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부위마취하 수술을 받는 노인환자의 주술기 관리

Title
 부위마취하 수술을 받는 노인환자의 주술기 관리
Other Titles
 Perioperative management of elderly patients undergoing surgery with regional anesthesia
Authors
 이재훈; 이기영
Issue Date
2015
Journal Title
 Journal of the Korean Medical Association (대한의사협회지)
ISSN
 1975-8456
Citation
 Journal of the Korean Medical Association (대한의사협회지), Vol.58(8) : 737~742, 2015
Abstract
Regional anesthesia can reduce deep vein thrombosis and pulmonary embolism by suppression of the stress responses caused by surgery via the blocking of the afferent and efferent pathways of nerve conduction. It is also effective for control of acute postoperative pain, and compared to general anesthesia, it reduces bleeding during surgery and postoperative respiratory complications. The functional reserves of important organs are reduced in elderly patients although the progression and degree are different from patient to patient. Thus, it is important that safe and appropriate perioperative care including anesthesia be delivered only after a thorough evaluation of the current status of an elderly patient. In this regard, regional anesthesia is worth performing for elderly patients considering its characteristic advantages over general anesthesia. Peripheral nerve blocks using ultrasound are another alternative in elderly patients who might have difficulty undergoing regional or general anesthesia.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/141093
DOI
10.5124/jkma.2015.58.8.737
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Anesthesiology and Pain Medicine
Yonsei Authors
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