{
  "abstract": "Background and Aims Hip fractures are common and associated with adverse outcomes in older, multi-co-morbid, frail adults. Evidence based protocolised care is associated with enhanced patient outcomes. A perioperative pathway incorporating 9 standards of anaesthesia care was introduced at CUH in 2017. This pathway complemented national standards for hip fracture care ( https://www.noca.ie/audits/irish-hip-fracture-database/). The 9 anaesthesia standards are: • Preoperative: regional analgesia (RA), correction of anaemia, discussion and mitigation of bone cement implantation syndrome; • Anaesthesia: low dose spinal anaesthesia (or propofol TIVA with EEG monitoring), maintenance of blood pressure within 10% of baseline or MAP≥ 80 mmHg; • Postoperative: continuous RA; • All phases: avoidance of benzodiazepines, avoidance of NSAIDs, use of immediate release oral morphine. This prospective audit aimed to measure compliance with pathway standards and evaluate postoperative pain outcomes.Methods The medical records of 60 patients were included. Patients were visited on the first post operative day to evaluate postoperative pain scores and ability to ambulate.Results Data was obtained from 60 patients, median age of 78 [50–96], median clinical frailty score of 5[5–6], of whom 39(65%) were female. Data obtained on anaesthesia standards are contained in table 1(Preoperative, peri-operative and postoperative management under hip fracture pathway standards). Pain score (VRS on movement) was ≤5 in 37 and 43 patients on POD1 and POD2 with 42 and 49 patients ambulating onPOD1 and POD2 respectively.Abstract EP133 Table 1Preoperative, peri-operative and postoperative management under hip fracture pathway standardsConclusions Patient pain outcomes and mobilization following hip fracture surgery are largely in line with expectations. Further work is needed to improve compliance with anaesthesia standards.",
  "authors": [
    {
      "affiliations": [
        "Anaesthesia, Intensive Care and Pain Medicine, Cork Unvisersity Hospital, Cork, Ireland"
      ],
      "name": "Nisha Chaundary"
    },
    {
      "affiliations": [
        "Anaesthesia, Intensive Care and Pain Medicine, Cork Unvisersity Hospital, Cork, Ireland"
      ],
      "name": "Chirs Yen-Chen Lo"
    },
    {
      "affiliations": [
        "Anaesthesia, Intensive Care and Pain Medicine, Cork Unvisersity Hospital, Cork, Ireland"
      ],
      "name": "Cynthia Okereke"
    },
    {
      "affiliations": [
        "Anaesthesia, Intensive Care and Pain Medicine, Cork Unvisersity Hospital, Cork, Ireland",
        "Department of Anaesthesiology and Intensice Care Medicine, University College Cork, Cork, Ireland"
      ],
      "name": "Brian O’Donnell"
    }
  ],
  "title": "EP133 Hip fracture pathway standards at cork university hospital (CUH), Ireland",
  "uid": "89293491-ef27-531e-8009-4e9b2203b9de"
}