麻醉后护理单元中的老年人。
The elderly in the post-anesthesia care unit.
作者信息
Alghamdi Abdulkareem S, Almuzayyen Hisham, Chowdhury Tumul
机构信息
Department of Anesthesiology, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia.
Associate Professor, Staff Anesthesiologist, Toronto Western Hospital, Clinical Investigator, UHN, University of Toronto, Canada.
出版信息
Saudi J Anaesth. 2023 Oct-Dec;17(4):540-549. doi: 10.4103/sja.sja_528_23. Epub 2023 Aug 18.
Abstract
It is increasingly conceivable that elderly patients will be treated in perioperative settings as the world's population shifts toward an older age distribution. They are more prone to a variety of unfavorable outcomes as a consequence of the physiological changes that accompany aging and the coexistence of multiple medical conditions. Postoperative complications in elderly patients are linked to a large increase in morbidity and mortality and the burden placed on the healthcare system. Our goal is to determine how elderly patients' recovery after anesthesia differs from that of younger patients. In addition, we will discuss the main postoperative complications experienced by elderly patients and the measures that are utilized to limit the risk of these complications developing.
摘要
随着世界人口趋向老龄化分布，越来越可以想象老年患者将在围手术期接受治疗。由于衰老伴随的生理变化以及多种疾病并存，他们更容易出现各种不良后果。老年患者术后并发症与发病率和死亡率大幅上升以及医疗保健系统所承受的负担相关。我们的目标是确定老年患者麻醉后的恢复与年轻患者有何不同。此外，我们将讨论老年患者术后主要的并发症以及用于限制这些并发症发生风险的措施。
相似文献
1
The elderly in the post-anesthesia care unit.麻醉后护理单元中的老年人。
Saudi J Anaesth. 2023 Oct-Dec;17(4):540-549. doi: 10.4103/sja.sja_528_23. Epub 2023 Aug 18.
2
Preoperative characterization of baseline EEG recordings for risk stratification of post-anesthesia care unit delirium.术前 EEG 记录特征分析用于麻醉后监护病房谵妄的风险分层。
J Clin Anesth. 2023 Jun;86:111058. doi: 10.1016/j.jclinane.2023.111058. Epub 2023 Jan 25.
3
The Assessment of Immediate Postoperative Delirium in Neurologically Intact Adult Patients Admitted to the Post-anesthesia Care Unit: A Cross-Sectional Study.麻醉后护理单元收治的神经功能正常成年患者术后即刻谵妄的评估：一项横断面研究
Cureus. 2022 Sep 19;14(9):e29312. doi: 10.7759/cureus.29312. eCollection 2022 Sep.
4
Emergence delirium is associated with increased postoperative delirium in elderly: a prospective observational study.术后谵妄与老年患者苏醒期谵妄有关：一项前瞻性观察研究。
J Anesth. 2020 Oct;34(5):675-687. doi: 10.1007/s00540-020-02805-8. Epub 2020 Jun 7.
5
Incidence and risk factors of emergence delirium in elderly patients after general or spinal anesthesia for both elective and emergency surgery.择期和急诊手术的老年患者全身麻醉或脊髓麻醉后出现谵妄的发生率及危险因素。
Ann Med Surg (Lond). 2022 Nov 19;84:104959. doi: 10.1016/j.amsu.2022.104959. eCollection 2022 Dec.
6
Infrared pupillometry helps to detect and predict delirium in the post-anesthesia care unit.红外瞳孔测量法有助于在麻醉后护理单元中检测和预测谵妄。
J Clin Monit Comput. 2018 Apr;32(2):359-368. doi: 10.1007/s10877-017-0009-z. Epub 2017 Mar 8.
7
Incidence of complications in the post-anesthesia care unit and associated healthcare utilization in patients undergoing non-cardiac surgery requiring neuromuscular blockade 2005-2013: A single center study.2005-2013 年非心脏手术患者行肌松阻滞下麻醉后监护室并发症发生率及相关医疗利用情况：一项单中心研究。
J Clin Anesth. 2017 Dec;43:33-38. doi: 10.1016/j.jclinane.2017.09.005. Epub 2017 Sep 30.
8
Inattentive Delirium vs. Disorganized Thinking: A New Axis to Subcategorize PACU Delirium.注意力不集中型谵妄与思维紊乱型谵妄：对术后麻醉恢复室谵妄进行亚分类的新维度。
Front Syst Neurosci. 2018 May 23;12:22. doi: 10.3389/fnsys.2018.00022. eCollection 2018.
9
The effect of desflurane versus propofol anesthesia on postoperative delirium in elderly obese patients undergoing total knee replacement: A randomized, controlled, double-blinded clinical trial.七氟醚与丙泊酚麻醉对老年肥胖患者全膝关节置换术后谵妄的影响：一项随机、对照、双盲临床试验。
J Clin Anesth. 2017 Jun;39:17-22. doi: 10.1016/j.jclinane.2017.03.015. Epub 2017 Mar 14.
