Regional anaesthesia in the elderly patient a current perspective

2020 ◽  
Vol 34 (1) ◽  
pp. 48-53 ◽  
Author(s):  
Eva Corcoran ◽  
Brian Kinirons
Author(s):  
Yeolekar AM ◽  
◽  
Yeolekar ME ◽  

Vertigo is a relatively complex condition demanding a skilfully collected and analyzed history. When an elderly patient presents with vertigo, some conditions are most commonly considered highly possible and likely whereas others (prevalent more in young) tend to be excluded from the mental algorithm of the clinician. It also matters to whom the patient presents first-internist, neurologist or the otolaryngologist. An important feature in vertigo in the elderly is the probability of it being multifactorial because of co-morbid conditions that could contribute to the complexity of manifestations. Conducting and appropriately interpreting the bedside tests/maneuvers and thereafter selecting battery of tests/investigations in a sequential manner can clinch the issue of a fair diagnosis in most cases. The Covid Dimension: Any discussion on vertigo would be incomplete without noting the findings on vertigo reported abundantly over the last one year. The compounding COVID angle merits being duly and appropriately considered.


2014 ◽  
Vol 11 (3) ◽  
Author(s):  
Linda Ross ◽  
Tom Duigan ◽  
Malcolm J Boyle ◽  
Brett Williams

IntroductionIt is well known that Australia has an aging population and that the elderly are disproportionately overrepresented in the patients seen by ambulance paramedics. While research to date has primarily focussed on the attitudes towards the elderly held by nursing and medical students, there is a current paucity of research about the perspective of paramedic students. The objective of this study was to identify the attitudes of paramedic students from a large Australian university towards the elderly.MethodsIn 2013, second year paramedic students from Monash University, Melbourne, Australia were invited to participate in this cross-sectional study and record their attitudes towards the elderly (age >65) using the Aging Semantic Differential (ASD) questionnaire. The ASD utilises a 7 point bipolar Likert scale questionnaire consisting of 32 items and three subscales: Instrument—Ineffective; Autonomous—Dependent; Personal Acceptability—Unacceptability.ResultsFifty six second year paramedic students participated in the study. The participants were predominantly <26 years of age n=48 (85.7%) and female n=36 (64.3%).  Subscale results produced the following mean scores: Instrument—Ineffective (mean=35.05, SD=5.01); Autonomous—Dependent (mean=34.25, SD=4.26); Personal Acceptability—Unacceptability (mean=49.47, SD=6.44).ConclusionThese results suggest that while student paramedics possess a healthy respect for the elderly, they also harbour some preconceived negative ideas about them. Ultimately, these attitudes may impact on a paramedic’s interaction with, and management of the elderly patient, which raises questions about whether students are being adequately prepared for clinical practice.


2021 ◽  
Author(s):  
Takeshi Tabuchi ◽  
Yohei Yokobayashi

Synthetic riboswitches can be used as chemical gene switches in cell-free protein synthesis systems. We provide a current perspective on the state of cell-free riboswitch technologies and their future directions.


Author(s):  
Dorothy Taylor ◽  
Janice Morse ◽  
Andrew Merryweather

Elderly patient falls are expensive and may cause serious harm. Studies have identified the sit-to-stand-and-walk (STSW) task as the task where the greatest number of elderly patient falls occur. There is a great need to identify the particular movement and environmental conditions that lead to these elderly patient falls. This study begins to address this gap by evaluating the elderly patient during self-selected hospital bed egress. Using an observed fall risk episode (FRE) as a fall proxy, statistically significant parameters were identified which include bed height, pausing prior to initiating gait, level of fall risk, and Stand phase. Low bed height was identified as the least safe bed height. Patient-specific bed height (PSBH) using the patient’s lower leg length (LLL) is recommended. In addition, suggested guidelines are presented for clinical application in setting PSBH without measuring the patient’s LLL.


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