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Preoperative Optimization and Risk Assessment.
Clin Geriatr Med. 2014 May;30(2):207-218
Authors: Nicholas JA
Abstract
Because most older adults with hip fractures require urgent surgical intervention, the preoperative medical evaluation focuses on the exclusion of the small number of contraindications to surgery, and rapid optimization of patients for operative repair. Although many geriatric fracture patients have significant chronic medical comorbidities, most patients can be safely stabilized for surgery with medical and orthopedic comanagement by anticipating a small number of common physiologic responses and perioperative complications. In addition to estimating perioperative risk, the team should focus on intravascular volume restoration, pain control, and avoidance of perioperative hypotension.
PMID: 24721361 [PubMed - as supplied by publisher]