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Nonoperating room anaesthesia for elderly patients

机译：老年患者的非营利室麻醉

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Purpose of review The number of elderly patients receiving non-operating room anaesthesia (NORA) has substantially increased because of clinical, epidemiological, social and economic reasons. Considering the high risk of anaesthesia-related adverse events in this population, along with the limitations of NORA, more specific knowledge and skills are required. Recent findings Advanced age appears to be an independent risk factor for anaesthesia-related adverse events in a NORA setting, similar to the traditional operating room. As significant changes occur in the pharmacological effects of anaesthetic agents with aging, reducing dosage and carefully titrating drugs are essential. Because NORA-related injury is frequently related to airway obstruction/respiratory depression, non-invasive respiratory activity monitoring is more useful for sedation of elderly patients. Additionally, advanced age increases the risk of aspiration and cognitive complications, even during sedation. Elderly patients may greatly benefit from the lower invasiveness and faster recovery offered by interventional procedures. However, as they represent a highly heterogeneous population with large variations in physiological reserves and comorbidities, anaesthesiologists should strive to maintain the same practice standards throughout all anaesthetizing locations. Knowledge of the unique hazards associated with NORA in elderly patients may further enhance patient safety. Video abstract:NORA for elderly patients.mp4:.
机译：审查接受非手术室麻醉（Nora）的老年患者的数量大幅增加，因为临床，流行病学，社会和经济原因。考虑到这种人口中有与麻醉相关不良事件的高风险，以及诺拉的局限性，需要更具体的知识和技能。最近的结果高龄似乎是Nora设置中麻醉相关不良事件的独立危险因素，类似于传统的手术室。随着大量变化发生在衰老的麻醉剂的药理作用中，减少剂量和仔细滴定药物是必不可少的。由于诺拉相关的损伤经常与气道阻塞/呼吸抑郁症有关，因此无侵袭性呼吸活动监测对于老年患者的镇静更有用。此外，即使在镇静期间，高龄增长也会增加吸入和认知并发症的风险。老年患者可能会极大地受益于介入程序提供的较低的侵袭性和更快的恢复。然而，由于它们代表了具有巨大变异的生理储备和合并症的高度异质人群，麻醉学家应该努力在整个麻醉地点保持相同的实践标准。知识与老年患者诺拉相关的独特危害可能进一步提高患者的安全性。 Video摘要：老年患者的诺拉.mp4：。

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