Perioperative fluid volume optimization following proximal femoral fracture

Added April 9, 2013

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Limited low quality and weak evidence from randomised controlled trials to support the use of advanced haemodynamic monitoring compared to protocol using standard measures such as CVP for perioperative fluid volume optimisation for patients with proximal femoral fracture exists.   Research findings to this point are insufficient to show how one can best optimize fluid levels in the large number of people around the world suffering from hip fracture.

Proximal femoral fracture (PFF) is often managed by early surgical fixation with the main aim of reducing associated complications. The aim of the review was to assess the safety and effectiveness of various methods of perioperative fluid optimization in adult participants undergoing surgical repair of hip fracture.