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[Continuous peridural anesthesia in abdominal surgery. An alternative for elderly patients]
1Kreiskrankenhaus Bad Salzungen, Klinik für Anaesthesie und Intensivtherapie, Bad Liebenstein.
Der Anaesthesist
|October 1, 1992
Summary
Continuous peridural anesthesia offers a safe and effective option for abdominal surgery in elderly patients, minimizing pulmonary and mental complications. This method ensures adequate pain relief and early mobilization post-operation.
Area of Science:
- Anesthesiology
- Geriatric Medicine
- Surgical Procedures
Context:
- Elderly patients undergoing abdominal surgery face increased risks due to age-related physiological changes.
- Altered pharmacokinetics and pharmacodynamics in older adults can complicate anesthesia and the postoperative period.
- Sedation management in this demographic requires careful consideration to avoid adverse effects.
Purpose:
- To evaluate the efficacy and side effects of continuous peridural anesthesia for abdominal surgery in elderly patients.
- To assess the impact on postoperative pain, pulmonary function, mental status, and patient mobilization.
Summary:
- Continuous peridural anesthesia was administered to 52 elderly patients (mean age 69.3 years) undergoing abdominal surgery.
- The procedure involved peridural catheter insertion, bupivacaine administration, intraoperative sedation with propofol, and postoperative pain management with morphine or tramadol.
- Results showed adequate analgesia, satisfactory muscle relaxation, stable hemodynamics, normal blood gases, and minimal sedation requirements. Patients experienced no postoperative pain, had amnesia, and were mobilized early without pulmonary complications.
Impact:
- Continuous peridural anesthesia can be a viable alternative for abdominal surgery in the elderly.
- This technique minimizes disturbance to pulmonary and mental functions.
- It allows for effective postoperative pain control and facilitates early patient mobilization.