Requirements for perioperative intensive care of geriatric patients

被引:0
|
作者
Heppner, H. J. [1 ,2 ]
Singler, K. [3 ,4 ]
Sieber, C. [4 ]
Christ, M. [5 ]
Bahrmann, P. [4 ,6 ]
Mork, C.
机构
[1] Univ Witten Herdecke, Lehrstuhl Geriatrie, D-58448 Witten, Germany
[2] HELIOS Klinikum Schwelm GmbH, Klin Geriatrie & Geriatr Tagesklin, Schwelm, Germany
[3] Klinikum Nurnberg, Zentrum Altersmed, Klin Geriatrie, Nurnberg, Germany
[4] Univ Erlangen Nurnberg, Inst Biomed Alterns, Erlangen, Germany
[5] Klinikum Nurnberg, Klin Notfall & Intens Med, Nurnberg, Germany
[6] HELIOS Klinikum Schwelm GmbH, Klin Anasthesiol & Intens Med, Schwelm, Germany
来源
ZEITSCHRIFT FUR GERONTOLOGIE UND GERIATRIE | 2014年 / 47卷 / 02期
关键词
Critical care; Hospitalization; Operative procedures; Geriatrics; Health care; COGNITIVE DYSFUNCTION; MORTALITY; SURGERY; MORBIDITY; FRAILTY; CANCER; TRAUMA;
D O I
10.1007/s00391-013-0597-2
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Demographic change has also caused changes in perioperative intensive care because the proportion of geriatric patients who must undergo surgical procedures is increasing. With the current preoperative assessment instruments, it is still not possible to identify high-risk patients of this collective or to make a reliable prognosis concerning postoperative course. In addition to pain control, important aspects to minimize complications in postoperative intensive care include adequate oxygenation, adequate fluid management, an adequate supply of energy and nutrients, good control of blood sugar levels, and early mobilization of patients. The perioperative intensive care treatment of geriatric patients requires the readiness to engage in interdisciplinary collaboration because only with this close dialog can the treatment results be sustained.
引用
收藏
页码:125 / 130
页数:6
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