노인마취

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노인마취에 대한 발표자료입니다.
노화의 생리학부터, 노인 환자들의 수술전 위혐요소, 이에따라 필요한 마취 전,중후의 고려사항에 대해 정리하였습니다.

목차

I. Mechanism of Aging
1. Central nervous system
2. Cardiovascular changes
3. Respiratory changes
4. Renal and volume regulation
5. Hepatic changes

II. Cognitive issues in older adults
1. Dementia
2. Delirium
3. Postoperative Cognitive Dysfunction
4. Depression

III. Risk assessment and preoperative evaluation
1. Preoperative evaluation
2. Special perioperative consideration for the older patient

IV. Anesthetic management
1. Clinical pharmacology
2. Anesthetic technique

V. Postoperative Considerations
1. PACU
2. Acute pain control

본문내용

key points
First, aging is associated with a progressive loss of functional reserve in all organ systems.
Second, the extent and onset of these changes vary from person to person.

Mechanism of Aging
* Central nervous system
- Structurally, a decrease occurs in the volume of both gray matter and white matter in the CNS
: result in gyral atrophy and increased ventricular size
: decrease neurotransmitter - dopamine, acetylcholine, norepinephrine, and serotonin
: glutamate - same
- Age-related memory decline can dramatically affect performance of the activities of daily living (A이)).

참고 자료

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