Background: Anesthesia administration in elderly surgical patients presents unique challenges due to age-related physiological changes and comorbidities. Knowing anesthesia-related complications is crucial for optimizing perioperative care in this vulnerable population.
Methods: A retrospective review of electronic medical records was conducted to identify anesthesia-related complications in elderly subjects aged 65 and above undergoing surgery between January 2018 and December 2020. Data collection included demographic characteristics, comorbidities, anesthesia techniques, and postoperative outcomes.
Results: There were a total of 100 elderly patients. Cardiovascular events (35%) were the most common complication, followed by respiratory issues (20%) and adverse drug reactions (15%). Statistical analysis revealed significant associations between cardiovascular events, respiratory issues, adverse drug reactions, and anesthesia.
Conclusion: Anesthesia-related complications pose significant risks in elderly surgical patients. Tailored anesthesia management strategies, including comprehensive preoperative assessment and vigilant intraoperative monitoring, are essential for mitigating perioperative risks and improving outcomes in this vulnerable population.
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http://dx.doi.org/10.4103/jpbs.jpbs_253_24 | DOI Listing |
Eur J Med Res
December 2024
Department of Anesthesiology and Reanimation, Faculty of Medicine, Osmangazi University, Büyükdere Mh, Odunpazarı, 26040, Eskişehir, Turkey.
Background: Ophthalmic procedures are increasingly being performed under regional anesthesia techniques such as peribulbar and incisionless sub-Tenon's blocks. The aim is to compare peribulbar block with incisionless sub-Tenon's block in terms of perioperative complications in patients who underwent cataract and vitreoretinal surgeries.
Methods: The patients who underwent cataract or vitroretinal surgery under peribulbar block or incisionless sub-Tenon's block were included in the study.
Medicine (Baltimore)
December 2024
Department of Anesthesiology, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan Province, China.
Rationale: Sacrococcygeal pilonidal disease (SPD) is a chronic inflammatory condition primarily affecting young males. This case report details the perioperative anesthetic management of a patient undergoing SPD surgery under subarachnoid anesthesia.
Patient Concerns: A 48-year-old obese male (body mass index 28 kg/m2) presented with recurrent sacrococcygeal swelling, pain, and purulent discharge for 2 months.
Laryngoscope
December 2024
Department of Otorhinolaryngology, Selcuk University Faculty of Medicine, Konya, Turkey.
Cureus
November 2024
Ophthalmology, Federal University of Sao Paulo, São Paulo, BRA.
Background: Cataract surgery, particularly phacoemulsification, often requires sedation alongside topical anesthesia to manage patient anxiety and discomfort. This protocol proposes a study comparing the efficacy of ketamine and fentanyl, both combined with benzodiazepine, as sedation options for patients undergoing bilateral phacoemulsification.
Methods: In a randomized, double-blind, crossover clinical trial, at least 48 patients scheduled for bilateral cataract surgery will receive fentanyl with midazolam for one eye and ketamine with midazolam for the other.
Cureus
November 2024
Anesthesiology and Critical Care, Centro Hospitalar Universitário de Santo António, Porto, PRT.
Cystic fibrosis (CF) is a genetic disorder that primarily affects the respiratory and gastrointestinal systems, often leading to significant perioperative challenges due to compromised lung function, recurrent infections, and chronic respiratory failure. Managing anesthesia in patients with CF requires careful consideration, particularly because of the increased risk of respiratory complications with general anesthesia (GA). Neuraxial anesthesia, such as spinal anesthesia, presents an alternative that can reduce the likelihood of postoperative pulmonary issues, including respiratory depression, hypoxemia, and atelectasis.
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