{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T16:01:42Z","timestamp":1790179302706,"version":"4.1.0"},"reference-count":34,"publisher":"Springer Science and Business Media LLC","issue":"10","license":[{"start":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T00:00:00Z","timestamp":1785715200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"},{"start":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T00:00:00Z","timestamp":1785715200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"}],"funder":[{"name":"University of Luzern"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Unfallchirurgie"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Hintergrund<\/jats:title>\n                    <jats:p>Die trochant\u00e4re Femurfraktur ist die h\u00e4ufigste h\u00fcftnahe Fraktur des \u00e4lteren Menschen und mit einer hohen perioperativen Morbidit\u00e4t und Letalit\u00e4t assoziiert. W\u00e4hrend chirurgische Versorgungstechnik, Antikoagulation und orthogeriatrische Strukturen viel diskutiert werden, bleiben die pflegerischen und organisatorischen Stellschrauben des perioperativen Pfades, namentlich N\u00fcchternheit, Fl\u00fcssigkeitstherapie und Schmerzmanagement, oft unterbelichtet.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Fragestellung<\/jats:title>\n                    <jats:p>Welche Evidenz besteht f\u00fcr eine liberalisierte pr\u00e4operative N\u00fcchternheit (\u201esip till send\u201c), f\u00fcr eine zielorientierte Volumentherapie und f\u00fcr den Einsatz peripherer Nervenblockaden mit und ohne Schmerzkatheter im Hinblick auf Schmerzkontrolle, postoperatives Delir und funktionelles Ergebnis?<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material und Methoden<\/jats:title>\n                    <jats:p>Selektives narratives Review der Literatur der letzten 10\u00a0Jahre einschlie\u00dflich systematischer Reviews, randomisierter Studien und nationaler Empfehlungen.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Schlussfolgerung<\/jats:title>\n                    <jats:p>Klare Fl\u00fcssigkeiten bis zur Abrufung in den Operationssaal sind sicher und reduzieren Durst, Hunger und Volumendepletion. Eine liberale intraoperative Volumengabe ist mit h\u00f6heren Komplikationsraten vergesellschaftet, eine zielorientierte Volumentherapie mit balancierten L\u00f6sungen ist daher zu bevorzugen. Periphere Nervenblockaden reduzieren Schmerz, Opioidbedarf und in mehreren Metaanalysen die Inzidenz des postoperativen Delirs. Kontinuierliche Schmerzkatheter sind eine attraktive Option bei l\u00e4ngerer pr\u00e4operativer Wartezeit. Eine konsequente B\u00fcndelung dieser Ma\u00dfnahmen im Sinne eines Enhanced-recovery-Konzepts ist mit verk\u00fcrzter Verweildauer und besserer Erholung assoziiert.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00113-026-01732-9","type":"journal-article","created":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T09:18:05Z","timestamp":1785748685000},"page":"675-683","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Perioperatives Management der trochant\u00e4ren Femurfraktur","Perioperative management of trochanteric femoral fractures"],"prefix":"10.1007","volume":"129","author":[{"given":"Bj\u00f6rn-Christian","family":"Link","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pascal C.","family":"Haefeli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuela","family":"Rohner-Spengler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryan","family":"van de Wall","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank J. 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