2008.057737
Keywords dislocated hip prosthesis, emergency department, general anaesthesia, hospital theatre, relocation time, sedation
Public URL https://uwe-repository.worktribe.com/output/999730
Publisher URL http://dx.doi.org/10.1136/emj.2008.057737