Postoperative implications in the geriatric patient - American ...

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Cardiovascular complications • HR and rhythm can have greater impact on BP than in younger pts • Treatment: – Be more cautious than in younger pts about administering IVF as first-line treatment – Consider increasing heart rate and peripheral vasoconstriction (alpha-adrenergics or mixed alphabeta agonists). – Utilize Trendelenburg position as adjuvant
Pulmonary complications • Why are geriatric patients more at risk for pneumonia, hypoxemia, hypoventilation, & atelectasis post-op? – Decline in pulmonary reserve, increased V/Q mismatch – Diminished hypoxic & hypercapnic ventilatory drive – Altered pharmacology of anesthetic drugs intraoperatively, causing residual/prolonged effects – Decrease on laryngeal reflexes makes them more prone to aspiration
Page 1 and 2: Postoperative care of the Geriatric
Page 3 and 4: Objectives • Review the impact of
Page 5 and 6: Age, comorbilities and Risk of Peri
Page 7 and 8: Implications of complications • 3
Page 9 and 10: Age and Perioperative Complications
Page 11: Cardiovascular complications - Impo
Page 15 and 16: Pulmonary complications • Inappro
Page 17 and 18: Silverstein, Jeffrey, et al Central
Page 19 and 20: Main clinical features • Acute on
Page 21 and 22: Pathophysiology Mantz, Jean Case Sc
Page 23 and 24: Pathophysiology • γ-aminobutyric
Page 25 and 26: Impact of Delirium • Morbility -
Page 27 and 28: BMC’S Delirium free Passport •
Page 29 and 30: Management • Seek/treat cause - D
Page 31 and 32: Implications of POCD • Abrupt dec
Page 33 and 34: ISPOCD1 • POCD occurred in 26% of
Page 35 and 36: Conclusions • POCD - Common in al
Page 37 and 38: POCD • A systematic review on the
Page 39: 39 Conclusions • Surgery and Anes

Postoperative implications in the geriatric patient - American ...

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