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Clinical considerations for reposition of a dislocated hip: A qualitative study

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@article{d9a54f750f5c4aa6b9c161c312e34abf,
title = "Clinical considerations for reposition of a dislocated hip: A qualitative study",
abstract = "BACKGROUND: A well-known complication of having hip alloplasty surgery is dislocation of the prothesis. This affects 2%-4% of the patients, and 75% of the dislocations occur within the first year after surgery. The aim of our study was to gain knowledge about the clinical considerations underlying the choice of anaesthesia for, and treatment of, patients with dislocated hips by specialists in anaesthesiology and orthopaedic surgery.METHODS: We used semi-structured group interviews of specialists in anaesthesiology and orthopaedic surgery. An interview guide was developed and pilot tested before the group interviews. In total, 25 specialists participated, recruited from two university hospitals in Denmark. Data saturation was reached after seven group interviews. Inductive content analysis was used in the data analysis.RESULTS: We identified four overall themes, describing essential considerations made by the specialists: {"}Adhering to the principle of minimal intervention{"}, {"}Ensuring patient safety through optimal working conditions{"}, {"}Organisational considerations{"} and {"}Pain induced gastric retention{"}.CONCLUSION: Our study illustrates different clinical considerations made by specialists in anaesthesiology and orthopaedic surgery in relation to the treatment of patients with dislocated hips. Our results hope to promote mutual understanding in joint clinical decision-making in relation to patients with dislocated hips as well as to inspire less-experienced anaesthesiologists and orthopaedic surgeons. Additionally, our results suggest a set of {"}rules of thumb{"} for how jointly to decide on the repositioning site of the patient during the procedure.",
keywords = "anaesthesiologic treatment, group interviews, hip dislocation, pain-induced gastric retention, qualitative study",
author = "Gydesen, {Christoffer R} and M{\o}ller, {Ann M} and Kim Wildgaard and Nielsen, {Jesper K} and Lunn, {Troels H} and Torben Beck and Thordis Thomsen",
note = "This article is protected by copyright. All rights reserved.",
year = "2021",
month = jul,
doi = "10.1111/aas.13794",
language = "English",
volume = "65",
pages = "740--746",
journal = "Acta Anaesthesiologica Scandinavica",
issn = "0001-5172",
publisher = "Wiley-Blackwell Munksgaard",
number = "6",

}

RIS

TY - JOUR

T1 - Clinical considerations for reposition of a dislocated hip

T2 - A qualitative study

AU - Gydesen, Christoffer R

AU - Møller, Ann M

AU - Wildgaard, Kim

AU - Nielsen, Jesper K

AU - Lunn, Troels H

AU - Beck, Torben

AU - Thomsen, Thordis

N1 - This article is protected by copyright. All rights reserved.

PY - 2021/7

Y1 - 2021/7

N2 - BACKGROUND: A well-known complication of having hip alloplasty surgery is dislocation of the prothesis. This affects 2%-4% of the patients, and 75% of the dislocations occur within the first year after surgery. The aim of our study was to gain knowledge about the clinical considerations underlying the choice of anaesthesia for, and treatment of, patients with dislocated hips by specialists in anaesthesiology and orthopaedic surgery.METHODS: We used semi-structured group interviews of specialists in anaesthesiology and orthopaedic surgery. An interview guide was developed and pilot tested before the group interviews. In total, 25 specialists participated, recruited from two university hospitals in Denmark. Data saturation was reached after seven group interviews. Inductive content analysis was used in the data analysis.RESULTS: We identified four overall themes, describing essential considerations made by the specialists: "Adhering to the principle of minimal intervention", "Ensuring patient safety through optimal working conditions", "Organisational considerations" and "Pain induced gastric retention".CONCLUSION: Our study illustrates different clinical considerations made by specialists in anaesthesiology and orthopaedic surgery in relation to the treatment of patients with dislocated hips. Our results hope to promote mutual understanding in joint clinical decision-making in relation to patients with dislocated hips as well as to inspire less-experienced anaesthesiologists and orthopaedic surgeons. Additionally, our results suggest a set of "rules of thumb" for how jointly to decide on the repositioning site of the patient during the procedure.

AB - BACKGROUND: A well-known complication of having hip alloplasty surgery is dislocation of the prothesis. This affects 2%-4% of the patients, and 75% of the dislocations occur within the first year after surgery. The aim of our study was to gain knowledge about the clinical considerations underlying the choice of anaesthesia for, and treatment of, patients with dislocated hips by specialists in anaesthesiology and orthopaedic surgery.METHODS: We used semi-structured group interviews of specialists in anaesthesiology and orthopaedic surgery. An interview guide was developed and pilot tested before the group interviews. In total, 25 specialists participated, recruited from two university hospitals in Denmark. Data saturation was reached after seven group interviews. Inductive content analysis was used in the data analysis.RESULTS: We identified four overall themes, describing essential considerations made by the specialists: "Adhering to the principle of minimal intervention", "Ensuring patient safety through optimal working conditions", "Organisational considerations" and "Pain induced gastric retention".CONCLUSION: Our study illustrates different clinical considerations made by specialists in anaesthesiology and orthopaedic surgery in relation to the treatment of patients with dislocated hips. Our results hope to promote mutual understanding in joint clinical decision-making in relation to patients with dislocated hips as well as to inspire less-experienced anaesthesiologists and orthopaedic surgeons. Additionally, our results suggest a set of "rules of thumb" for how jointly to decide on the repositioning site of the patient during the procedure.

KW - anaesthesiologic treatment

KW - group interviews

KW - hip dislocation

KW - pain-induced gastric retention

KW - qualitative study

UR - http://www.scopus.com/inward/record.url?scp=85101640264&partnerID=8YFLogxK

U2 - 10.1111/aas.13794

DO - 10.1111/aas.13794

M3 - Journal article

C2 - 33583023

VL - 65

SP - 740

EP - 746

JO - Acta Anaesthesiologica Scandinavica

JF - Acta Anaesthesiologica Scandinavica

SN - 0001-5172

IS - 6

ER -

ID: 62356106