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Die Operation des älteren Menschen aus internistischer Sicht

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Internistische Geriatrie

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Zusammenfassung

Fortschritte in der Narkose- und in der Operationstechnik machen immer aggressivere Operationen an immer äheren Patienten möghch und erfordern ein ständig neues Überdenken der Operationsrisken nicht nur aus chirurgischmethodischer, sondern auch aus internistischer Sicht. Die Fragen, die vor einer Operation an den Internisten gerichtet werden, betreffen im wesenthchen die zu erwartenden Risken, aber auch die zu wählenden prophylaktischen Maßnahmen (Goldman 1983):

  1. 1.

    Welches nicht-operative Risiko ist zu erwarten?

  2. 2.

    Welche Komplikationen sind bei dem jeweiligen Patienten zu erwarten?

  3. 3.

    Welche Vorsorge kann getroffen werden, um das individuelle Risiko zu begrenzen?

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Literatur

  • Beringer, A., Mösslacher, H., Tragi, K. H.: Grundlagen zur Diabetesteinstellung zu dringhchen und geplanten Operationen. Wien. Klin. Wschr. 80: 573–577 (1968).

    PubMed  CAS  Google Scholar 

  • Clayton, J. K., Anderson, J. A., McNicol, G. P.: Preoperative prediction of postoperative deep vein thrombosis. Brit. Med. J. 2: 910–912 (1976).

    Article  PubMed  CAS  Google Scholar 

  • Cooperman, L. H., Price, H. L.: Puhnonary edema in the operative and postoperative period: a review of 40 cases. Ann. Surg. 172: 883–891 (1970).

    Article  PubMed  CAS  Google Scholar 

  • Crandon, A. J., Peel, K. R., Anderson, J. A., Thompson, V., McNicol, G. P.: Prophylaxis of postoperative deep vein thrombosis: selective use of low-dose heparin in high-risk patients. Brit. Med. J. 281: 245–247 (1980).

    Google Scholar 

  • Djokovic, J. L., Hedley-Whyte, J.: Prediction of outcome of surgery and anestesia in patients over 80. J.A.M.A. 242: 2301–2306 (1979).

    Article  PubMed  CAS  Google Scholar 

  • Fenech, A., Winter, J. H., Bennett, B., Smith, F. W., Douglas, A. S.: Preoperative frequency of deep vein thrombosis in patients with fractured neck of femur. Lancet i: 1212 (1981).

    Article  Google Scholar 

  • Goldhaber, S. Z., Hennekens, C. H.: Time trends in hospitals mortality and diagnosis of pulmonary embolism. Am. Heart J. 104: 305 (1982).

    Article  PubMed  CAS  Google Scholar 

  • Goldman, L., Caldera, D. L., Nussbaum, S. R., Southwick, F. S., Krogstad, D., Murray, B., Burke, D. S., O’Malley, T. A., Goroll, A.H., Caplan, C. H., Nolan, J., Carabello, B., Slater, E. E.: Multifactorial index of cardiac risk in noncardiac surgical procedures. New Engl. J. Med. 297: 845–850 (1977).

    Article  PubMed  CAS  Google Scholar 

  • Goldman, L.: Supraventricular tachycardias in hospitalized aduhs after surgery. Clinical correlates in patients over 40 years of age after major noncardiac surgery. Chest 73: 450–454 (1978a).

    Article  PubMed  CAS  Google Scholar 

  • Goldman, L., Caldera, D. L., Southwick, F. S., Nussbaum, S. R., Murray, B., O’Malley, T. A., Goroll, A. H., Caplan, C. H., Nolan, J., Burke, D.S., Krogstad, D., Carabello, B., Slater, E.E.: Cardiac risk factors and complications in non-cardiac surgery. Medicine 57: 357–370 (1978b).

    Article  PubMed  Google Scholar 

  • Goldman, L., Caldera, D. L.: Risks of general anesthesia and elective operation in the hypertensive patient. Anesthesiology 50: 285–292 (1979).

    Article  PubMed  CAS  Google Scholar 

  • Goldman, L.: Cardiac risks and complications of noncardiac surgery. Ann. Int. Med. 98: 504–513 (1983).

    PubMed  CAS  Google Scholar 

  • Gore, J. M., Applebaum, J. S., Greene, H. L., Dexter, L., Dalen, J. E.: Occult cancer in patients with acute pulmonary embolism. Ann. Int. Med. 96: 556–560 (1982).

    PubMed  Google Scholar 

  • Greenburg, A. G., Saik, R. P., Coyle, J. J., Peskin, G. W.: Mortahty and gastrointestinal surgery in the aged. Arch. Surg. 116: 788–791 (1981).

    Article  PubMed  CAS  Google Scholar 

  • Hickey, W. F., Gamick, M. B., Henderson, I. C., Dawson, D. M.: Primary cerebral venous thrombosis in patients with cancer — a rarely diagnosed paraneoplastic syndrome. Am. J. Med. 73:740–750 (1982).

    Article  PubMed  CAS  Google Scholar 

  • Kakkar, V. V., Stamatakis, J. D., Bentley, P. G., Lawrence, D., deHaas, H. A., Ward, V. P.: Prophylaxis for postoperative deep-vein thrombosis: synergistic effect of heparin and dihydroergotamine. J.A.M.A. 241: 39–42 (1979).

