老年麻醉医生的姑息治疗

Palliative Care for the Geriatric Anesthesiologist.

作者信息

Gustin Allen N, Aslakson Rebecca A

机构信息

Department of Anesthesiology, Stritch School of Medicine, Loyola University Medicine, 2160 South 1st Avenue, Building 103, Room-3102, Chicago, IL 60153, USA.

Department of Anesthesiology and Critical Care Medicine, Palliative Medicine Program at the Kimmel Comprehensive Cancer Center at Johns Hopkins, The Johns Hopkins School of Medicine, 1800 Orleans Street, Meyer 289, Baltimore, MD 21287, USA; Department of Health, Behavior, and Society, The Johns Hopkins Bloomberg School of Public Health, 1800 Orleans Street, Meyer 289, Baltimore, MD 21287, USA.

出版信息

Anesthesiol Clin. 2015 Sep;33(3):591-605. doi: 10.1016/j.anclin.2015.05.013.

DOI:10.1016/j.anclin.2015.05.013

PMID:26315640

Abstract

Many seriously ill geriatric patients are at higher risk for perioperative morbidity and mortality, and incorporating proactive palliative care principles may be appropriate. Advanced care planning is a hallmark of palliative care in that it facilitates alignment of the goals of care between the patient and the health care team. When these goals conflict, perioperative dilemmas can occur. Anesthesiologists must overcome many cultural and religious barriers when managing the care of these patients. Palliative care is gaining ground in several perioperative populations where integration with certain patient groups has occurred. Geriatric anesthesiologists must be aware of how palliative care and hospice influence and enhance the care of elderly patients.

摘要

许多重症老年患者围手术期发病和死亡风险更高，纳入积极的姑息治疗原则可能是合适的。高级护理计划是姑息治疗的一个标志，因为它有助于使患者和医疗团队之间的护理目标保持一致。当这些目标发生冲突时，就会出现围手术期困境。麻醉医生在管理这些患者的护理时必须克服许多文化和宗教障碍。姑息治疗在一些已经与特定患者群体融合的围手术期人群中越来越受到认可。老年麻醉医生必须了解姑息治疗和临终关怀如何影响和加强对老年患者的护理。