Anesthetic drugs & techniques

Point-of-care lung and cardiac ultrasound (LUCAS) study in hip fracture patients: a prospective cohort study

Can J AnaesthPublished 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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