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Revista chilena de cirugía

versão On-line ISSN 0718-4026


NAZAR J, Claudio; ZAMORA H, Maximiliano; FUENTES H, Ricardo  e  LEMA F, Guillermo. Elderly patient and non cardiac surgery: What should we know?. Rev Chil Cir [online]. 2015, vol.67, n.3, pp.309-317. ISSN 0718-4026.

The surgical procedures in elderly patients are and will be more common. They are characterized by greater morbidity and mortality than those in younger patients, so it is essential an appropriate preoperative evaluation, a diligent intraoperative monitoring and a proper management of the postoperative period. The old age has a number of physiological changes and an increased incidence of chronic diseases and together determine a decline in physiological reserve and functional capacity. In the preoperative evaluation is important a systematic assessment of comorbidities and drugs routinely prescribed, "fragility" of these patients due to the surgical procedure and the risk of developing postoperative cognitive deficit. Type of surgery, degree of urgency and patient conditions are the main factors to consider at time to choose type of anesthesia. Common complications include the development of postoperative delirium and postoperative cognitive decline, where efforts should be directed at prevention rather than treatment, because it significantly increases perioperative morbidity.

Palavras-chave : Surgery; aged; 80 and over; period; perioperative; mortality; morbidity; delirium.

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