Point-of-care lung and cardiac ultrasound (LUCAS) study in hip fracture patients: a prospective cohort study
Authors' conclusion
This study found that LUCAS scans did not significantly alter the anesthetic plan for hip fracture patients.
Study context
- Population
- Adults with hip fracture booked for urgent hip arthroplasty surgery198 included
- Participants
- 225 adults
- Exposure
- Anesthetic plan before vs after LUCAS scan results
- Outcome
- Composite outcome of changes to the anesthetic plan
Methodological detailsconsecutive patients, before-after comparison of anesthetic plans
- Consecutive patients
- Before-after comparison of anesthetic plans
Main finding
As reported in the abstract
Changes to the anesthetic plan
Anesthetic management decisions changed
106
Escalation of the anesthetic plan
59
De-escalation of the anesthetic plan
47
Observational data: associations, not effects.
Secondary outcomes
Anesthesiologists' opinions of LUCAS scans
- Agreed LUCAS affirmed their anesthetic plans and should be integral to perioperative assessment
- 83%
LUCAS findings
- Hypovolemia
- 31%
- Majority of findings not severe
Original publication
Point-of-care lung and cardiac ultrasound (LUCAS) study in hip fracture patients: a prospective cohort study. Can J Anaesth. Published 21 June 2023. doi:10. 1007/ s12630-023-02511-5
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