SavedAdd your journal

Journals / Türk Geriatri Dergisi / 2019 / Cilt: 22 - Sayı: 1

GLOBAL AGEING IS A GROWING PROBLEM FOR ANAESTHESIOLOGISTS: A CASE OF REGIONAL BLOCKS IN A GERIATRIC PATIENT

KÜRESEL YAŞLANMA, ANESTEZİSTLER İÇİN BÜYÜYEN BİR PROBLEM: YAŞLI BİR HASTADA REJYONEL BLOKLAR

Yonca YANLI
Mehtap ÖZDEMİR
Pages
117–120
Publication Date
2022-11-05
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In this case report, we aimed to present an infraclavicular block and spinal anaesthesia combination in a 73 years old, American Society of Anesthesiologists Classification (ASA) IV geriatric patient who underwent emergency orthopaedic surgery due to trauma.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:The geriatric patients who needs to emergency surgery increases depending on the ageing world population.
📊
Key Findings & Data:These patients frequently have multiple comorbidities such as cardiac disease, diabetes mellitus, chronic obstructive pulmonary disease.
💡
Conclusion & Impact:In this case report, we aimed to present an infraclavicular block and spinal anaesthesia combination in a 73 years old, American Society of Anesthesiologists Classification (ASA) IV geriatric patient who underwent emergency orthopaedic surgery due to trauma.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

The geriatric patients who needs to emergency surgery increases depending on the ageing world population. These patients frequently have multiple comorbidities such as cardiac disease, diabetes mellitus, chronic obstructive pulmonary disease. Perioperative careful anesthesia management reduce risk factors, morbidities and mortality. Peripheral nerve blocks are preferred in geriatric patients, to protect the state of consciousness, creating minimal changes in hemodynamic and respiratory parameters and postoperative sufficient pain control. Regional anaesthesia supress surgical stress response. In this case report, we aimed to present an infraclavicular block and spinal anaesthesia combination in a 73 years old, American Society of Anesthesiologists Classification (ASA) IV geriatric patient who underwent emergency orthopaedic surgery due to trauma.

Özet

Acil cerrahiye ihtiyaç duyan yaşlı hastalar dünya nüfusunun ihtiyarlamasına bağlı olarak artmaktadır. Bu hastalar çoğu kez kardiyak hastalıklar, diyabetes mellitus, kronik obstruktif akciğer hastalığı gibi birden fazla yandaş hastalığa sahip olmaktadırlar. Perioperatif dikkatli anestezi yönetimi risk faktörlerini, morbidite ve ölüm oranlarını azaltır. Periferik sinir blokları yaşlı hastalarda, bilinç durumunu korumaları, hemodinamik ve solunumsal parametrelerde minimal değişiklik yapmaları ve operasyon sonrası yeterli ağrı kontrolü sağlamaları nedeniyle tercih edilirler. Rejyonel anestezi ise cerrahi stres cevabını baskılamaktadır. Bu olgu sunumunda travmaya bağlı acil ortopedi cerrahisi geçiren 73 yaşında, Amerikan Anestezi Derneği Klasifikasyonu IV yaşlı bir hastada infraklavikuler blok ve spinal anestezi kombinasyonunun sunulması amaçlanmıştır.

🔖

Cite This Article

YANLI, Y., ÖZDEMİR, M. (2022). GLOBAL AGEING IS A GROWING PROBLEM FOR ANAESTHESIOLOGISTS: A CASE OF REGIONAL BLOCKS IN A GERIATRIC PATIENT. Türk Geriatri Dergisi, Cilt: 22 - Sayı: 1, 117–120. https://ajindex.com/articles/623610

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (11)

  1. White PF, White LM, Monk T et al. perioperative care for the older outpatient undergoing ambulatory surgery. Anesth Analg 2012 Jun;114(6):1190-215. (PMID:22467899)
  2. JH Silverstein. The Practice of Geriatric Anesthesia. In: J. H. Silverstein, G. A. Rooke, J.G. Reves, C. H. McLeskey(Eds). Geriatric Anesthesiology 2nd edition, Springer, NY, USA 2008, pp 3-14
  3. Liu S, Carpenter RL, Neal JM. Epidural anesthesia and analgesia. Their role in postoperative outcome. Anesthesiology 1995;82:1474–506. (PMID:7793661)
  4. Luger TJ, Kammerlander C, Luger MF, Kammerander- Knauer U, Gosch M. Mode of Anesthesia, mortality and outcome in geriatric patients. Z Gerontol Geriat 2014;47:110-24. (PMID:24619042)
  5. Cartin-Ceba R, Sprung J, Gajic O, Warner DO. The Aging Respiratory System: Anesthetic Strategies to Minimize Perioperative Pulmonary Complications. In: J. H. Silverstein, G. A. Rooke, J.G. Reves, C. H. McLeskey (Eds). Geriatric Anesthesiology 2nd edition, Springer, NY, USA 2008 pp 149-164
  6. B Veering. Management of Regional Anesthesia. In: J. H. Silverstein, G. A. Rooke, J.G. Reves, C. H. McLeskey (Eds). Geriatric Anesthesiology 2nd edition, Springer, NY, USA 2008, pp 278-89
  7. Luger TJ, Kammerlander C, Gosch M, et al. Neuroaxial versus general anaesthesia in geriatric patients for hip fracture surgery: does it matter? Osteoporos Int 2010;21(Suppl 4):S555-72. (PMID:21057995)
  8. Parker MJ, Handoll HHG, Griffiths R. Anaesthesia for hip fracture surgery in adults. Cochrane Database Syst Rev 2004;4:CD000521. (PMID:11687085)
  9. Dingemans E, Williams SR, Arcand G et al. Neurostimulation in ultrasoundguided infraclavicular block: a prospective randomized trial. Anesthesia and Analgesia 2007;104:1275-80. (PMID:17456686)
  10. Sandhu NS, Manne JS, Medabalmi PK, Capan LM. Sonographically guided infraclavicular brachial plexus block in adults: a retrospective analysis of 1146 cases. Journal of Ultrasound in Medicine 2006;25:1555-61. (PMID:17121950)
  11. Chin KJ, Alakkad H, Adhikary SD, Singh M. Infraclavicular brachial plexus block for regional anaesthesia of the lower arm. Cochrane Database Syst Rev 2013 aUG 28;(8):CD005487. (PMID:23986434).