老年患者围手术期管理北京协和医院专家共识
朱鸣雷;黄宇光;刘晓红;张保中;刘颖;刘大为;于健春;陈伟;何小东;朱兰;康琳;唐帅;秦明伟;李子健;姚海源;
摘要(Abstract):
老年患者进行手术具有较高风险,需手术科室、麻醉科、老年医学科、内科、重症医学科、物理医学康复科、肠内肠外营养科等多学科团队分工协作,共同管理。手术目标的制定,需从老年患者整体出发,考量手术获益和患者意愿;术前应综合评估老年患者的身体状况、认知能力、情绪、谵妄风险、营养、功能状态、衰弱、用药、疼痛、康复等情况,将老年患者术前状态调整至最佳;术中应关注老年患者的麻醉方式、体温保护等特殊问题;术后应有效控制呕吐、疼痛,强化营养支持,预防谵妄,维持功能,保证医疗的连续性。北京协和医院相关科室专家就上述问题讨论制定了该共识,以更好地开展老年患者围手术期管理。
关键词(KeyWords):
北京协和医院;老年患者;围手术期管理;老年医学团队;术前评估;专家共识
基金项目(Foundation):
作者(Author):
朱鸣雷;黄宇光;刘晓红;张保中;刘颖;刘大为;于健春;陈伟;何小东;朱兰;康琳;唐帅;秦明伟;李子健;姚海源;
Email:
DOI:
参考文献(References):
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