Cynthia Olotu1. 1. Klinik und Poliklinik für Anästhesiologie, Zentrum für Anästhesiologie und Intensivmedizin, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 52, 22051, Hamburg, Deutschland. c.olotu@uke.de.
Abstract
BACKGROUND: The share of elderly patients undergoing emergency surgery is constantly increasing. Their postoperative outcome remains poor, even if surgery itself is survived in the short or medium term. OBJECTIVES: Important aspects of anesthesiologic care for older emergency patients based upon recent literature and guideline recommendations are presented. METHODS: Selective review of the literature, considering national and international guidelines, meta-analysis and Cochrane reviews. CONCLUSION: Anesthesiologic care can significantly influence the perioperative outcome of elderly emergency surgery patients. In this context, emergency anesthesiology exceeds mere anesthesia itself and applies to the overall perioperative management.
BACKGROUND: The share of elderly patients undergoing emergency surgery is constantly increasing. Their postoperative outcome remains poor, even if surgery itself is survived in the short or medium term. OBJECTIVES: Important aspects of anesthesiologic care for older emergency patients based upon recent literature and guideline recommendations are presented. METHODS: Selective review of the literature, considering national and international guidelines, meta-analysis and Cochrane reviews. CONCLUSION: Anesthesiologic care can significantly influence the perioperative outcome of elderly emergency surgery patients. In this context, emergency anesthesiology exceeds mere anesthesia itself and applies to the overall perioperative management.
Authors: Sanjay Mohanty; Ronnie A Rosenthal; Marcia M Russell; Mark D Neuman; Clifford Y Ko; Nestor F Esnaola Journal: J Am Coll Surg Date: 2016-01-04 Impact factor: 6.113
Authors: David Miller; Sharon R Lewis; Michael W Pritchard; Oliver J Schofield-Robinson; Cliff L Shelton; Phil Alderson; Andrew F Smith Journal: Cochrane Database Syst Rev Date: 2018-08-21
Authors: César Aldecoa; Gabriella Bettelli; Federico Bilotta; Robert D Sanders; Riccardo Audisio; Anastasia Borozdina; Antonio Cherubini; Christina Jones; Henrik Kehlet; Alasdair MacLullich; Finn Radtke; Florian Riese; Arjen J C Slooter; Francis Veyckemans; Sylvia Kramer; Bruno Neuner; Bjoern Weiss; Claudia D Spies Journal: Eur J Anaesthesiol Date: 2017-04 Impact factor: 4.330