Résumé
Conséquence logique du vieillissement de la population, le nombre d’anesthésies réalisées chez des patients très âgés et fragiles ne fait qu’augmenter. La réalisation d’actes anesthésiques dans cette population représente un challenge devenu quotidien, tentant de concilier performance d’un geste chirurgical, dont le bénéfice doit être très soigneusement pesé en termes de qualité de vie au-delà de l’hospitalisation, et anesthésie à haut risque.
Preview
Unable to display preview. Download preview PDF.
Références
Cohendy R, Brougere A, Cuvillon P (2005) Anaesthesia in the older patient. Curr Opin Clin Nutr Metab Care 8: 17–21
Fong H, Sands LP, Leug JM (2006) The role of postoperative analgesia in delirium and cognitive decline in elderly patients: a systematic review. Anesth Analg 102: 1255–66
Turrentine FE, Wang H, Simpson VB, Jones RS (2006) Surgical risk factors, morbidity, and mortality in elderly patients. J Am Coll Surg 203: 865–77
Hood DB, Weaver FA, Papanicolaou G, et al. (1996) Cardiac evaluation of the diabetic patient prior to peripheral vascular surgery. Ann Vasc Surg 10: 330–5
Jin F, Chung F (2001) Minimizing perioperative adverse events in the elderly. Br J Anaesth 87: 608–24
Lee TH, Marcantonio ER, Mangione CM, et al. (1999) Derivation and prospective validation of a simple index for prediction of cardiac risk of major non cardiac surgery. Circulation 100: 1043–9
Mantilla CB, Horlocker TT, Schroeder DR, et al. (2002) Frequency of myocardial infarction, pulmonary embolism, deep venous thrombosis, and death following primary hip or knee arthroplasty. Anesthesiology 96: 1140–6
Sutcliffe AJ, Parker M (1994) Mortality after spinal and general anaesthesia for surgical fixation of hip fractures. Anaesthesia 49: 237–40
Spahn DR, Zollinger A, Schlumpf RB, et al. (1996) Hemodilution tolerance in elderly patients without known cardiac disease. Anesth Analg 82: 681–6
Moller JT, Cluitmans P, Rasmussen LS, et al. (1998) Long-term postoperative cognitive dysfunction in the elderly: ISPOCD 1 study. Lancet 351(9117): 857-61
Carson JL, Terrin ML, Barton FB, et al. (1998) A pilot randomized trial comparing symptomatic vs. haemoglobin-level-driven red blood cell transfusions following hip fracture. Transfusion 38: 522–9.
Geerts WH, Bergqvist D, Pineo GF, et al. (2008): Prevention of venous thromboembolism: American College of Chest Physicians Evidence based Clinical Practice Guidelines (8th Ed). Chest 133: 381S–453S
Wary B, Serbouti S, et le collectif Doloplus C (2001) DOLOPLUS. Validation d’une échelle comportementale de la douleur chez la personne âgée. Douleurs 2: 35–8
Aubrun F, Monsel S, Langeron O, et al. (2002) Postoperative titration of intravenous morphine in the elderly patient. Anesthesiology 96: 17–23
Aubrun F, Bunge D, Langeron O, et al. (2003) Postoperative morphine consumption in the elderly patient. Anesthesiology 99: 160–5
Author information
Authors and Affiliations
Corresponding author
Editor information
Rights and permissions
Copyright information
© 2013 Springer-Verlag Paris
About this chapter
Cite this chapter
Bazin, JÉ. (2013). Anesthésie et suites postopératoires immédiates en orthopédie-traumatologie de la personne âgée fragile. In: Terver, S., Martins-Condé, F., Leblanc, B. (eds) Orthopédie-traumatologie de la personne âgée fragile. Approche pratique en orthopédie - traumatologie. Springer, Paris. https://doi.org/10.1007/978-2-8178-0377-7_7
Download citation
DOI: https://doi.org/10.1007/978-2-8178-0377-7_7
Publisher Name: Springer, Paris
Print ISBN: 978-2-8178-0376-0
Online ISBN: 978-2-8178-0377-7