Perioperative fluid volume optimization following proximal femoral fracture

Resuscitation in hip fractures: a systematic review

“…49 This conclusion was challenged by Price et al in a 2004 Cochrane Review, which concluded that there was no evidence for using goal-directed intraoperative fluid therapy over a traditional approach. 35 More recently, this conclusion has been confirmed by Moppett et al and Bartha et al 51 who both showed in a larger trial that goal-directed fluid therapy does not confer any appreciable benefit. 50 BCIS does not explain the excess mortality rate in patients with hip fracture.…”

Resuscitation in hip fractures: a systematic review

“…49 This conclusion was challenged by Price et al in a 2004 Cochrane Review, which concluded that there was no evidence for using goal-directed intraoperative fluid therapy over a traditional approach. 35 More recently, this conclusion has been confirmed by Moppett et al and Bartha et al 51 who both showed in a larger trial that goal-directed fluid therapy does not confer any appreciable benefit. 50 BCIS does not explain the excess mortality rate in patients with hip fracture.…”

Effect of comorbidities and postoperative complications on mortality after hip fracture in elderly people: prospective observational cohort study

“…Invasive physiological monitoring with oesophageal Doppler ultrasonography or pulmonary artery catheters in the perioperative period may be of benefit 23. In other surgical specialities, outcome is improved in high risk patients undergoing major surgery in whom fluid and inotrope therapy is monitored with pulmonary artery catheters 24.…”

What is the optimal type of fluid to be used for peri‐operative fluid optimisation directed by oesophageal Doppler monitoring?

“…When using the oesophageal Doppler monitor to direct individualised peri‐operative fluid optimisation, a wide variety of fluid preparations have been used. As emphasised, the primary purpose of this analysis was to determine the optimal type of fluid to be used in conjunction with the oesophageal Doppler monitor during peri‐operative optimisation, and we suggest future directions for research; we were not considering the effectiveness of the oesophageal Doppler monitor per se [2, 3]. Although fluid optimisation directed by oesophageal Doppler monitoring is a consistently successful strategy for reducing hospital length of stay, the current studies of such are consistently underpowered to allow definitive conclusions regarding alternative outcomes.…”

Resuscitation in hip fractures: a systematic review

“…49 This conclusion was challenged by Price et al in a 2004 Cochrane Review, which concluded that there was no evidence for using goal-directed intraoperative fluid therapy over a traditional approach. 35 More recently, this conclusion has been confirmed by Moppett et al and Bartha et al 51 who both showed in a larger trial that goal-directed fluid therapy does not confer any appreciable benefit. 50 BCIS does not explain the excess mortality rate in patients with hip fracture.…”

Effect of comorbidities and postoperative complications on mortality after hip fracture in elderly people: prospective observational cohort study

“…Invasive physiological monitoring with oesophageal Doppler ultrasonography or pulmonary artery catheters in the perioperative period may be of benefit 23. In other surgical specialities, outcome is improved in high risk patients undergoing major surgery in whom fluid and inotrope therapy is monitored with pulmonary artery catheters 24.…”

What is the optimal type of fluid to be used for peri‐operative fluid optimisation directed by oesophageal Doppler monitoring?

“…When using the oesophageal Doppler monitor to direct individualised peri‐operative fluid optimisation, a wide variety of fluid preparations have been used. As emphasised, the primary purpose of this analysis was to determine the optimal type of fluid to be used in conjunction with the oesophageal Doppler monitor during peri‐operative optimisation, and we suggest future directions for research; we were not considering the effectiveness of the oesophageal Doppler monitor per se [2, 3]. Although fluid optimisation directed by oesophageal Doppler monitoring is a consistently successful strategy for reducing hospital length of stay, the current studies of such are consistently underpowered to allow definitive conclusions regarding alternative outcomes.…”

Resuscitation in hip fractures: a systematic review

“…49 This conclusion was challenged by Price et al in a 2004 Cochrane Review, which concluded that there was no evidence for using goal-directed intraoperative fluid therapy over a traditional approach. 35 More recently, this conclusion has been confirmed by Moppett et al and Bartha et al 51 who both showed in a larger trial that goal-directed fluid therapy does not confer any appreciable benefit. 50 BCIS does not explain the excess mortality rate in patients with hip fracture.…”

Effect of comorbidities and postoperative complications on mortality after hip fracture in elderly people: prospective observational cohort study

“…Invasive physiological monitoring with oesophageal Doppler ultrasonography or pulmonary artery catheters in the perioperative period may be of benefit 23. In other surgical specialities, outcome is improved in high risk patients undergoing major surgery in whom fluid and inotrope therapy is monitored with pulmonary artery catheters 24.…”

What is the optimal type of fluid to be used for peri‐operative fluid optimisation directed by oesophageal Doppler monitoring?

“…When using the oesophageal Doppler monitor to direct individualised peri‐operative fluid optimisation, a wide variety of fluid preparations have been used. As emphasised, the primary purpose of this analysis was to determine the optimal type of fluid to be used in conjunction with the oesophageal Doppler monitor during peri‐operative optimisation, and we suggest future directions for research; we were not considering the effectiveness of the oesophageal Doppler monitor per se [2, 3]. Although fluid optimisation directed by oesophageal Doppler monitoring is a consistently successful strategy for reducing hospital length of stay, the current studies of such are consistently underpowered to allow definitive conclusions regarding alternative outcomes.…”