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고령화 사회의 노인마취

Other Titles
 Geriatric anesthesia in an aging society 
Authors
 Jong Wha Lee  ;  Ki -Young Lee 
Citation
 JOURNAL OF THE KOREAN MEDICAL ASSOCIATION, Vol.54(3) : 303-310, 2011 
Journal Title
JOURNAL OF THE KOREAN MEDICAL ASSOCIATION(대한의사협회지)
ISSN
 1975-8456 
Issue Date
2011
Keywords
Aging ; Anesthesia ; Elderly patient
Abstract
Aging is a process of the gradual reduction of functional reserve, and when it begins and how
fast it proceeds are different from patient to patient. Therefore, it is important to thoroughly
evaluate the current status of an elderly patient. Based on an in-depth understanding of
pharmacokinetic and pharmacodynamic changes that occur due to aging, sophisticated titration
of doses and infusion rates of drugs depending on the current functional status of the patient is
essential for hemodynamic stability. Physicians must always keep in mind that the top priority of
geriatric anesthetic management is the rapid return of functional independence. Therefore,
wher-ever practical, it is prudent to use drug(s) of short duration, and metabolic processes not
affected by the current disease and/or the proposed surgical procedures. Active preoperative
assessment of cardiac and cerebrovascular risk factors and adequate postoperative pain relief
are important to prevent postoperative cognitive dysfunction, which delays functional recovery.
Files in This Item:
T201101006.pdf Download
DOI
10.5124/jkma.2011.54.3.303
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Lee, Ki Young(이기영) ORCID logo https://orcid.org/0000-0003-4893-3195
Lee, Jong Wha(이종화)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/92913
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