Anesthetic Challenges in Treating the Older Adult Trauma Patient: an Update

被引：0

作者：

Sheffy, Nadav ^{[1
,2
]}

Tellem, Rotem ^{[2
,3
]}

Bentov, Itay ^{[4
]}

机构：

[1] Rabin Med Ctr, Dept Anesthesiol, Petah Tiqwa, Israel

[2] Tel Aviv Univ, Tel Aviv, Israel

[3] Tel Aviv Sourasky Med Ctr, Geriatr Div, Tel Aviv, Israel

[4] Univ Washington, Harborview Med Ctr, Dept Anesthesiol & Pain Med, 325 9Th Ave, Seattle, WA 98104 USA

来源：

CURRENT ANESTHESIOLOGY REPORTS | 2020年 / 10卷 / 02期

关键词：

Trauma; Geriatrics; Injury; Post-operative delirium; Frailty; Aging; EEG; BIS; DOAC; DIRECT ORAL ANTICOAGULANTS; HIP FRACTURE; POSTOPERATIVE DELIRIUM; GERIATRIC TRAUMA; ELDERLY-PATIENTS; INTENSIVE-CARE; COGNITIVE DYSFUNCTION; LOWER MORTALITY; MAJOR SURGERY; RIB FRACTURES;

D O I：

10.1007/s40140-020-00378-6

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Purpose of Review To highlight challenges specific to anesthesia and perioperative care of injured older adults and present novel modalities to improve outcomes in this vulnerable population. Recent Findings We will describe some of the current directions available for anesthesiologists to improve outcomes in the elderly surgical population: interventions to ameliorate perioperative neurocognitive disorders, reversal of treatment with anti-coagulant medications, controversies in pain management, and increasing utilization of regional anesthesia techniques. Finally, frailty assessment and comprehensive geriatric care as efficient method of assessing risk and improving outcomes will be discussed. Summary Perioperative care for older injured adults presents numerous challenges for the anesthesiologist. While novel modalities show promise, ample opportunities to improve still exist.

引用

页码：209 / 217

页数：9

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