Heppner H J, Singler K, Sieber C, Christ M, Bahrmann P, Mork C
Lehrstuhl für Geriatrie, Universität Witten/Herdecke, Alfred-Herrhausen-Str. 50, 58448, Witten, Deutschland,
Z Gerontol Geriatr. 2014 Feb;47(2):125-30. doi: 10.1007/s00391-013-0597-2.
Demographic change has also caused changes in perioperative intensive care because the proportion of geriatric patients who must undergo surgical procedures is increasing. With the current preoperative assessment instruments, it is still not possible to identify high-risk patients of this collective or to make a reliable prognosis concerning postoperative course.
In addition to pain control, important aspects to minimize complications in postoperative intensive care include adequate oxygenation, adequate fluid management, an adequate supply of energy and nutrients, good control of blood sugar levels, and early mobilization of patients.
The perioperative intensive care treatment of geriatric patients requires the readiness to engage in interdisciplinary collaboration because only with this close dialog can the treatment results be sustained.
人口结构变化也导致了围手术期重症监护的变化，因为必须接受外科手术的老年患者比例正在增加。使用当前的术前评估工具，仍无法识别这一群体中的高危患者，也无法对术后病程做出可靠的预后判断。
除疼痛控制外，在术后重症监护中尽量减少并发症的重要方面包括充分的氧合、适当的液体管理、充足的能量和营养供应、良好的血糖水平控制以及患者的早期活动。
老年患者的围手术期重症监护治疗需要做好跨学科协作的准备，因为只有通过这种密切对话，治疗效果才能得以维持。
