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Related Concept Videos

Restorative Care01:19

Restorative Care

Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
Drug Dosing: Geriatric Patients01:15

Drug Dosing: Geriatric Patients

Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
Acute Respiratory Failure-III01:30

Acute Respiratory Failure-III

Hypercapnic respiratory failure, also known as Type 2 or ventilatory respiratory failure, is a severe condition characterized by the body's inability to effectively remove carbon dioxide (CO2) from the bloodstream. It leads to an arterial CO2 pressure (PaCO2) exceeding 45 mmHg and a blood pH above 7.35. This situation indicates that the body's ventilatory demand, or the ventilation needed to maintain normal PaCO2 levels, surpasses its supply or the maximum gas flow achievable without causing...
Endotracheal Intubation II: Nursing Management01:17

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Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
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Acute Respiratory Failure-II01:21

Acute Respiratory Failure-II

Type I Respiratory Failure, or hypoxemic respiratory failure, occurs when the partial pressure of oxygen (PaO2) in arterial blood falls below 60 mmHg while breathing room air without a corresponding increase in arterial carbon dioxide levels (PaCO2). This condition highlights a significant impairment in the lungs' capacity to oxygenate the blood.
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Acute Respiratory Failure-I01:21

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Acute respiratory failure is a condition characterized by the inability of the lungs to perform their primary function: gas exchange. This failure leads to insufficient oxygen levels (hypoxemia) in the blood, elevated carbon dioxide levels (hypercapnia), or both, causing critical impairment in organ function.
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An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient
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[Elderly patients in the intensive care unit].

Marco Conti1, Paolo Merlani, Philippe Eckert

  • 1Service des soins intensifs, Département d'anesthésie, pharmacologie et soins intensifs, HUG, 1211 Genève 14. marco.conti@hcuge.ch

Revue Medicale Suisse
|January 21, 2010
PubMed
Summary

As populations age, more elderly patients require intensive care. Age alone is insufficient for restricting care; better tools are needed to predict outcomes for older ICU patients.

Area of Science:

  • Gerontology
  • Critical Care Medicine
  • Health Economics

Context:

  • Demographic ageing in Western countries is increasing the elderly population in intensive care units (ICUs).
  • Physicians face complex medical, ethical, and economic decisions regarding elderly patient care policies.
  • Current definitions and thresholds for 'elderly' lack consensus and utility for care restriction.

Purpose:

  • To highlight the need for improved prognostic tools for elderly patients in ICUs.
  • To address the limitations of using age as the sole criterion for care decisions.
  • To emphasize the necessity of specialist input for ICU admission and treatment planning for older adults.

Summary:

  • Elderly patients are a growing demographic in ICUs, presenting significant challenges.

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  • Age-based care restrictions are not supported by long-term survival or quality-of-life data.
  • Improved prognostic tools are essential for triage and during ICU stays, as no current model replaces specialist judgment.

    • Impact:

    • Informs the development of better decision-support tools for managing elderly ICU patients.
    • Promotes evidence-based care policies that consider individual prognosis over age alone.
    • Aims to optimize resource allocation and patient outcomes in critical care settings.