Key result
Surgical trauma in older patients is influenced by multiple intraoperative factors such as anaesthesia, surgical technique, blood transfusion, and hypothermia, necessitating tailored perioperative care.
Why the study?
In elderly patients, ageing and comorbidities interact with severe surgical stress, and there is currently no effective way to pharmacologically influence pro- and anti-inflammatory responses.
Perioperative care in elderly surgical patients requires specific strategies to minimize surgical trauma and mitigate the risks associated with physiological aging and comorbidities.
In the elderly, there is a unique situation where factors resulting from the ageing process and the cumulative effect of accompanying diseases interact with severe stress associated with surgery. Currently, there is no effective way to pharmacologically influence the course of pro-and anti-inflammatory responses. Therefore, surgeons should attempt to limit potential risks during procedures by conducting scheduled surgery, positioning the patient in the safe way, using minimally invasive surgical techniques, limiting intraoperative blood loss -even at the expense of prolonged surgical time, avoiding hypothermia and working in an experienced surgical and anaesthetic team. Such elements are of paramount importance for older patients undergoing surgery, particularly with frailty syndrome.
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Jakub Kenig (2019) conducted a review in Surgical trauma and perioperative care in older patients. Surgical trauma and perioperative factors was evaluated. Surgical trauma in older patients is influenced by multiple intraoperative factors such as anaesthesia, surgical technique, blood transfusion, and hypothermia, necessitating tailored perioperative care.
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