829 Perioperative Surgical Patients and The Availability and Utilisation Of ECGs Machines Pre- And Post-Pandemic

Abstract Introduction ECGs are a NICE recommended pre-operative investigation and an integral part of post-operative monitoring. Delay in recognition cardiac pathology can be catastrophic. Therefore, ECG machines should readily available. Here, we report the results audit assessing availability surgical wards. Method In 2018 then 2020, bespoke, nine-item proforma was disseminated to all foundation doctors. Results 2018, 17/32 wards had ward based, available machine, 6/32 shared with another 15/32 did not have ward-based machine. The same noted 2020. average time obtain machine 27 23 respectively. When no available, doctor would 24% compare 52% diagnoses patients who were: normal sinus rhythm, atrial fibrillation, bradycardia, supraventricular tachycardia, tachycardia STEMI. 2020 flutter, prolonged QTc, hyperkalaemia, STEMI NSTEMI. for NSTEMI 35mins while 11.6mins. Conclusions Whilst our has highlighted importance availability, one remained static between two cycles. A study investigating impact on patient outcomes may highlight necessity further.