Michal Horáček, MD Department of Anaesthesiology and Intensive Care Medicine, 2nd Faculty of Medicine, Charles University in Prague and Motol University Hospital
The proper health treatment of an elderly person with head and lower limb injuries caused by fall, who has been brought to the emergency at Saturday night can be very challenging. You should not forget about any other health conditions, which might not seem so apparent at the very first time beside the obvious surgical problem. The associated complicating diseases and chronical medication, such as warfarine, bring many more internal issues along. And if you succeed with patient intake process, you will change your specialization from a traumatologist to an anaesthesiologist and you will face many different problems during anaesthetic care, whether you choose for general or spinal anaesthesia. But careful! There is no space for mistakes in care of this fragile patient!
Enjoy this algorithm, Saturday night starts right now and another ambulance might be at the hospital gate.
BARASH, Paul G. et al. Handbook of clinical anesthesia. 1. edition. Praha: Grada, 2014. 804 s.
Česká lékařská společnost J. E. Purkyně et al. Novinky v anesteziologii, intenzivní medicíně a léčbě bolesti. 1. edition. Praha: Galén, 1999
BARNETT, Sheila. Anesthesia for the older adult. [online]. Harvard Medical School. Aug 10, 2016. Available at http://www.uptodate.com/contents/anesthesia-for-the-older-adult?source=search_result&search=anesthesia+for+the+elderly&selectedTitle=1%7E150