Evaluation of amikacin dosing schedule in critically ill elderly patients with different stages of renal dysfunction

Background: Ageing is a global fact affecting both developed and developing countries.It brings out various catabolic changes in body resulting in frailty(i.e. the person is not able to with stand minor stresses of the environment, due to reduced reserves in psychologicalreserve of several organ system).Thus causing a great burden of disease, dependence & health care cost. Sarcopenia is the leading component for frailty in the elderly population, but very few studies have been done in India for correlating frailty with sarcopenia. Aim: To compare sarcopenia with modified frailty index (MFI) as a predictor of adverse outcomes in critically ill elderly patients. Methodology: Cross-sectional study will be performed on all the critically ill geriatric subjects/patients coming to all the ICU's of AVBRH, Sawangi (M), Wardha who will satisfy various inclusion and exclusion criteria for selection and all standard parametric & non-parametric data will be assessed by using standard descriptive & inferential statistics. Expected Results: In our study, we are anticipating that the Modified frailty index to be a better predictor of adverse outcomes in terms of mortality as compared to sarcopenia in the critically ill elderly patients. Also, we are anticipating that sarcopenia to be the most important contributor of frailty in critically ill elderly patients and the prevalence of frailty will be high in critically ill elderly patients. Limitation: Due to limited time frame & resources we will not be able to follow up the patients.

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Higher Energy and Protein Intake from Enteral Nutrition May Reduce Hospital Mortality in Mechanically Ventilated Critically Ill Elderly Patients

International Journal of Gerontology ◽

10.1016/j.ijge.2018.03.001 ◽

2018 ◽

Vol 12 (4) ◽

pp. 285-289 ◽

Cited By ~ 8

Author(s):

Pi-Hui Hsu ◽

Chao-Hsien Lee ◽

Li-Kuo Kuo ◽

Yu-Chung Kung ◽

Wei-Ji Chen ◽

...

Keyword(s):

Enteral Nutrition ◽

Elderly Patients ◽

Hospital Mortality ◽

Critically Ill ◽

Protein Intake ◽

Mechanically Ventilated

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Frequent problems and their management among mechanically ventilated critically ill elderly patients

Working with Older People ◽

10.1108/wwop-11-2020-0058 ◽

2021 ◽

Vol ahead-of-print (ahead-of-print) ◽

Author(s):

Watchara Tabootwong ◽

Frank Kiwanuka

Keyword(s):

Elderly Patients ◽

Critically Ill ◽

Health Care Professionals ◽

Respiratory Infections ◽

Psychological Problems ◽

Pharmacological Management ◽

Content Type ◽

Mechanically Ventilated ◽

Age Related ◽

Management Of Complications

Purpose Multiple pathologies and age-related physiological changes lead to acute respiratory failure. This necessitates mechanical ventilation among elderly patients. Mechanically ventilated critically ill elderly patients may confront various problems, including physical and psychological issues. Therefore, the purpose of this paper is to present the frequent problems encountered by critically ill elderly patients and management of such problems. Design/methodology/approach This paper reviews relevant literatures. Findings Physical problems include pain and respiratory infections. Additionally, psychological problems include anxiety and stress. Such problems should be managed by physicians, nurses and family members. Pharmacological and non-pharmacological approaches can be used to manage these problems. Pharmacological management involves use of medications, while non-pharmacological interventions include use of music therapy, acupuncture and sensory stimulation. Originality/value The paper indicates physical and psychological problems of mechanically ventilated critically ill elderly patients. To ensure effective management of complications encountered by mechanically ventilated elderly patients, health-care professionals ought to be aware of physical and psychological age-related changes.

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