{
  "abstract": "Please confirm that an ethics committee approval has been applied for or granted: Yes: I’m uploading the Ethics Committee Approval as a PDF file with this abstract submissionApplication for ESRA Abstract PrizesBackground and Aims On 3/9/2024 the BBC reported of a coroner’s inquest that attributed one death to ‘too much LA administered intra-operatively’. Coroner then wrote to RCoA and issued a Prevention of Future Deaths report. He suggested widespread inconsistencies in prescribing, checking, or administering LA in theatres nationally. After discussing this locally at anaesthetic governance meeting, we decided to assess, and improve the process in our hospital.Methods A cross-sectional questionnaire was designed for use in orthopaedic theatres. The printed paper forms were completed by anaesthetists anonymously at the end of each case based on their unbiased observation of theatre team’s LA safety checks. Data was collected continuously for two weeks beginning from 18/11/2024 after obtaining Trust audit lead approval.Results 27/30 responses were valid for analysis. 22/27 (81%) cases complied with mandatory formal LA discussions, which happened mostly at team brief. Local infiltration of anaesthetic (LIA) was used more often than peripheral nerve blockade (PNB) - 22/27 versus 12/27 cases. In 86% of cases, the surgeons had verbally prescribed the LA for LIA during team brief. This dose would be prepared by the scrub nurses. However, surgeons having prescribed earlier, checked the LIA pre-injection in only 50% of cases.Abstract P287 Figure 1Spread of LA use in elective orthopaedic surgery at SDHConclusions Formal LA discussions occur at most WHO team briefs in Salisbury district hospital. However there is need to always double check LIA at time of injection (-see figure 1). We have launched an ‘Inpect before you Inject’ education campaign in out theatres, and we have added this line to our WHO ‘time out’ following this audit.",
  "authors": [
    {
      "affiliations": [
        "Senior Clinical Fellow, Anaesthesia and ICU, Salisbury NHS Foundation Trust, Salisbury, UK"
      ],
      "name": "Christopher Ukah"
    },
    {
      "affiliations": [
        "Consultant Anaesthetist, Salisbury NHS Foundation Trust, Salisbury, UK"
      ],
      "name": "Belinda Cornforth"
    }
  ],
  "title": "P287 Audit of local anaesthetic (LA) safety checks in elective orthopaedic procedures in Salisbury district hospital, United Kingdom",
  "uid": "478694b8-a367-5d1b-9f3d-f4620913e60b"
}