Postoperative implications in the geriatric patient - American ...

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POCD Incidence • Long term postoperative cognitive dysfunction in the elderly:ISPOCD1 study Moller JT et al THE LANCET 1998: 351; 857-861 • Collaborative research effort: – Members from 8 European countries and USA – 13 hospitals • Research conducted from 1994 - 1996
ISPOCD1 • POCD occurred in 26% of patients at one week after surgery and in 10% of patients at three months after surgery – Anesthesia and surgery cause long-term POCD • Hypotension and/or hypoxemia not related to occurrence of POCD
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 and 12: Cardiovascular complications - Impo
Page 13 and 14: Pulmonary complications • Why are
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: Implications of POCD • Abrupt dec
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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