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老年患者的麻醉注意事项

Anesthetic considerations for the geriatric patient.

作者信息

Paddleford R R

机构信息

Department of Urban Practice, University of Tennessee College of Veterinary Medicine, Knoxville.

出版信息

Vet Clin North Am Small Anim Pract. 1989 Jan;19(1):13-31. doi: 10.1016/s0195-5616(89)50002-0.

Abstract

The geriatric patient presents an anesthetic challenge due to the physiologic alterations that occur during aging. The geriatric patient usually has an increased number of disease processes and does not possess the functional organ reserve capabilities compared to a younger patient. The geriatric patient seems more susceptible to the cardiopulmonary depressant effects of the preanesthetic and anesthetic agents in common use and, due to decreased hepatic function and other factors, may have a delayed recovery from these drugs. The preanesthetic and anesthetic drugs chosen for a geriatric patient will depend on that particular patient's physiologic status, the procedure to be done, and the experience of the veterinarian. Adequate fluid and monitoring support should always be provided for the geriatric patient.

摘要

由于衰老过程中发生的生理变化,老年患者面临麻醉挑战。与年轻患者相比,老年患者通常疾病进程更多,且不具备器官功能储备能力。老年患者似乎对常用的麻醉前用药和麻醉药的心肺抑制作用更敏感,并且由于肝功能下降和其他因素,这些药物的恢复可能会延迟。为老年患者选择的麻醉前用药和麻醉药将取决于该特定患者的生理状况、要进行的手术以及兽医的经验。应为老年患者始终提供充足的液体和监测支持。

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