[Anesthetic management of patients 100 years of age and above undergoing emergency abdominal surgery].
We anesthetized four patients aged 100 years and above who underwent emergency abdominal surgery. Case 1 : A 100-year-old woman with ileus caused by rectal cancer had chronic heart failure in whom colostomy was performed. Case 2 : A 101-year-old man with incarceration of inguinal hernia and history of cerebral infarction. Hernioplasty was performed. Case 3 : A 100-year-old woman with duodenal perforation and hypertension, in whom patching was performed. Case 4 : A 100-year-old bedridden man with incarceration of inguinal hernia who had enteral nutrition through gastrostoma, in whom hernioplasty was performed. General anesthesia was performed mainly with sevoflurane and all patients were discharged without any critical complications. Anesthetic management of elderly patients requires appropriate preoperative evaluation according to their complicating diseases, consciousness, activities of daily living and nutrition. Especially for patients aged 100 years and above, their quality of life should be evaluated. Surgical indication and procedure should be determined accordingly.
Higuchi
Tomoyasu
T
Department of Anesthesia, Tottori Municipal Hospital, Tottori 680-8501.
Asao
Yasuhiro
Y
Tsubamk
Noriko
N
Shimoda
Yutaka
Y
D000005:Abdomen / Q000601:surgery*; D000203:Activities of Daily Living; D000369:Aged, 80 and over; D000768:Anesthesia, General; D004630:Emergencies; D005260:Female; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures; D009752:Nutritional Status; D019990:Perioperative Care; D011183:Postoperative Complications / Q000517:prevention & control; D011788:Quality of Life; D016896:Treatment Outcome