Postoperative Cognitive Impairment in Elderly Patients

Jan 15, 2018 by in RESPIRATORY Comments Off on Postoperative Cognitive Impairment in Elderly Patients

Tool Clinical application Additional information Confusion Assessment Method (CAM) Sensitivity: 94–100% Specificity: 90–95% [13, 16] General use in at-risk patients CAM Long: comprehensive questionnaire for nonpsychiatrist clinicians CAM Short: Assesses…

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Perioperative Care of the Elderly Cancer Patient

Jan 15, 2018 by in RESPIRATORY Comments Off on Perioperative Care of the Elderly Cancer Patient

© Springer International Publishing AG 2018J. G. Reves, Sheila Ryan Barnett, Julie R. McSwain and G. Alec Rooke (eds.)Geriatric Anesthesiologyhttps://doi.org/10.1007/978-3-319-66878-9_27 27. Perioperative Care of the Elderly Cancer Patient B. Bryce Speer1   and Vijaya Gottumukkala1 (1) Department of Anesthesiology and…

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Special Concerns of Intraoperative Management in Orthopedic Procedures

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© Springer International Publishing AG 2018J. G. Reves, Sheila Ryan Barnett, Julie R. McSwain and G. Alec Rooke (eds.)Geriatric Anesthesiologyhttps://doi.org/10.1007/978-3-319-66878-9_25 25. Special Concerns of Intraoperative Management in Orthopedic Procedures John P. Williams1  , Catalin Ezaru2 and Lynn Cintron3 (1) Department of Anesthesiology,…

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Cardiothoracic and Vascular Procedures

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Fig. 23.1 Probability of incurring a morbid event during the perioperative cardiac surgical period and its association with age. Neurologic deficits increase dramatically beginning at age 65, whereas low cardiac…

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Care of the Geriatric Surgery Patient: The Surgeon’s Perspective

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Postoperative nausea and vomiting Analgesics Corticosteroids (for prophylaxis) Barbiturates Transdermal scopolamine Benzodiazepines Metoclopramide Hypnotics (i.e., zolpidem) Promethazine Pentazocine Prochlorperazine Meperidine Skeletal muscle relaxants Non-COX NSAIDs Reprinted from Mohanty et al….

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Renal, Metabolic, and Endocrine Aging

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High hepatic extraction ratio Morphine Lidocaine Verapamil Propranolol Nitroglycerin Etomidate Propofol Ketamine Naloxone Intermediate hepatic extraction ratio Aspirin Codeine Hydromorphone Nortriptyline Diphenhydramine Etomidate Low hepatic extraction ratio Warfarin Phenytoin Diazepam…

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Theories and Mechanisms of Aging

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Theories involving DNA    DNA damage    mtDNA damage    Telomere shortening    Transposable element activation    Epigenetic modification    Error catastrophe Accumulation theories    Clinker theories       Lipofuscin       Cross-links       Advanced glycation end products       Misfolded protein aggregates    Clunker…

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Ethical and Legal Issues of Geriatrics

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Fig. 3.1 Principles of a geriatric ethic derived from Hauerwas’ dimensions of human nature (Based on data from Ref. [26]) Informed Consent in the Elderly Respect for Personal Autonomy Many ethical…

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