Elderly Patients with Hip Fracture Prior to Surgery JCG0340 v3
Patients with a proximal femoral fracture benefit from early surgery and mobilisation. The conduct of anaesthesia and surgery is safer in patients that have their clinical condition optimised prior to any surgical intervention. However unnecessary delay is unhelpful as it predisposes the patients to increased risk of DVT and respiratory complications.
This guideline will help junior staff on orthopaedics prepare their patients for surgery and also guide junior anaesthetic staff towards appropriate treatment and investigation. This should avoid unnecessary delay.
This guideline has been adapted from a document entitled “The A to Z of anaesthesia for elderly trauma patients Dr H S from Southampton hospital for the National Hip fracture database. It therefore follows the same format and the subjects covered are in alaphabetical order
Clinical GuidelinesThis guideline has been approved by the Trust's Clinical Guidelines Assessment Panel as an aid to the diagnosis and management of relevant patients and clinical circumstances. Not every patient or situation fits neatly into a standard guideline scenario and the guideline must be interpreted and applied in practice in the light of prevailing clinical circumstances, the diagnostic and treatment options available and the professional judgement, knowledge and expertise of relevant clinicians. It is advised that the rationale for any departure from relevant guidance should be documented in the patient's case notes.
The Trust's guidelines are made publicly available as part of the collective endeavour to continuously improve the quality of healthcare through sharing medical experience and knowledge. The Trust accepts no responsibility for any misunderstanding or misapplication of this document.