    Article  PubMed  CAS  Google Scholar 

  • Kasimis, B. S., Spiers, A. S. D.: Thrombotic complications in patients with advanced prostatic cancer treated with chemotherapy. Lancet i: 159 (1979).

    Article  Google Scholar 

  • Katlic, M. R.: Surgery in Centenarians. J.A.M.A. 253: 3139–3141 (1985).

    Article  PubMed  CAS  Google Scholar 

  • Kopriva, C. J., Brown, A. C. D., Pappas, G.: Hemodynamics during general anesthesia in patients receiving propranolol. Anesthesiology 48: 28–33 (1978).

    Article  PubMed  CAS  Google Scholar 

  • Lowe, G. D. O., Osbome, D. H., McArdle, B. M., Smith, A., Carter, D. C., Forbes, C. D., McLaren, D., Prentice, C. R. M.: Prediction and selective prophylaxis of venous thrombosis in elective gastrointestinal surgery. Lancet i: 409–412 (1982).

    Article  Google Scholar 

  • Marx, G. F., Mateo, C. V., Orkin, L. R.: Computer analysis of postanesthetic deaths. Anesthesiology 39: 54–58 (1973).

    Article  PubMed  CAS  Google Scholar 

  • Mauney, F. M., Ebert, P. A., Sabiston, D. C.: Postoperative myocardial infarction: A study of predisposing factors, diagnosis and mortality in a high risk group of surgical patients. Ann. Surg. 172:497–503(1970).

    Google Scholar 

  • Möhr, D. N.: Estimation of surgical risk in the elderiy. J. Am. Geriatr. Soc. 31: 99–102 (1983).

    PubMed  Google Scholar 

  • Owens, W. D., Felts, J. A., Spitznagel, E. L.: ASA physical status classification: A study of consistency of ratings. Anesthesiology 49: 239–243 (1978).

    Article  PubMed  CAS  Google Scholar 

  • Pastore, J. A., Yurchak, P. M., Janis, K. M., Murphy, J. D., Zir, L. M.: The risk of advanced heart block in surgical patients with right bundle branch block and left axis deviation. Circulation 57: 677–680 (1978).

    PubMed  CAS  Google Scholar 

  • Ruckley, C. V., Thurston, C.: Pulmonary embolism in surgical patients: 1959–1979. Brit. Med. J. 284: 1100–1102 (1982).

    Article  CAS  Google Scholar 

  • Sack, G. H., Levin, J., Bell, W. R.: Trousseau’s syndrome and other manifestations of chronic disseminated coagulopathy in patients with neoplasms: clinical, pathophysiologic, and therapeutic features. Medicine 56: 1–37 (1977).

    PubMed  Google Scholar 

  • Schaefer, P., Meyer-Erkelenz, J. D., Effert, S.: Lungenfunktion und Operabilität. Dtsch. Med. Wschr. 103: 123–129 (1978).

    Article  PubMed  CAS  Google Scholar 

  • Seizes, A., Walter, R. M.: Adequacy of preoperative digitalis therapy in controlling ventricular rate in postoperative atrial fibrillation. Circulation 34: 119–122 (1966).

    Google Scholar 

  • Smulyan, H., Weinberg, S. E., Howanitz, P. J.: Continuous propranolol infusion following abdominal surgery. J.A.M.A. 247: 2539–2542 (1982).

    Article  PubMed  CAS  Google Scholar 

  • Stamatakis, J. D., Kakkar, V. V., Sagar, S., Lawrence, D., Nairn, D., Bentley, P. G.: Femoral vein thrombosis and total hip replacement. Brit. Med. J. 2: 223–225 (1977).

    Article  PubMed  CAS  Google Scholar 

  • Steen, P. A., Tinker, J. H., Tarhan, S.: Myocardial reinfarction after anesthesia and surgery. J.A.M.A. 239: 2566–2570 (1978).

    Article  PubMed  CAS  Google Scholar 

  • van de Loo, J.: Internistische Maßnahmen vor Operationen alter Menschen. In: Der alte Mensch in der Chirurgie (Rehn, J., Hrsg.), S. 2–7. Berlin-Heidelberg-New York: Springer 1979.

    Chapter  Google Scholar 

  • Wells, P. H., Kaplan, J. A.: Optimal management of patients with ischemic heart disease for noncardiac surgery by complementary anesthesiologist and cardiologist interaction. Am. Heart J. 102: 1029–1037(1981).

    Google Scholar 

  • Ziegler, C. H., Lovette, J. B.: Operative comphcations after therapy with reserpine and reserpine compounds. J.A.M.A. 176: 916–919 (1961).

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. I. Medizinischen Abteilung, Kaiser-Franz-Joseph-Spitals, Wien, Österreich

    Prof. Dr. Karl Heinz Tragl (Vorstand)

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  1. Prof. Dr. Karl Heinz Tragl
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© 1986 Springer-Verlag/Wien

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Tragl, K.H. (1986). Die Operation des älteren Menschen aus internistischer Sicht. In: Internistische Geriatrie. Springer, Vienna. https://doi.org/10.1007/978-3-7091-8839-2_13

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  • DOI: https://doi.org/10.1007/978-3-7091-8839-2_13

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-211-81904-3

  • Online ISBN: 978-3-7091-8839-2

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