Management of Geriatric Anesthesia on Emergency Surgery

Achmad Hariyanto, Isngadi Isngadi

Abstract


In geriatric patients, emergency surgery is more common than elective surgery. The incidence of medical complications increases along with aging while the rate of surgical complications remains constant. Postoperative complications escalates short-term morbidity and mortality and also associated with decreasing long-term survival. The main purposes of geriatric patients' care were to maintain hemodynamics, speed up recovery, and perform an assessment to avoid any further decline in functional capacity. The choice of anesthesia and how to administer anesthesia agents should be adjusted for the geriatric patient.


Keywords


geriatric; anesthesia; emergency surgery

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References


Desserud KF, Veen T, Soreide K. Emergency general surgery in the geriatric patient. Br J Surg. 2016;103(2):e52-e61. doi:10.1002/bjs.10044

Ibitoye S, Braude P. Geriatric perioperative care. Med (United Kingdom). 2021;49(1):51-55. doi:10.1016/j.mpmed.2020.10.004

Bhatnagar V, Datta S, Tara S. The perioperative concerns of emergency neurosurgery in elderly patients: A series of three cases. J Mar Med Soc. 2017;19(1):58-60. doi:10.4103/jmms.jmms_7_17

Pel EL, van Wijngaarden E, van Dongen EPA, Noordzij PG. Anesthesia Geriatric Evaluation (AGE): A Care-Ethical Perspective of a Multi-Disciplinary Approach for Tailored Preoperative Interventions. Gerontol Geriatr Med. 2019;5:233372141987612. doi:10.1177/2333721419876126

Aurini L, White PF. Anesthesia for the elderly outpatient. Curr Opin Anaesthesiol. 2014;27(6):563-575. doi:10.1097/ACO.0000000000000135

Preston J, Biddell B. The physiology of ageing and how these changes affect older people. Med (United Kingdom). 2021;49(1):1-5. doi:10.1016/j.mpmed.2020.10.011

Strom C, Rasmussen LS. Challenges in anaesthesia for elderly. Singapore Dent J. 2014;35:23-29. doi:10.1016/j.sdj.2014.11.003

Falvo A, Frisenda V, Gregoretti C, Brazzi L. Preoperative care in emergency surgery. In: Bettelli G, ed. Perioperative Care of the Elderly: Clinical and Organizational Aspects. Cambridge University Press; 2017:76-80. doi:10.1017/9781316488782.014

Griffiths R, Beech F, Brown A, et al. Peri-operative care of the elderly 2014 : Association of anaesthetists of great britain and Ireland. Anaesthesia. 2014;69(1):81-98. doi:10.1111/anae.12524

Fatoni AZ, Isngadi, Jaya W. Perbandingan Efek Pemberian Ondansetron dan Petidin Intravena untuk Mencegah Menggigil Pasca Anestesi Umum. J Anestesiol Indones. 2014;6(2):89-100.

Peden C. The emergency surgery in elderly patient: a quality improvement approach. Anaesthesia. 2011;66(6):438-440. doi:10.1111/j.1365-2044.2011.06768.x

Glover NP, Tola DH, Norcross W, Naumuk L, Tocchi C. Preoperative Cognitive Assessment Recommendations for the Older Adult. J Perianesthesia Nurs. 2020;35(5):460-466. doi:10.1016/j.jopan.2020.02.011

Fitzpatrick S, Owen K. Postoperative Cognitive Disorders : Postoperative Delirium and Postoperative Cognitive Dysfunction. Anaesth Tutor Week. 2018;152(August):1-6.

Jin Z, Hu J, Ma D. Postoperative delirium: perioperative assessment, risk reduction, and management. Br J Anaesth. 2020;125(4):492-504. doi:10.1016/j.bja.2020.06.063

Igwe EO, Nealon J, Mohammed M, et al. Multi-disciplinary and pharmacological interventions to reduce post- operative delirium in elderly patients : A systematic review and meta- analysis. J Clin Anesth. 2020;67(December 2019):110004. doi:10.1016/j.jclinane.2020.110004




DOI: http://dx.doi.org/10.21776/ub.jap.2021.002.02.03

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