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

Abstract

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

Factors associated with failure to successfully complete a procedure during emergency department sedation

“…Other studies have been largely limited to single sites with patient numbers ranging up to only 640. Previous studies have tended to report on selected procedures rather than all procedures and on individual drugs rather than a range or combination of drugs 1–7 …”

Is propofol a safe and effective sedative for relocating hip prostheses?

“…Furthermore, they require a painful procedure to relocate their hip and may wait a mean of 7–11 h for relocation under theatre-based general anaesthesia in the UK 1 2. In contrast, early relocation in the ED promptly relieves the discomfort and periprosthetic tissue distortion.…”

Procedural sedation and analgesia for adults in the emergency department

“…A retrospective chart review of 165 patients found that success rates varied from 64% (95% confidence interval 55% to 73%) with midazolam to 96% (77% to 100%) with propofol. 10 In a prospective cohort of 98 adult patients presenting with a dislocated hip prosthesis, a success rate of 96% (90% to 0.99%) was achieved using intravenous morphine and propofol. 11 A prospective randomised comparison of 214 emergency department patients found that, as well as being equally safe, procedural success rates were similar for etomidate (89%; 81% to 93%) and propofol (97%, 92% to 99%).…”