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Journal article

Geriatric care in the surgical intensive care unit

Menaker J, Scalea T ...see all

Critical Care Medicine, vol. 38 (2010) pp. S452-S459

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Abstract

We describe the physiology of aging and its effect on elderly, critically ill, surgical patients. Postoperative age-specific complications and their management will be reviewed. The number of elderly persons, defined as those >65 yrs of age, is the fastest growing segment of the U.S. population. As a result, the frequency of surgery, both elective and emergent, performed on elderly patients will increase. Aging is associated with a decrease in the physiologic reserve; thus, many elderly persons are unable to compensate for the increased metabolic demands that accompany acute illness or injury. This inability to compensate leads to increased rates of postoperative complications and death. Aggressive, goal-directed management in the surgical intensive care unit is beneficial for the geriatric patient. The management of the elderly, surgical, critical care patient is extremely challenging. Understanding age-related physiologic changes will help guide treatment to maximize outcome and prevent complications. 2010 by the Society of Critical Care Medicine and Lippincott Williams & Wilkins.

Author-supplied keywords

  • Elderly
  • acetylsalicylic acid
  • acute lung injury
  • adult respiratory distress syndrome
  • aged
  • aging
  • atrial fibrillation
  • blood clotting disorder/dt [Drug Therapy]
  • blood transfusion
  • cardiovascular disease
  • cardiovascular risk
  • clopidogrel
  • coagulopathy
  • critical illness
  • desmopressin
  • diastolic dysfunction
  • disease predisposition
  • elective surgery
  • emergency surgery
  • fluid resuscitation
  • geriatric
  • geriatric care
  • geriatric nutrition
  • geriatric surgery
  • heart atrium fibrillation
  • heart function
  • heart infarction
  • heart muscle ischemia
  • heart output
  • heart stroke volume
  • human
  • hypervolemia
  • intensive care unit
  • international normalized ratio
  • kidney disease
  • lung
  • monitoring
  • myocardial ischemia
  • nutritional support
  • outcome assessment
  • patient monitoring
  • postoperative complication
  • prevalence
  • priority journal
  • recombinant blood clotting factor 7a/dt [Drug Ther
  • respiratory failure
  • review
  • single drug dose
  • surgical mortality
  • thorax wall
  • thrombocyte transfusion
  • vascular resistance
  • warfarin

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Authors

  • J Menaker

  • T M Scalea

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