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[Anesthesia in the elderly patient. Our experience]

E Adducci1, G De Cosmo, F Onorati

  • 1Facoltà di Medicina e Chirurgia, Istituto di Anestesiologia e Rianimazione, Università Cattolica del Sacro Cuore, Roma.

Minerva Anestesiologica
|July 1, 1993
PubMed
Summary

Elderly patients over 80 can undergo major surgery, as age is not an absolute contraindication. Careful preoperative evaluation and management of physiological changes are crucial for successful surgical outcomes in older adults.

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Area of Science:

  • Geriatric Surgery
  • Anesthesiology
  • Surgical Risk Factors

Context:

  • Focuses on patients over 80 years old undergoing general surgical operations.
  • Evaluates risk factors associated with surgery in the elderly population.
  • Addresses the challenges of coexisting cardiovascular and respiratory diseases in 68% of patients.

Purpose:

  • To assess the feasibility and safety of major surgery in patients over 80.
  • To identify key risk factors influencing surgical outcomes in the elderly.
  • To determine if advanced age is an absolute contraindication for surgical procedures.

Summary:

  • A study involving 435 patients over 80 evaluated surgical risks.
  • Preoperative optimization of malnutrition, dehydration, and organ function was key.

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  • Adequate anesthesiology management helped contain postoperative morbidity and mortality.
  • Impact:

    • Demonstrates that elderly age, while a risk factor, is not an absolute contraindication to major surgery.
    • Highlights the importance of evaluating age-related physiological changes for surgical planning.
    • Suggests that with proper management, surgical outcomes in the elderly can be improved.