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CASE REPORT
Year : 2017  |  Volume : 19  |  Issue : 1  |  Page : 58-60

The perioperative concerns of emergency neurosurgery in elderly patients: A series of three cases


1 Department of Anesthesiology and Critical Care, Mumbai, Maharashtra, India
2 Department of Surgery, INHS Asvini, Mumbai, Maharashtra, India

Correspondence Address:
Surg Cdr Vidhu Bhatnagar
Department of Anesthesiology and Critical Care, INHS Asvini, Near RC Church, Colaba, Mumbai - 400 005, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jmms.jmms_7_17

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Owing to many advances in anesthetic techniques, perioperative sophisticated monitoring as well as surgical techniques, there has been an exponential increase in the geriatric patients presenting for elective as well as emergency surgeries. Perioperative period in the elderly is more prone to adverse outcomes due to factors such as advanced age group, limited functional capacity, multiple comorbid conditions, impaired cognition as well as limited support at the home front. The severity of illness is a better predictor of outcomes if compared with the age. The perioperative risk of mortality and morbidity in elderly patients increases all the more if the surgery has to be performed in an emergency. We present a series of three cases, highlighting perioperative concerns and management of elderly patients undergoing emergency neurosurgeries at our institution.


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