Related Experiment Video
Updated: Feb 19, 2026
05:39
Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
2.5K
Enhanced recovery for thoracic surgery in the elderly
Stephen J Shepherd1, Andrew A Klein2, Guillermo Martinez2
1St. Bartholomew's Hospital, London.
Current Opinion in Anaesthesiology
|November 10, 2017
Summary
Enhanced recovery programs are suitable for elderly patients undergoing thoracic surgery but require individualized approaches. Further research is needed to fully assess their value in modern healthcare settings for improved patient outcomes.
Area of Science:
- Thoracic Surgery
- Geriatric Medicine
- Anesthesiology
Background:
- Increasing surgical workload and patient age in radial pulmonary resections.
- Established enhanced recovery programs (ERPs) in surgery, with growing application in thoracic procedures.
- Need for tailored ERP principles for an aging patient population.
Purpose of the Study:
- To review enhanced recovery program principles for elderly patients undergoing thoracic surgery.
- To discuss the application of ERPs in the context of an increasing elderly population undergoing pulmonary resection.
Main Methods:
- Review of current literature on enhanced recovery programs in thoracic surgery.
- Analysis of outcomes and specific considerations for elderly patients.
- Comparison of anesthetic and analgesic techniques.
Main Results:
- Elderly patients undergoing less extensive resections show comparable outcomes.
- Self-reported quality of life metrics are better outcome indicators than static lung function.
- Hypotension and low anesthetic parameters predict mortality; paravertebral blockade is preferred over epidural anesthesia.
- No robust studies yet exist on integrated ERP efficacy in thoracic surgery.
Conclusions:
- Elderly patients can benefit from enhanced recovery programs.
- ERPs must be individualized to patient circumstances.
- Further research is necessary to evaluate the comprehensive value of ERPs in thoracic surgery for the elderly.
Related Concept Videos
01:26Flail Chest-II
701
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
701
01:27Pneumothorax-II
1.1K
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
1.1K
01:26Endoscopic Studies II: Thoracocentesis
1.6K
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
1.6K
01:23Peripheral Artery Disease V: Postoperative Nursing Management
430
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
430
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management
381
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
381
01:30Pneumonia V: Nursing management and Prevention
3.6K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
3.6K