[Pathophysiologic considerations on the problem of anesthesia in the aged].
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Biomedical subjects
Publications and source records attributed to H F Poppelbaum.
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In old age elective surgical procedures may be planned and the patient may be prepared for surgery. Emergency procedures however have a much higher risk. Beyond the 7th decade the mortality rate shows a steep rise and in the 9th decade mortality amounts to about 50%. In cases of intestinal obstruction and peritonitis with preoperative shock the mortality rate even reaches the 90% mark. The duration of surgery is of decisive importance and it should be as short as possible. Having an experienced anaesthetist at the disposal the anaesthetic procedure is of secondary importance only.
Elective surgical procedures in old age can be planned and the patient be prepared for surgery. In contrast to this emergency procedures have a much higher risk. Beyond the 7th decade the mortality rate has a steep increase and in the 9th decade comes to more than 50%. In cases of ileus and peritonitis with preoperative shock the mortality is about 90%. The operation time ist of decisive importance, it should be as short as possible. Having an experience anaesthesiologist at disposal, the used anaesthesiologic method is of less interest.
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