Aspectos gerais da avaliação pré-operatória do paciente idoso cirúrgico

The surgical interventions in elderly patients have become more frequent once this population have presented expressive increase in last decades, resulting a longer exposure to surgical resolution morbidities. Despite a large number of elder people presents a healthy aging and support the surgical a...

Descripción completa

Detalles Bibliográficos
Autores: Vendites, Soraya [UNIFESP], Almada-filho, Clineo De Melo [UNIFESP], Minossi, José Guilherme [UNIFESP]
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2010
País:Brasil
Institución:Universidade Federal de São Paulo (UNIFESP)
Repositorio:Repositório Institucional da UNIFESP
Idioma:portugués
OAI Identifier:oai:repositorio.unifesp.br:11600/5942
Acceso en línea:http://dx.doi.org/10.1590/S0102-67202010000300009
http://repositorio.unifesp.br/handle/11600/5942
Access Level:acceso abierto
Palabra clave:Surgery
Preoperative assessment
Elderly
Cirurgia
Avaliação pré-operatória
Idoso
Descripción
Sumario:The surgical interventions in elderly patients have become more frequent once this population have presented expressive increase in last decades, resulting a longer exposure to surgical resolution morbidities. Despite a large number of elder people presents a healthy aging and support the surgical act well, the morbidity and mortality that involves the surgery is more often in elderly and request more care to ones with comorbidities. The present work purpose to review some aspects that must be more carefully observed because involves morphological and functional changes from senescent organism that bring into relation with the increase of morbidity and mortality in preoperative period. Thus, the preoperative evaluation must be based on carefully clinical examination in order to prevent morbid events, iatrogenic ones, to set up risk criteria and to development a multidisciplinary focus.