Postoperative cognitive impairment in the elderly

Started by NOMOREGAS, July 05, 2009, 08:14:06 AM

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NOMOREGAS

I've found a great number of postoperative agitation in the elderly patients undergone knee replacement  receiving spinal anesthesia.
Most of them had agitaton and delirium like syndrome in the first 6 hours aftere surgical procedure.
Sometimes sedation using midazolam was not successfull.
I ask if somebody has expeience administring propofol in bolu doses.
Thanks

gkr_naru

  I too observed such problem espesially in old patients.  I started giving

meth.cobalamin injection for two to three days once a day. I did not see

the problem again.

                                Dr.G.K.Reddy

jafo1964

Hyponatremia may present similarly in the post-operative period of elderly
Electrolyte check and appropriate correction helps.
How does methcobalamin help

regs