Elderly patient
Patient (condition)
 
Aliases:
Old
Geriatric
Elderly patients

Topic aliases are alternate phrasings for a particular topic.


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Good summary of physiological changes with aging. www.frca.co.uk/article.as...

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Pay particular attention to examination of the cardiovascular system. The prevalence of critical aortic valve stenosis was 2.9% in the group 75 to 86 years of age in the Helsinki ageing study. dx.doi.org/10.1016/0735-1...

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Elevated risk of intraoperative hypothermia. They may not be able to increase their metabolic rate sufficiently to generate heat. Consider fluid warmer, forced air-warming-blanket, and temperature probe for cases >1hr. #ref

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Dec 12, 2012
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Intrathecal catheter for major abdominal surgery may provide postoperative neuraxial analgesia without the hypotension seen with epidural infusions. #ref #CG #MMC

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Mar 26, 2012
This relies heavily on an institutional protocol to minimise risk of confusing the intrathecal catheter with an epidural catheter.
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May have autonomic dysfunction and impaired response to hypotension from anaesthesia/IPPV/postural change.

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May 18, 2011
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Anticholinergics that readily cross the blood brain barrier (eg atropine, scopolamine) increase the risk of postoperative delirium. Consider using glycopyrrolate (quaternary amine) instead. refl.in/f9

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Aug 22, 2011
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Consider avoiding pethidine (meperedine) and benzodiazepines. These may increase risk of post operative confusion/delirium (meperidine almost triples risk) refl.in/f6 refl.in/f7

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Elevated risk of post operative confusion/delirium. Consider avoiding drugs such as meperidine, benzodiazepines, and anticholinergics. refl.in/f7

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If central side effects of anticholinergics are suspected (eg confusion), the patient may respond to 1-2mg of physostigmine. refl.in/f9

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Aug 22, 2011
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NCEPOD 2010 Report.
A review of the care received by elderly
patients undergoing surgery. refl.in/6t

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May 27, 2011
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The REASON study (2010) examined perioperative mortality rates in the elderly. Age 80-89 (OR 2.0), >90yrs (OR 4.0), ASA 3 (OR 3.1) ASA 4 (OR 12.4), albumin <30g/L (OR 2.5) refl.in/1d

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