2016, Number 2
<< Back Next >>
RIC 2016; 95 (2)
General behavior of elderly patients undergoing emergency surgery under regional and general anesthesia
Andino AN, Rodríguez CR, Knight JK, Gago BG, Ganfong EAF
Language: Spanish
References: 20
Page: 224-233
PDF size: 171.21 Kb.
ABSTRACT
A study of correlation analytic retrospective about the behavior of
postoperative complications in elderly patients undergoing major
surgery urgent general and regional anesthesia was performed at the
Hospital Dr. Agostinho Neto Guantanamo from January 2012 to
December 2014. The sample consisted of 56 patients. The variables
analyzed were: age, sex, and comorbidity, type of disease, anesthetic
methods, hemodynamic stability and postoperative recovery. There
was prevalence of females and ages of 70-79 years predominating
blood pressure followed by heart disease. Arrhythmia, hypothermia,
renal failure, pneumonia and pulmonary thromboembolism, in that
order: postoperative complications, among others were found by
doctors. Anesthetic recovery was considered good by most patients:
32 patients with regional anesthesia and 7 with general anesthesia.
Conclusions and recommendations are provided.
REFERENCES
Rocabruno Mederos JC, Terry Molinert H. Epidemiología del envejecimiento. En: Rocabruno Mederos JC. Tratado de Gerontología y Geriatría Clínica. La Habana: Ed. Científico-Técnica; 2009. p.36-52.
Cuba. Censo Nacional de Población y Vivienda. Oficina del Consejo de Estado; 2012.
Prieto Ramos O, Vega García E. Atención del anciano en Cuba: desarrollo y perspectivas. 4ta ed. La Habana: Editorial Ciencias Médicas; 2010.
Ariño P, Castaño J, Castillo J, Sierra P, Sánchez JM, Villa J. Mortalidad perioperatoria en pacientes ancianos sometidos a cirugía general. Rev Esp Anestesiol Reanim. 2011;56:89-93.
Finucana BT, Hammonds WD, Welch MB. Influence of Age on Vascular Absorption of Lidocaine From the Epidural Space. Anesth Analg. 2007; 66: 843-6.
Montes de Oca S, Japa JF, Vázquez F, Cruz de Catro N, Núñez A, Grance V, et al. Evolución posquirúrgica de una población de pacientes de la tercera edad con cirugías mayores. Rev Med Domin. 2007;56(1):20-1.
Coshream JN. The preoperative visit. En: FAAM. Perioperative Ossessement and preparation for anaesthesia and surgery. London: Cashman; 2011. p. 3-20.
Homer TD, Stanski DR: The effect of increasing age on thiopental disposition and anesthetic requirement. Anesthesiology 2012;62:714-724
Muravchik S: Anaesthesia for the geriatrics patient. Can J Anaesth 2013; (40): 63-68
Sanz Hernández J, Corral Marzo C, Toirac Lamarque A. Indicaciones y contraindicaciones anestésicas durante la cirugía mayor. AMC. 2009 ene.-feb; 13(1):7.
McLeskey CH: Geriatric Anesthesia: Anatomical and physiological changes of aging. Canadian J Anaest. 2007; 34:156-159
Stoelting RK, Dierdorf SF: Anesthesia and co-mobility disease, Rev An Esc. 2013; (6): 31-36.
Barash P, Cullen B, Stoelting R. Anestesia epidural y raquídea. En: Harry F, Bacon D, editores. Manual de anesthesia clínica. Mexico: McGraw - Hill; 2005.p.371-5.
Larson E, Kubull W, Buchner D, Reifler B: Adverse drug reactions associated with global cognitive impairment in elderly persons. Ann Intern Med. 2007;107:169-173.
Warner MA, Hosking MP, Lobdell CM, Offord KP, Melton LJ. Surgical procedures among those > 90 years of age. Ann Surg. 2008; 207: 380-6.
Söderqvist A, Ekstrom W, Ponzer S, Pettersson H, Ceder-hom T, Dalén N, Hedstrom M, Tidermark J. Prediction of mortality in elderly patients with hip fractures: a two year prospective study of 1.944 patients. Gerontology. 2009; 55: 496-504.
Williams-Russo P, Sharrock NE, Matis S, Szatrowski TP, Charlson ME. Cognitive effects after epidural vs general anesthesia in older adults. A randomized trial. JAMA. 2010; 274: 44-50.
Lynch E, Lazor M, Gellis J, Orav J, Goldman L, Marcoantonio E. The impact of postoperative pain on the development of postoperative delirium. Anesth Analg. 2008;86:781-785.
Thorburn J, Louden JR, Vallace R. Spinal and General anaesthesia in total hip peplacement: frequency of deep vein thrombosis. Br J Anaesth. 2010; (5):17-21.
Shafer SL: The Pharmacology of Anesthetic Drugs in Elderly Patients. Anesth Clin of North Am. 2010;18:1-29.