Anesthetic management of a “Supercentenarian” (Oldest living person on Earth) posted for an emergency surgery
With the rise in living standards and evolution of science, there is a rise in life expectancy world over. This demographic transition has led to a rise in older persons, increasing the dependency ratios and “demographic burden.” Management of such old patients requires special considerations and un...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2020-01-01
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| Series: | Saudi Journal of Anaesthesia |
| Subjects: | |
| Online Access: | http://www.saudija.org/article.asp?issn=1658-354X;year=2020;volume=14;issue=4;spage=531;epage=534;aulast=Sharma |
| _version_ | 1819011815931117568 |
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| author | Ram M Sharma Anurag Garg Badal Parikh |
| author_facet | Ram M Sharma Anurag Garg Badal Parikh |
| author_sort | Ram M Sharma |
| collection | DOAJ |
| description | With the rise in living standards and evolution of science, there is a rise in life expectancy world over. This demographic transition has led to a rise in older persons, increasing the dependency ratios and “demographic burden.” Management of such old patients requires special considerations and understanding as aging is a physiological phenomenon in which the functional capacity of organs decreases due to degenerative changes in the structure. An important aspect to remember in Geriatric Anesthesia is that in spite of adequate compensatory mechanisms for age-related changes, there is a limitation of physiological reserve, especially in stressful circumstances like perioperative period. Geriatric patients are more sensitive to all medications and anesthetic agents. Lesser amount of drug is required to achieve the desired clinical effect, but have a prolonged effect. This elderly but well-preserved patient, possibly a case of small gut obstruction was posted for emergency laparoscopy and proceed. Seeing his age and easy friability, a well-planned preoperative assessment and optimization was done prior to wheeling him into operation theater. Administration of short-acting anesthetic drugs in titrated quantities and awareness about postoperative cognitive dysfunction (POCD) helped us to get better and faster recovery in the patient. |
| first_indexed | 2024-12-21T01:34:10Z |
| format | Article |
| id | doaj.art-6a170adaec18467ca0d98e7f7f912565 |
| institution | Directory Open Access Journal |
| issn | 1658-354X |
| language | English |
| last_indexed | 2024-12-21T01:34:10Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Saudi Journal of Anaesthesia |
| spelling | doaj.art-6a170adaec18467ca0d98e7f7f9125652022-12-21T19:20:17ZengWolters Kluwer Medknow PublicationsSaudi Journal of Anaesthesia1658-354X2020-01-0114453153410.4103/sja.SJA_85_20Anesthetic management of a “Supercentenarian” (Oldest living person on Earth) posted for an emergency surgeryRam M SharmaAnurag GargBadal ParikhWith the rise in living standards and evolution of science, there is a rise in life expectancy world over. This demographic transition has led to a rise in older persons, increasing the dependency ratios and “demographic burden.” Management of such old patients requires special considerations and understanding as aging is a physiological phenomenon in which the functional capacity of organs decreases due to degenerative changes in the structure. An important aspect to remember in Geriatric Anesthesia is that in spite of adequate compensatory mechanisms for age-related changes, there is a limitation of physiological reserve, especially in stressful circumstances like perioperative period. Geriatric patients are more sensitive to all medications and anesthetic agents. Lesser amount of drug is required to achieve the desired clinical effect, but have a prolonged effect. This elderly but well-preserved patient, possibly a case of small gut obstruction was posted for emergency laparoscopy and proceed. Seeing his age and easy friability, a well-planned preoperative assessment and optimization was done prior to wheeling him into operation theater. Administration of short-acting anesthetic drugs in titrated quantities and awareness about postoperative cognitive dysfunction (POCD) helped us to get better and faster recovery in the patient.http://www.saudija.org/article.asp?issn=1658-354X;year=2020;volume=14;issue=4;spage=531;epage=534;aulast=Sharmaaging; geriatric anesthesia; physiological reserve; supercentenarian |
| spellingShingle | Ram M Sharma Anurag Garg Badal Parikh Anesthetic management of a “Supercentenarian” (Oldest living person on Earth) posted for an emergency surgery Saudi Journal of Anaesthesia aging; geriatric anesthesia; physiological reserve; supercentenarian |
| title | Anesthetic management of a “Supercentenarian” (Oldest living person on Earth) posted for an emergency surgery |
| title_full | Anesthetic management of a “Supercentenarian” (Oldest living person on Earth) posted for an emergency surgery |
| title_fullStr | Anesthetic management of a “Supercentenarian” (Oldest living person on Earth) posted for an emergency surgery |
| title_full_unstemmed | Anesthetic management of a “Supercentenarian” (Oldest living person on Earth) posted for an emergency surgery |
| title_short | Anesthetic management of a “Supercentenarian” (Oldest living person on Earth) posted for an emergency surgery |
| title_sort | anesthetic management of a supercentenarian oldest living person on earth posted for an emergency surgery |
| topic | aging; geriatric anesthesia; physiological reserve; supercentenarian |
| url | http://www.saudija.org/article.asp?issn=1658-354X;year=2020;volume=14;issue=4;spage=531;epage=534;aulast=Sharma |
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