Guidelines for general anaesthesia in the elderly of the Committee on Quality and Safety in Anaesthesia, Polish Society of Anaesthesiology and Intensive Therapy

Owczuk, Radosław

doi:10.5603/ait.2013.0013

Cited by 11 publications

(5 citation statements)

References 25 publications

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“…Rocuronium is safe in geriatric patients only when doses are 30% lower, for either intubation or maintenance of block, than is recommended for young adults. In elderly patients, it is recommended to use a specific rocuronium--induced neuromuscular blockade reversal agent, sugammadex, at the end of surgery to prevent occurrence of PORC [30].…”

Section: Discussionmentioning

confidence: 99%

Residual neuromuscular block in elderly patients after surgical procedures under general anaesthesia with rocuronium

Pietraszewski¹,

Gaszyński²

2013

Anaesthesiol Intensive Ther

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Section: Discussionmentioning

confidence: 99%

Residual neuromuscular block in elderly patients after surgical procedures under general anaesthesia with rocuronium

Pietraszewski¹,

Gaszyński²

2013

Anaesthesiol Intensive Ther

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“…In particular, patients aged over 70 years may experience severe hemodynamic changes and respiratory depression as a result of anxiolytic drug administration. 25 Caution should therefore be exercised when administering midazolam, which is a commonly used premedication. In these patients, non-invasive CES treatment may be considered.…”

Section: Discussionmentioning

confidence: 99%

Effects of cranial electrotherapy stimulation on preoperative anxiety and blood pressure during anesthetic induction in patients with essential hypertension

Kang

Kim

et al. 2020

J Int Med Res

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Objective Cranial electrotherapy stimulation (CES) is a non-invasive treatment that improves symptoms such as anxiety and pain. The purpose of this study was to analyze the effect of CES pretreatment on levels of preoperative anxiety, pain, and hemodynamic responses—especially changes in blood pressure—during anesthetic induction in patients with essential hypertension. Methods Eighty patients undergoing general anesthesia were randomly assigned to receive either no pretreatment (control group, n = 40) or CES pretreatment (CES group, n = 40). Anxiety scores, systolic and diastolic blood pressures, mean arterial pressure, and heart rate were measured in the general ward the evening before surgery, as well as in the preoperative holding area, operating room, and after intubation. Withdrawal responses to rocuronium injection were also measured. Results Anxiety scores in the operating room were significantly lower in the CES group. Withdrawal responses to rocuronium injection were also significantly lower in the CES group. There were no significant differences in hemodynamic values between the two groups. Conclusions CES pretreatment reduces both preoperative anxiety levels and withdrawal responses to rocuronium injection. However, it does not have a significant effect on hemodynamic responses.

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“…Regardless of group allocation, patients were kept fasted for at least 12 h and before the induction of anesthesia started, on the day of surgery, all patients received medication in a dose of 3.75–7.5 mg/kg of midazolam (Dormicum, Roche, Warsaw, Poland) in accordance with age and body weight [ 70 ]. Directly before surgery, the patients were preoxygenated for approximately 5 min with 100% oxygen and intravenously 10 mL/kg body weight of an Optylite solution was infused.…”

Section: Methodsmentioning

confidence: 99%

The Adequacy of Anesthesia Guidance for Vitreoretinal Surgeries with Preemptive Paracetamol/Metamizole

Stasiowski,

Lyssek-Boroń,

Zmarzły

et al. 2024

Pharmaceuticals

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Despite the possibility of postoperative pain occurrence, in some patients, vitreoretinal surgeries (VRSs) require performance of general anesthesia (GA). The administration of intraoperative intravenous rescue opioid analgesics (IROA) during GA constitutes a risk of perioperative adverse events. The Adequacy of Anesthesia (AoA) concept consists of an entropy electroencephalogram to guide the depth of GA and surgical pleth index (SPI) to optimize the titration of IROA. Preemptive analgesia (PA) using cyclooxygenase-3 (COX-3) inhibitors is added to GA to minimize the demand for IROA and reduce postoperative pain. The current analysis evaluated the advantage of PA using COX-3 inhibitors added to GA with AoA-guided administration of IROA on the rate of postoperative pain and hemodynamic stability in patients undergoing VRS. A total of 165 patients undergoing VRS were randomly allocated to receive either GA with AoA-guided IROA administration with intravenous paracetamol/metamizole or with preemptive paracetamol or metamizole. Preemptive paracetamol resulted in a reduction in the IROA requirement; both preemptive metamizole/paracetamol resulted in a reduced rate of postoperative pain as compared to metamizole alone. We recommend using intraoperative AOA-guided IROA administration during VRS to ensure hemodynamic stability alongside PA using both paracetamol/metamizole to reduce postoperative pain.

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Guidelines for general anaesthesia in the elderly of the Committee on Quality and Safety in Anaesthesia, Polish Society of Anaesthesiology and Intensive Therapy

Cited by 11 publications

References 25 publications

Residual neuromuscular block in elderly patients after surgical procedures under general anaesthesia with rocuronium

Residual neuromuscular block in elderly patients after surgical procedures under general anaesthesia with rocuronium

Effects of cranial electrotherapy stimulation on preoperative anxiety and blood pressure during anesthetic induction in patients with essential hypertension

The Adequacy of Anesthesia Guidance for Vitreoretinal Surgeries with Preemptive Paracetamol/Metamizole

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