jueves, 12 de marzo de 2015

Cirugía cardiaca en viejos / Cardiac surgery in geriatrics

Cirugía cardiaca en 260 octogenarios. Informe de casos
Cardiac surgery in 260 octogenarians: a case series.
Scandroglio AM, Finco G, Pieri M, Ascari R, Calabrò MG, Taddeo D, Isella F, Franco A, Musu M, Landoni G, Alfieri O, Zangrillo A.
BMC Anesthesiol. 2015 Jan 26;15(1):15. doi: 10.1186/1471-2253-15-15. eCollection 2015.
Abstract
BACKGROUND: The elderly undergo cardiac surgery more and more frequently, often present multiple comorbidities, assume chronic therapies, and present a unique physiology. Aim of our study was to analyze the experience of a referral cardiac surgery center with all types of cardiac surgery interventions performed in patients ≥80 years old over a six years' period......  CONCLUSIONS: Clinicians should be aware that cardiac surgery can be safely performed at all ages, that risk stratification is mandatory and that hemodynamic treatment to avoid complications is expected.
KEYWORDS: Anesthesia; Cardiac surgery; Complications; Intensive care; Mortality; Octogenarian
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