10
Inadequate emergence after anesthesia: emergence delirium and hypoactive emergence in the Postanesthesia Care Unit.麻醉后苏醒不充分：麻醉后复苏室中的苏醒谵妄和低活动度苏醒。
J Clin Anesth. 2013 Sep;25(6):439-46. doi: 10.1016/j.jclinane.2013.02.011. Epub 2013 Aug 17.
引用本文的文献
1
A systematic review and meta-analysis of the incidence and predictors of hemodynamic instability among adult surgical patients in the post-anesthetic care unit in Ethiopia.埃塞俄比亚成人外科患者在麻醉后护理单元血流动力学不稳定发生率及预测因素的系统评价与荟萃分析
BMC Surg. 2025 Jul 30;25(1):323. doi: 10.1186/s12893-025-03057-7.
2
Respiratory training reduces postoperative pulmonary complications in elderly gynecological patients undergoing general anesthesia.呼吸训练可降低接受全身麻醉的老年妇科患者术后肺部并发症的发生率。
Am J Transl Res. 2025 Jun 15;17(6):4612-4621. doi: 10.62347/VXSR1449. eCollection 2025.
3
Anesthesia videos in geriatric and elderly patients on YouTube: content, quality, reliability, and usefulness assessment.YouTube 上老年患者的麻醉视频：内容、质量、可靠性及实用性评估
PeerJ. 2025 Apr 17;13:e19280. doi: 10.7717/peerj.19280. eCollection 2025.
本文引用的文献
1
Comparative study lumbar plexus block and lumbar erector spinae plane block for postoperative pain relief after proximal femoral nail for proximal femoral fractures.比较腰丛阻滞与腰竖脊肌平面阻滞对股骨近端骨折行股骨近端髓内钉术后疼痛缓解的效果
Saudi J Anaesth. 2023 Apr-Jun;17(2):147-154. doi: 10.4103/sja.sja_630_22. Epub 2023 Mar 10.
2
Risk factors for acute postoperative hypertension in non-cardiac major surgery: a case control study.非心脏大手术患者术后急性高血压的危险因素：病例对照研究。
BMC Anesthesiol. 2023 May 16;23(1):167. doi: 10.1186/s12871-023-02121-0.
3
Prevalence of Postoperative Atrial Fibrillation Following Off-Pump Coronary Artery Bypass Graft Surgery in Elderly Patients.老年患者非体外循环冠状动脉搭桥术后房颤的患病率
Cureus. 2023 Feb 1;15(2):e34499. doi: 10.7759/cureus.34499. eCollection 2023 Feb.
4
Preoperative inhalation therapy for patients with chronic obstructive pulmonary disease undergoing lung surgery: a retrospective study.慢性阻塞性肺疾病患者肺手术术前吸入治疗的回顾性研究。
J Cardiothorac Surg. 2022 Nov 24;17(1):294. doi: 10.1186/s13019-022-02042-y.
5
Incidence of unplanned intensive care unit admission following surgery and associated factors in Amhara regional state hospitals.术后非计划性重症监护病房收治率及在阿姆哈拉州立医院的相关因素
Sci Rep. 2022 Nov 22;12(1):20121. doi: 10.1038/s41598-022-24571-1.
6
Perioperative Myocardial Injury/Infarction After Non-cardiac Surgery in Elderly Patients.老年患者非心脏手术后的围手术期心肌损伤/梗死
Front Cardiovasc Med. 2022 May 19;9:910879. doi: 10.3389/fcvm.2022.910879. eCollection 2022.
7
Anticholinergic Drug Exposure Increases the Risk of Delirium in Older Patients Undergoing Elective Surgery.抗胆碱能药物暴露增加择期手术老年患者谵妄风险。
Front Med (Lausanne). 2022 May 6;9:871229. doi: 10.3389/fmed.2022.871229. eCollection 2022.
8
Postoperative pulmonary complications with adjuvant regional anesthesia versus general anesthesia alone: a sub-analysis of the Perioperative Research Network study.辅助区域麻醉与单纯全身麻醉术后肺部并发症比较：围手术期研究网络研究的亚分析。
BMC Anesthesiol. 2022 May 3;22(1):136. doi: 10.1186/s12871-022-01679-5.
9
Risk Factors for Post-operative Planned Reintubation in Patients After General Anesthesia: A Systematic Review and Meta-Analysis.全身麻醉后患者术后计划再次插管的危险因素：一项系统评价和荟萃分析
Front Med (Lausanne). 2022 Mar 9;9:839070. doi: 10.3389/fmed.2022.839070. eCollection 2022.
10
Perioperative Multimodal Pain Management Approach in Older Adults With Polytrauma.老年多发伤患者围手术期多模式疼痛管理方法
J Surg Res. 2022 Jul;275:96-102. doi: 10.1016/j.jss.2021.12.028. Epub 2022 Mar 5.
Zotero 插件