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Der geriatrische Patient in der Anaesthesie

Overview

Die anästhesiologische Betreuung älterer und sehr alter Patienten im Rahmen von Elektiv- oder Notfalloperationen stellt den Anästhesisten vor eine Fülle von ungelösten Fragen und Problemen. Die Frage etwa, ob die natürlichen biologischen Veränderungen im höheren Lebensalter grundsätzlich das Risiko von Anästhesie und Operation erhöhen oder ob die Begleiterkrankungen bestimmend sind. Werden die funktionellen Störungen durch eine Anästhesie und die damit verbundenen notwendigen Maßnahmen, wie etwa eine Beatmung, ...

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Overview

Die anästhesiologische Betreuung älterer und sehr alter Patienten im Rahmen von Elektiv- oder Notfalloperationen stellt den Anästhesisten vor eine Fülle von ungelösten Fragen und Problemen. Die Frage etwa, ob die natürlichen biologischen Veränderungen im höheren Lebensalter grundsätzlich das Risiko von Anästhesie und Operation erhöhen oder ob die Begleiterkrankungen bestimmend sind. Werden die funktionellen Störungen durch eine Anästhesie und die damit verbundenen notwendigen Maßnahmen, wie etwa eine Beatmung, beeinflußt oder zusätzlich gestört? Haben alte Patienten eine andere Pharmakokinetik für die von dem Anästhesisten verwendeten Medikamente als jüngere? Ist die zerebrale Funktion im Alter durch Anästhesie mehr und nachhaltiger gestört? Benötigen ältere Patienten nach einer Operation eine intensivere postoperative Nachsorge? Antwort auf diese Fragen geben erfahrene Autoren in den Beiträgen des Buches. Die kompetente Darstellung der anästhesiologischen Besonderheiten in der Geriatrie macht das Buch zu einem wichtigen Beitrag für eine weitere Verbesserung der perioperativen Betreuung alter Patienten.

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Product Details

Table of Contents

Herz-Kreislauf-Veränderungen im Alter.- Physiologische Besonderheiten der Atmung im Alter.- Physiologische Besonderheiten des Zentralnervensystems beim alten Menschen.- Pharmakokinetik.- Atriales natriuretisches Peptid - Pathophysiologie und pharmakologische Wirkungen.- Ist Alter an sich ein Anästhesierisiko?.- Hat das Alter Einfluß auf die Wahl des Narkoseverfahrens?.- Besonderheiten der Narkoseführung bei geriatrischen Patienten in der Ophthalmologie.- Besonderheiten der Narkoseführung im Alter, speziell in der Gefäßchirurgie.- Die Narkoseführung in der HNO-Chirurgie.- Postoperative Unruhezustände als Zeichen zerebraler Störungen.

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