Skip to main content

Anesthésie et suites postopératoires immédiates en orthopédie-traumatologie de la personne âgée fragile

  • Chapter
Orthopédie-traumatologie de la personne âgée fragile

Part of the book series: Approche pratique en orthopédie - traumatologie ((APPRPRAT))

  • 764 Accesses

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Références

  1. Cohendy R, Brougere A, Cuvillon P (2005) Anaesthesia in the older patient. Curr Opin Clin Nutr Metab Care 8: 17–21

    Article  PubMed  CAS  Google Scholar 

  2. 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

    Article  PubMed  Google Scholar 

  3. 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

    Article  PubMed  Google Scholar 

  4. 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

    Article  PubMed  CAS  Google Scholar 

  5. Jin F, Chung F (2001) Minimizing perioperative adverse events in the elderly. Br J Anaesth 87: 608–24

    Article  PubMed  CAS  Google Scholar 

  6. 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

    Article  PubMed  CAS  Google Scholar 

  7. 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

    Article  PubMed  Google Scholar 

  8. Sutcliffe AJ, Parker M (1994) Mortality after spinal and general anaesthesia for surgical fixation of hip fractures. Anaesthesia 49: 237–40

    Article  PubMed  CAS  Google Scholar 

  9. Spahn DR, Zollinger A, Schlumpf RB, et al. (1996) Hemodilution tolerance in elderly patients without known cardiac disease. Anesth Analg 82: 681–6

    PubMed  CAS  Google Scholar 

  10. 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

    Article  PubMed  CAS  Google Scholar 

  11. 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.

    CAS  Google Scholar 

  12. 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

    Article  PubMed  CAS  Google Scholar 

  13. 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

    Google Scholar 

  14. Aubrun F, Monsel S, Langeron O, et al. (2002) Postoperative titration of intravenous morphine in the elderly patient. Anesthesiology 96: 17–23

    Article  PubMed  CAS  Google Scholar 

  15. Aubrun F, Bunge D, Langeron O, et al. (2003) Postoperative morphine consumption in the elderly patient. Anesthesiology 99: 160–5

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to J-É Bazin .

Editor information

Sylvain Terver Frédéric Martins-Condé Bernard Leblanc

Rights and permissions

Reprints 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

Publish with us

Policies and ethics