Chapter

Neurosurgery in the elderly

Chris Dodds, Chandra M. Kumar and Frédérique Servin

in Anaesthesia for the Elderly Patient

Published on behalf of Oxford University Press

Published in print October 2007 | ISBN: 9780199234622
Published online May 2011 | e-ISBN: 9780199607082 | DOI: http://dx.doi.org/10.1093/med/9780199234622.003.0009

Series: Oxford Anaesthesia Library

Neurosurgery in the elderly

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Neurosurgical procedures are commonly performed in the elderly.

Palliative procedures are more common in the elderly.

Degenerative conditions are more likely to present for surgical treatment in the elderly.

Spinal cord blood supply is often compromised.

There are no fast neurosurgical operations.

Temperature loss can be significant.

Positioning may be difficult.

Pressure sores, deep vein thrombosis (DVT) and nerve damage are more likely to occur.

Remifentanil and desflurane are particularly valuable in the elderly neurosurgical patient.

Chapter.  2605 words.  Illustrated.

Subjects: Anaesthetics

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