A retrospective study was performed over a period between 1984 and 1985, with 40patients over 60 years of age who underwent surgical intervention to the femur or the hip joint in the Department of Orthopedics, Kansai Medical University. Among surgical departments, the number of elderly patients undergone surgeries was greatest, including 18 of the over 80 years of age (period), in the Department of Orthopedics.
There were 21 cases of femoral head replacement and 8 cases of Ender-pinning in the observations of surgical method. Preoparative evaluation of nutrition was higher in patients hospitalized for longer period than for shorter period.
Complications pr eoparatively confirmed, included 22 cases of hypertension,30 cases of cardiac disease accompanying E. C. G. abnormalities, and 17 cases ofkidney dysfunction.
With respect to anesthetic techniques applied, there were 35 cases of epidural anesthesia. In 16 cases out of them administration of such supplementary drugs as sedatives or analgesics, or even inhalational anesthetic was required because of inappropriate development of paralyzed area, and in another 18 (cases) out of them, administration of vasopressors was necessary for treatment of hypotension ensured. these observations suggest that epidural anesthesia could not always be the optimal technique prerequisite for those surgical procedures.
Segmental dose requirement of local anesthetics was 1.2±1.3ml in pati ents 80 to 89 years of age, whereas 3.2±2.1ml in patients 40 to 49 years of age.
Among eight affiliated hospitals, spinal anesthesia was ap plied in two hospitais, either spinal anesthesia or epidural anesthesia in three hospitals, and general anesthesia in none of them.
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