| Statistical Study of Geriatric Anestheaia - Past 10 years . |
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Hyung Duk Park, Chang Young Jeong |
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Department of Anesthesiology, Chonnam National University Medical School, Kwangju, Korea. |
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| Abstract |
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Nowadays, the increased of number the elderly in the of the population is inevitable due to the development of medical science as to the extension of the average span of the human life as a result of the establishment of the public welfare system thru economic growth. Consequently, the number of old aged patients that we anesthesiologists deal with will be on the increase. We should paricularly take greater care in the anesthesia of elderly patients than we do in case of young patients. The decline in cardiopulmonary, renal, hepatic function and endocrine disease will have a great effect on anesthesia. To take account of this diminished physiologic reserve the anesthesiologist should make a routine examination of the problems in applying an anesthesia to the aged patient with regard to the peculiarity of geratric anesthesia. We have analysed 1,372 cases of geristric anesthesia during 1972~1981 at Chonnam National University Hospital. The results were as follow: 1) A total of 19035 anesthesias were done among them, patients of over 60 years were 1,372(7.2%), of which the number of male patients(63.8%) was 1.8 times greater than that of female patient(36.2%). 2) Among the 1,372 cases, 991 cases were 60~69 year old(72.2%), 335 cases were 70~79 year old (24.4%) and 46 cases were 80 year(3.4%). 3) Emergency versus elective surgical cases were 36.5% versus 63.5%. 4) Inhalation anesthesia was performed in 969 cases(70.6%), spinal anesthesia 360 cases(26.3%) and epidural anesthesia numbered 43 cases(3.1%). 5) Halothane anesthesia was markedly increased after 1979 instead of diethyl ether anesthesia. 6) Halothane in inhalation anesthesia, tetracaine in spinal anesthesia and lidocaine in epidural anesthesia were the major anesthetics. 7) In the evaluation of the preoperative condition for 613 elective surgery cases in the last 5years, 171 cases(27.6%) revealed hypertension, 136 cases(22.3%) showed abnormal chest P=A finding, 127 cases(20.7%) showed an abnormal ECG finding and 17 cases (2.8%) revediabetes mellitus. 8) Total mortality rate was 2.1%. The mortality rate of emergency surgery (4.6%) was about 4 times greater than that of elective surgery(0.7%). |
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