scholarly journals Elderly patient-centered rehabilitation after cardiac surgery

2016 ◽  
Vol 68 (1) ◽  
Author(s):  
Antonio Mazza ◽  
Federica Camera ◽  
Antonella Maestri ◽  
Francesco Longoni ◽  
Anna Patrignani ◽  
...  
Keyword(s):  
Elderly Patient ◽  
Cardiac Surgery ◽  
Cardiac Rehabilitation ◽  
Functional Status ◽  
The Elderly ◽  
Medium Term ◽  
Patient Centered ◽  
Rehabilitation Unit ◽  
Rehabilitation Programs ◽  
Post Surgery

The rate of over-70 year post-surgery patients referred to the Cardiac Rehabilitation Units is increasing. Strategies designed to encourage and facilitate participation in rehabilitation programs in the elderly should be developed. Aim of this paper is to present our elderly-centered program, specifically designed on patient’s needs and frailty, and its short- and medium-term results in 160 consecutive over-70 year patients, admitted in our Cardiac Rehabilitation Unit soon after cardiac surgery. The program was safe, well accepted by the patients, and effective in improving objective and subjective functional status.

scholarly journals Cardiac Surgery in the Elderly Patient: Geriatric Perspective

2009 ◽  
Author(s):  
Friedrich-Christian Rieß ◽  
Wolfgang von-Renteln Kruse ◽  
Birgit Frilling
Keyword(s):  
Elderly Patient ◽  
Cardiac Surgery ◽  
The Elderly ◽  
Surgery In The Elderly

scholarly journals Inflammatory syndrome after thoracic aortic endoprothesis implantation associated with cortico-surrenal adenoma

2005 ◽  
Vol 64 (1) ◽  
Author(s):  
Francesco Giallauria ◽  
Anna De Lorenzo ◽  
Athanasio Manakos ◽  
Francesco Pilerci ◽  
Marianna Psaroudaki ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Cardiac Rehabilitation ◽  
Thoracic Aorta ◽  
Inflammatory Markers ◽  
Descending Thoracic Aorta ◽  
Rehabilitation Unit ◽  
Postoperative Course ◽  
Inflammatory State ◽  
Inflammatory Syndrome ◽  
Post Implantation

We report a case of a 68-year-old patient, admitted with diagnosis of aneurysm of the descending thoracic aorta to the Department of Cardiac Surgery, where he underwent percutaneous endovascular application of 4 endoprostheses in the descending thoracic aorta. After antibiotic prophylaxis and hemodynamic stabilization, the patient was admitted to the Cardiac Rehabilitation Unit for the management of the of postoperative course and undergo a program of cardiac rehabilitation. Five days following admission and before starting physical training, the patient developed fever associated with neutrophil leukocytosis, strong activation of inflammatory markers and sideropenic anaemia, compatible with post-implantation inflammatory syndrome. Significant hypokaliemia also occurred. Further investigations showed left cortical-surrenal adenoma. The inflammatory state relapsed spontaneously and the patient was discharged with indication to undergo an endocrinologic consultation.

REFERRAL TO OUT-PATIENT CARDIAC REHABILITATION PROGRAMS FOLLOWING CARDIAC SURGERY

1992 ◽  
Vol 12 (5) ◽  
pp. 347
Author(s):  
Deborah J. Aaron ◽  
Jacqueline K. Gardner ◽  
Jane A. Cauley ◽  
Linda K. Hall
Keyword(s):  
Cardiac Surgery ◽  
Cardiac Rehabilitation ◽  
Rehabilitation Programs

Is the Decreased Longevity among Left-Handers Related to an Increase in Heart Disease?

2008 ◽  
Vol 39 (4) ◽  
pp. 182-184 ◽  
Author(s):  
John R. Hughes ◽  
Elizabeth Dorner ◽  
Michele Wind
Keyword(s):  
Heart Disease ◽  
Cardiac Rehabilitation ◽  
Right Hemisphere ◽  
The Elderly ◽  
Slow Waves ◽  
Rehabilitation Unit ◽  
Cardiac Abnormalities ◽  
The Right

Many studies report that left-handers have a shorter longevity than right-handers, and the present study may provide a possible explanation for that finding. In a Cardiac Rehabilitation Unit for the elderly with a mean age of 75.2 years the prevalence of left-handers was 16.7%. This latter value was significantly different (p = 0.0028) from the 6.7% in controls of similar age. These data suggest that heart disease may be one reason for a reduced longevity among lefthanders. Left-handers use the right hemisphere for movement, and unilateral activation of that hemisphere in the form of EEG desynchronization and deactivation in the form of EEG slow waves are both related to cardiac abnormalities.

