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Acta Biomedica Scientia

Volume 4, Issue 3, 2017
Mcmed International
Acta Biomedica Scientia
Issn
2348 - 215X (Print), 2348 - 2168 (Online)
Frequency
bi-annual
Email
editorabs@mcmed.us
Journal Home page
http://mcmed.us/journal/abs
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Abstract
Title
ANAESTHESIA TECHNIQUES FOR THE ELDERLY PATIENTS AND PREOPERATIVE ASSESSMENT AND EVALUATION AND PAIN MANAGEMENT
Author
Lohith Kumar1, Machanuru Subba Reddy
Email
drvrvkk@gmail.com
keyword
Anesthesia; Analgesia; Elderly, day surgery, Inpatient
Abstract
Elderly person of 80 years of age and older presents a specific challenge to anesthetists, who needs to acquire and maintain skill and expertise in the management of such patients. Departments should have a lead clinician with an interest in the care of the elderly. Development in anesthesia and operative techniques has considerably reduced morbidity and mortality in the elderly patients. Several anesthetic techniques have been used for elderly patients including general anesthesia, regional anesthesia, intravenous sedation and monitored anesthesia care. However, anesthesiarelated mortality in these patients is still high. All elderly patients undergoing surgical procedures require a preprocedural evaluation to assess the risks of anesthesia and procedure and to manage problems related to the preexisting medical conditions, monitoring patients during intraprocedural and postprocedural periods as well as postprocedural management. This article considers the age-related physiological changes, preprocedure assessment and preparation, anesthetic techniques, intraoperative care and postoperative care. Age does not obtund the perception of pain. Acute and chronic pain management teams should be available to treat the elderly. Prophylaxis for Thrombo embolic disease should initiated to prevent further complications
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