1 / 18

IV Cannulation of Patients with Fractured Neck of Femur

IV Cannulation of Patients with Fractured Neck of Femur. Michael Barrett Core Surgical Trainee Year 1 Medway Maritime Hospital. Aims of Presentation. Introduction Guidelines Methods Results Recommendations for change Re-Audit Conclusions. Introduction. Analgesia Fluid resus

urit
Download Presentation

IV Cannulation of Patients with Fractured Neck of Femur

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. IV Cannulation of Patients with Fractured Neck of Femur Michael Barrett Core Surgical Trainee Year 1 Medway Maritime Hospital

  2. Aims of Presentation • Introduction • Guidelines • Methods • Results • Recommendations for change • Re-Audit • Conclusions

  3. Introduction • Analgesia • Fluid resus • Appropriate site / size • Not in Antecubital Fossa (ACF)

  4. Why not in ACF? • Compromised flow of IV fluids • Increased risk of neurovascular injury • Preservation of ACF in case of emergency • Mechanical phlebitis • Increased risk of infection • Reduced patient comfort

  5. Guidelines • Local: • Did not recommend a preferred site • National: • Peripheral > than ACF

  6. Aims • Review appropriateness of IV cannulation in patient with fractured neck of femur.

  7. Methods • Prospective • NOF admissions • Reviewed notes / patient • Who? • Site? • Size?

  8. Results • 97 patients • Site

  9. Results • Size

  10. Results • Grade of staff member inserting cannula

  11. Results • Poor practice with most people cannulating ACF as routine • Blue (14G) in ACF inappropriate • So why

  12. Questionnaire

  13. Questionnaire • AED / F1s / Ortho SHOs / Medical SHOs • Non-Emergency • ACF cannulation - Easy • Anaesthetists: Cons - SHO • Hand - personal clinical experience

  14. Why? • Cannulation teaching

  15. Recommendations for change • Discussion at the IV access group meeting • Change to local guidelines • Change to teaching session • Staff re-education • Re-Audit @ 6months

  16. Re-Audit • 50 patients • Significant change in practice (p<0.05)

  17. Conclusion • Significant patient safety issue • Simple measures to correct practice • Good uptake with staff

  18. Questions?Thank you!

More Related