Key result
Intraoperative intravascular volume optimization guided by esophageal Doppler monitoring significantly reduced median hospital stay (12 vs 20 days; P<0.05) after proximal femoral fracture repair.
Why the study?
Does intraoperative intravascular volume optimisation guided by oesophageal Doppler ultrasonography reduce hospital stay in patients undergoing repair of proximal femoral fracture?
Population
40 patients undergoing repair of proximal femoral fracture under general anaesthesia
Comparison
Additional repeated colloid fluid challenges… vs Conventional intraoperative fluid management
Design
RCT, Randomly assigned
Follow-up
Until hospital discharge
Authors
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Supports esophageal Doppler-guided volume optimization in hip fracture repair; extends goal-directed fluid therapy evidence to orthopedic trauma.
RCT (n=40)
randomly assigned
No
Does intraoperative intravascular volume optimisation guided by oesophageal Doppler ultrasonography reduce hospital stay in patients undergoing repair of proximal femoral fracture?
Effect estimate: 39% reduction
Absolute Event Rate: 12% vs 20%
p-value: p=<0.05
Intraoperative intravascular volume optimization guided by esophageal Doppler monitoring significantly reduces hospital stay in patients undergoing hip fracture repair.
Sinclair et al. (1997) conducted an RCT in proximal femoral fracture (n=40). Intraoperative intravascular volume optimisation with repeated colloid fluid challenges monitored by oesophageal Doppler ultrasonography vs. Conventional intraoperative fluid management was evaluated on Duration of hospital stay (39% reduction, p=<0.05). Intraoperative intravascular volume optimization guided by esophageal Doppler monitoring significantly reduced median hospital stay (12 vs 20 days; P<0.05) after proximal femoral fracture repair.
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