Cardiac Rehabilitation in the Elderly: Patient Selection and Outcomes

2006 ◽  
Vol 15 (1) ◽  
pp. 22-27 ◽  
Author(s):  
Nicola Ferrara ◽  
Graziamaria Corbi ◽  
Enzo Bosimini ◽  
Franco Cobelli ◽  
Giuseppe Furgi ◽  
...  
Keyword(s):  
Elderly Patient ◽  
Cardiac Rehabilitation ◽  
Patient Selection ◽  
The Elderly

Delirium symptoms’ development during the intensive care unit post-surgery staying is related with reduced intraoperative cerebral oxygen saturation in the elderly subjected to cardiac surgery

2016 ◽  
Vol 33 (S1) ◽  
pp. S169-S170
Author(s):  
I. Bellido ◽  
E. Aldana ◽  
J.L. Valverde ◽  
S. Medina ◽  
C. Green ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Cardiac Surgery ◽  
Intensive Care ◽  
Oxygen Saturation ◽  
Valve Replacement ◽  
The Elderly ◽  
Cerebral Oxygen Saturation ◽  
Cerebral Oxygen ◽  
Post Surgery ◽  
Before And After

Goal of studyOur aim was to examine whether cerebral frontal cortex O2 desaturation may be related with the development of delirium symptoms’ after cardiac surgery in the elderly during the intensive care unit (ICU) staying.Materials and methodsA prospective, before and after, longitudinal study in II-IV ASA class patients scheduled for cardiac surgery and undergoing intravenous general anesthesia with remifentanil plus propofol was done. Clinical and surgical parameters, cardiopulmonary function, intraoperative cerebral oxygen saturation (rSO2) and bispectral index were continuously recorded and corrected throughout the surgery. Severity of delirium was represented as a score of the Intensive Care Delirium Screening Checklist (ICDSC) during the patients’ stay in the ICU under the assumption that higher ICDSC score indicated severe delirium.Results and discussionPatients, n = 44, 77.3% male, aged 59.9 ± 1.9 years old, scheduled to coronary (36.4%), aortic valve replacement (18.2%), mitral valve replacement (13.6%), coronary plus valve replacement (13.6%) and others (18.2%) surgery, on pump 98.4% were enrolled. A reduction of the rSO2 higher than 10% at the end of the surgery compared with basal values was detected in a 46.5% of the patients. Reduction of rSO2 higher than 10% at the end of the surgery was related with significantly higher values of delirium symptoms’ development during the intensive care unit post-surgery staying (rSO2 higher ≥ 10% 68.8 vs. rSO2 higher < 10% 31.3%, P < 0.05).ConclusionDelirium symptoms’ development during the intensive care unit post-surgery staying is related with reduced intraoperative cerebral oxygen saturation in the elderly subjected to cardiac surgery.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Influence of general anesthesia on the postsurgery delirium and cognitive dysfunction onset in the elderly. Last decade research

2020 ◽  
pp. 43-54
Author(s):  
Aleksandr Ivolgin ◽  
Igor Litvinenko ◽  
Dmitriy Khritinin ◽  
Aleksandr Alekhnovich
Keyword(s):  
Adverse Effect ◽  
Elderly Patient ◽  
General Anesthesia ◽  
Cognitive Dysfunction ◽  
The Elderly ◽  
Surgical Patients ◽  
The Past ◽  
Post Surgery ◽  
Cognitive Failure ◽  
The Brain

Surgery and anesthesia produce a relatively stronger adverse effect on the elderly than on a younger brain, which manifests itself in a greater prevalence of post-surgery delirium (PSD) and post-surgery cognitive dysfunction (PSCD). Post-surgery delirium and cognitive dysfunction delay the recovery and are associated with increased morbidity and mortality among elderly surgical patients. In the past decade, there has been growing concern about whether anesthesia may be harmful to the brain of an elderly patient as they often experience post-surgery cognitive failure.

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