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Outcomes of the Extreme Elderly Undergoing Anaesthesia and Surgery Amongst Southeast Asians

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Publisher Wiley
Specialty Anesthesiology
Date 2020 Apr 16
PMID 32292478
Citations 1
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Abstract

Results: Sixty-two patients were identified. The mean age is 93.6 years. Majority were ASA 2 and ASA 3 patients. The most common type of surgery performed was orthopaedic, followed by vascular and urologic. Seven of the 62 patients required re-operations. Regional was the predominant anaesthetic technique employed, followed by general anaesthesia. Intraoperative hypotension was seen in 16 of the patients, all of whom recovered uneventfully. Hypothermia, desaturation, and hypertension were the top three complications observed in the recovery. Seventeen patients were admitted to a high-dependency facility postoperatively. The mean length of stay was 13.7 days. The 30-day mortality was 1.6 percent.

Conclusions: We have provided a snapshot of very elderly patients coming for surgery. The results show that this group of elderly patients do well postoperatively with relatively low complication and 30-day mortality rates. The outcomes presented can be used as a guide for risk counseling in the perioperative period.

Citing Articles

Reported definitions of intraoperative hypotension in adults undergoing non-cardiac surgery under general anaesthesia: a review.

Weinberg L, Li S, Louis M, Karp J, Poci N, Carp B BMC Anesthesiol. 2022; 22(1):69.

PMID: 35277122 PMC: 8915500. DOI: 10.1186/s12871-022-01605-9.

References
1.
Shah K, Kleinman B, Sami H, Patel J, Rao T . Reevaluation of perioperative myocardial infarction in patients with prior myocardial infarction undergoing noncardiac operations. Anesth Analg. 1990; 71(3):231-5. DOI: 10.1213/00000539-199009000-00003. View

2.
Moller J, Cluitmans P, Rasmussen L, Houx P, Rasmussen H, Canet J . Long-term postoperative cognitive dysfunction in the elderly ISPOCD1 study. ISPOCD investigators. International Study of Post-Operative Cognitive Dysfunction. Lancet. 1998; 351(9106):857-61. DOI: 10.1016/s0140-6736(97)07382-0. View

3.
Konttinen N, Rosenberg P . Outcome after anaesthesia and emergency surgery in patients over 100 years old. Acta Anaesthesiol Scand. 2006; 50(3):283-9. DOI: 10.1111/j.1399-6576.2006.00953.x. View

4.
Badner N, Knill R, Brown J, Novick T, Gelb A . Myocardial infarction after noncardiac surgery. Anesthesiology. 1998; 88(3):572-8. DOI: 10.1097/00000542-199803000-00005. View

5.
Rasmussen L, Steentoft A, Rasmussen H, Kristensen P, Moller J . Benzodiazepines and postoperative cognitive dysfunction in the elderly. ISPOCD Group. International Study of Postoperative Cognitive Dysfunction. Br J Anaesth. 2000; 83(4):585-9. DOI: 10.1093/bja/83.4.585. View