Surgical Consideration Elderly Flashcards
(28 cards)
Accurate predictor of post operative mortality and morbidity
Physiologic age
Accurate marker of physiological reserves
Chronologic age
One of the most common procedure performed in older pxs
Emergency hernia repair
How do you assess comorbidity
Charlson comorbidity index
What do you assess in fraility and disability
Cognition Albumin History of falls Hematocrit level Dependence
Most common indication for surgical and intervention in the elderly
Biliary tract disease
Leading cause of perioperative complication and death
Cardiac complication
Aging causes a decrease of CO by how many
1%
Important predictor of surgical outxomrs and cardiac complication
CHF
Major source of mortality and morbidity
Decline in FEV1
Pulmonary complication
What is the percentage of post op complication of pulmonary
50%
Risk factors of pulmonary complication
Smoking history
Presence of shortness of breath
Clinical evidence of COPD
If abnormal abg, what can you do
Bronchodilators/incentive spirometry
Regional anesthesia instead of general
Routinely done to asses renal complication
Routine electrolyte determination and urinalysis preoperative
Most common cormorbidity
Maintained patient on NPO
PEM
Marker for PEM
Hypoalbuminemia
Main treatment of breast cancer
Surgery
Breast conservation wasnt effective with RT, what do you do
Mastectomy without axillary node dissection
Leading cause of cancer relates death in the US
Lung cancer
This lung cancer is common among elderly
Squamous cell cancer
Most common type of trauma among elderly
Blunt trauma
Falls are due to what
Postural htn
Dysrhythmias
Polypharmacy
This can reduces post op complication of atelectasis, ileus and wound infection
Laparoscopy
Minimally invasive treatment for aortic aneurysm
Grady introduced via femoral artery
EVARt
