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Introducing a clinical pathway in fluid management.(CLINICAL FEATURE)(Clinical report)

Davidson, Jennifer ; Griffin, Richard ; Higgs, Simon

Journal of Perioperative Practice, June, 2007, Vol.17(6), p.248(5) [Tạp chí có phản biện]

ISSN: 1750-4589

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  • Nhan đề:
    Introducing a clinical pathway in fluid management.(CLINICAL FEATURE)(Clinical report)
  • Tác giả: Davidson, Jennifer ; Griffin, Richard ; Higgs, Simon
  • Chủ đề: Fluid Therapy -- Health Aspects ; Fluid Therapy -- Patient Outcomes ; Fractures (Injuries) -- Care And Treatment ; Fractures (Injuries) -- Prognosis ; Preoperative Care -- Health Aspects
  • Là 1 phần của: Journal of Perioperative Practice, June, 2007, Vol.17(6), p.248(5)
  • Mô tả: Following the publication of the National Confidential Enquiry into Perioperative Death's (NCEPOD) report, Extremes of Age (NCEPOD 1999), several recommendations were made relating to the management of patients admitted via Accident and Emergency (A&E) with fractured necks of femur (NOF). An audit was carried out relating fluid management in the elderly. A multidisciplinary clinical pathway for patients with fractured NOF was produced. The audit was repeated in 2002, 2003 and 2005 to obtain data as to whether the pathway had improved the management of patients admitted with fractured NOF. Comparing audit data between 2000 and 2005 there were significant reductions in the incidence of perioperative hypotension and an increase in the percentage of patients who were prescribed and received intravenous fluids (p<0.05). A protocol-based pathway produced as a result of a recommendation from NCEPOD has greatly improved the fluid management of patients admitted to a general hospital with fractures. KEY WORDS Fluid management, Fractured neck of femur, Hypotension
  • Ngôn ngữ: English
  • Số nhận dạng: ISSN: 1750-4589

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