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Intensive therapy of elderly patients in neurosurgery. Specifics of the postoperative phase in advanced age

Laumer, R.; Fahlbusch, R.; Brüstle, O.

Fortschritte der Medizin 110(13): 241-244

1992

ISSN/ISBN: 0015-8178
PMID: 1612544
Document Number: 393750
Postoperative intensive care of the elderly neurosurgical patient differs considerably from that of the younger patient. Analysis of 106 patients aged between 68 and 92 years. In addition to the cardiopulmonary risk factors, the age-specific changes in the brain have an effect on the spectrum of postoperative complications. Age-related atrophy of the brain and in increase in the fragility of blood vessels due to degenerative processes increase the risk of subdural and intracerebral hemorrhage. The amount of time spent in the intensive care unit as a percentage of overall hospitalization is, at 50%, appreciably greater than that of younger patients. Intensive monitoring, including intracranial pressure and transcranial Doppler ultrasonography are useful for detecting intracranial complications at an early stage. Despite the appreciably greater duration of postoperative intensive care in the elderly, the overall outcome is comparable with that seen in younger patients in many neurosurgical conditions.

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La Rosa, I.; Orsi, P.; Profili, G.; Rosa, G. 1991: Sedation with fentanyl in postoperative intensive care in neurosurgery: propofol and isoflurane as possible alternatives Minerva Anestesiologica 57(10): 1002-1003
Bellotti, R.; Tauriello, A.; Alzetta, A. 1978: Preliminary results of polychemiotherapy and immunostimulant treatment with Corynebacterium parvum in tumors of the breast in the postoperative phase and advanced phase Minerva Medica 69(21): 1443-1454
Erivantsev, N.A. 1974: Peculiarities of general anesthesia and intensive therapy in elderly patients Akusherstvo i Ginekologiia 9: 56-60
Rasstrigin, N.N.; Proshina, I.V.; Il'ina, L.V. 1985: Complex intensive therapy of postoperative paralytic ileus in obstetrical and gynecological patients Anesteziologiia i Reanimatologiia 1: 38-41
Kunisaki, C.; Imada, T.; Yamada, R.; Hatori, S.; Ono, H.; Otsuka, Y.; Matsuda, G.; Nomura, M.; Akiyama, H.; Kubo, A.; Shimada, H. 2005: Phase II study of docetaxel plus cisplatin as a second-line combined therapy in patients with advanced gastric carcinoma Anticancer Research 25(4): 2973-2977
Zhao, Q.; Li, Y.; Yu, B.; Yang, P.G.; Fan, L.Q.; Tan, B.B.; Tian, Y.; Yang, A.B. 2018: Effect of postoperative precision nutrition therapy on postoperative recovery for advanced gastric cancer after neoadjuvant chemotherapy Zhonghua Zhong Liu Za Zhi 40(2): 127-132
Acaroglu, R.; Kaya, H.; Sendir, M.; Tosun, K.; Turan, Y. 2008: Levels of anxiety and ways of coping of family members of patients hospitalized in the Neurosurgery Intensive Care Unit Neurosciences 13(1): 41-45
Wadler, S.; Atkins, M.; Karp, D.; Neuberg, D.; Haynes, H.; Dutcher, J.P. 1998: Clinical trial of weekly intensive therapy with 5-fluorouracil on two different schedules combined with interferon alpha-2a and filgrastim in patients with advanced solid tumors: Eastern Cooperative Oncology Group Study P-Z991 Cancer Journal From Scientific American 4(4): 261-268
Miyake, S.; Tanigawa, M.; Manabe, T.; Asano, T.; Niimi, H.; Kamata, I. 1985: Clinical experience of latamoxef in the field of neurosurgery on the penetration into the cerebrospinal fluid in the patients with postoperative meningitis Japanese Journal of Antibiotics 38(12): 3464-3470
Zhilin, I.N. 1983: Use of membrane air oxygenators in pulmonary surgery and postoperative intensive therapy Grudnaia Khirurgiia 1: 55-59
Gologorskiĭ, V.A.; Gel'fand, B.R.; Novozhilov, V.A.; Klimova, S.P.; Kukhareva, N.S. 1977: Evaluation of prophylactic digitalization in the complex of pre- and postoperative intensive therapy Anesteziologiia i Reanimatologiia 3: 39-43
Foggi, P.; Amodio, A. 2003: Molecular therapy of breast carcinoma in the advanced phase Tumori 89(4 Suppl): 189-191
Rolović, M.; Jorgacević, D.; Calić-Perisić, N.; Kanjuh, V.; Jerotić, R.; Marenić, S. 1971: Dermatomyositis in childhood. Diagnostic criteria and importance of intensive therapy in the acute phase of the disease Srpski Arhiv Za Celokupno Lekarstvo 99(1): 83-91
Beliakov, V.A.; Bugrova, K.P.; Vazina, I.R.; Maksimov, G.A.; Chachko, M.P. 1981: Postoperative complications and methods of intensive therapy of severe cranio-cerebral trauma Vestnik Khirurgii Imeni I. I. Grekova 126(1): 93-98
De Rooij, S.E.J.A.; Abu-Hanna, A.; Levi, M.; de Jonge, E. 2005: Admission of elderly patients to intensive care Nederlands Tijdschrift Voor Geneeskunde 149(40): 2215-2220
Conti, M.; Merlani, P.; Eckert, P. 2009: Elderly patients in the intensive care unit Revue Medicale Suisse 5(229): 2494-2498
Khomenko, A.G.; Punga, V.V.; Grishina, T.A.; Stoiunin, M.B.; Danilova, I.D.; Rybka, L.N. 1996: Chemotherapy effectiveness of tuberculosis patients in intensive phase (2-3 months) Problemy Tuberkuleza 5: 13-16
Nagata, N.; Kimura, M.; Hirabayashi, N.; Tuburaya, A.; Murata, T.; Kondo, K.; Fukuda, Y.; Kobayashi, M.; Miyashita, Y.; Nakao, A.; Sakamoto, J. 2008: Phase Ii study of weekly paclitaxel and cisplatin combination therapy for advanced or recurrent gastric cancer Hepato-Gastroenterology 55(86-87): 1846-1850
Sato, Y.; Kondo, M.; Takahashi, M.; Une, Y.; Homma, S.; Shoumura, H.; Maeda, Y.; Oshima, T.; Kohashi, S.; Nakano, S.; Todo, S. 2007: A phase i study of postoperative combination therapy with TS-1 and low dose cisplatin against stage IV gastric carcinoma Gan to Kagaku Ryoho. Cancer and ChemoTherapy 34(4): 563-567
De Gialluly, E.; Rapin, M. 1985: Nutrition of intensive care patients. Metabolic aspects in the acute phase Annales de Gastroenterologie et d'Hepatologie 21(5): 307-310