Guidance on routine anaesthesia risk management for high-collar patients

When you have to undergo surgery because of your illness, it’s a crucial part of the anesthesia. It is true that the risk of anaesthesia is relatively high for older patients, but don’t worry, I have come today to elaborate on effective strategies to reduce the risk of anaesthesia for older patients, so that you can be more face-to-face.

First, the risk of anaesthesia for older patients is gradually declining with age and the various organs of the body are falling down. There has been a marked decline in the capacity to store vital organs such as the heart, lungs, liver, kidneys and, consequently, the resistance to narcotic drugs, which can lead to complications. Senior patients who often combine multiple diseases often combine multiple chronic conditions such as hypertension, diabetes, heart disease and lung disease. These diseases undoubtedly increase the difficulty and risk of anaesthesia, such as the potential for blood pressure fluctuations, blood sugar instability and cardiac insufficiency. Some of the older patients who may have lost cognitive functions may have diminished cognitive functions, such as memory loss, difficulty of concentration, etc. This may, to some extent, affect patients ‘ understanding of and cooperation with the anaesthesia process, thereby increasing the risk of anaesthesia.

1. Prior to the operation, doctors conduct a thorough assessment of the physical condition of older patients. This includes detailed medical inquiries, medical examinations, laboratory examinations, electrocardiograms, cardiac ultrasound, etc. Through these examinations, doctors are able to obtain a full picture of the patient ‘ s state of health and to accurately assess the risk of anaesthesia, leading to a personalized anaesthesia programme. For older patients who combine chronic diseases, the combined disease focus assessment focuses on the effect of these diseases on anaesthesia. For example, high blood pressure patients need to keep their blood pressure within reasonable limits, diabetes patients need to ensure blood sugar stability, heart disease patients need to assess heart function etc. On the basis of the assessment, the doctor adjusts the choice and dosage of the narcotic drugs to reduce the risk of anaesthesia. 2. The selection of the appropriate anesthesia for the whole body is subject to careful application of the general anesthesia for larger operations, but for older patients the risk of a full anesthesia is relatively high. Doctors carefully choose the whole body of anesthesia according to the patient ‘ s state of health and type of surgery. If the patient is in a poor state of health, or if the operation is shorter, the option of local or regional anesthesia may be considered. The local anaesthesia and the regional anaesthesia are used for minor or micro-initiative operations. These modes of anaesthesia have less physical impact and relatively low risk. For older patients, it would be wise to give priority to local or regional anesthesia if the conditions of the operation permitted. 3. Optimizing the use of an narcotic drug by carefully selecting the appropriate anaesthetologist, who will select the appropriate anaesthesia, depending on the health of the older patient and the type of surgery. Generally, less physical and more metabolic drugs are selected. At the same time, the doctor adjusts the dosage of the drug to the specific condition of the patient to ensure that it is safe and effective. Senior patients at risk of avoiding drug interaction tend to use multiple drugs at the same time, which may interact with each other, thus affecting the effects of anaesthesia and safety. Prior to the operation, the doctor will have detailed information on the patient ‘ s use of the medication and avoid the interaction of the drugs. If the patient is taking certain drugs that may affect the anesthesia, the doctor adjusts the dose or suspends the use, depending on the circumstances. In the course of surgery, close monitoring of vital signs is carried out during the operation, and doctors closely monitor vital signs such as heart rate, blood pressure, breathing, blood oxygen saturation, etc. of older patients. Such monitoring allows for the timely detection of physical changes and the adoption of measures to ensure their safety. Control of the depth of anaesthesia is essential for the smooth operation and the safety of the patient. Doctors use anaesthesia monitoring equipment to monitor in real time the depth of the patient ‘ s anaesthesia, adjust the dose of anaesthesia to ensure that the patient is in a proper anaesthesia during surgery. 5. After surgery, after careful care and effective pain management surgery, older patients may experience pain. Appropriate pain management measures, such as the use of painkillers, physiotherapy, etc., are given according to the degree of pain. Good pain management can alleviate suffering and promote recovery. Actively preventing and treating complications for older patients is prone to complications such as lung infections, cardiovascular accidents, urine retention, etc. The doctors take appropriate precautions, such as encouraging the patient to cough, to breathe deeply, to move early. In the event of complications, the doctor treats them in a timely manner to ensure their safety.

3. The patient ‘ s own attention is given to actively cooperating with the doctor ‘ s treatment and, prior to the operation, to the elderly, to the doctor ‘ s treatment and to the control of his or her chronic illness. Such as taking medication on time, eating control, proper exercise, etc. At the same time, good mentalities should be maintained to avoid tension and anxiety. Prior to the operation, senior patients are informed of their physical condition, including medical history, medication, allergies, etc. This helps doctors to develop more safe and effective anesthesia programmes. Before and after the operation, patients of advanced age are strictly required to comply with the doctor ‘ s instructions, such as fasting, water restraint and timely medication. At the same time, be careful to rest and avoid overwork. The risk of anaesthesia is relatively high for older patients, but can be effectively reduced through strategies such as comprehensive pre-operative assessments, selection of appropriate anaesthesia methods, optimization of the use of anaesthesia, close in-surgery monitoring and after-surgery care.

Anaesthesia.