Gasbag Anaesthesia Forums

Anesthesia Discussion => General Discussion => Topic started by: NOMOREGAS on July 05, 2009, 08:14:06 AM

Title: Postoperative cognitive impairment in the elderly
Post by: NOMOREGAS on July 05, 2009, 08:14:06 AM
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
Title: Re: Postoperative cognitive impairment in the elderly
Post by: gkr_naru on July 29, 2009, 03:52:29 PM
  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
Title: Re: Postoperative cognitive impairment in the elderly
Post by: jafo1964 on August 01, 2009, 03:34:15 PM
Hyponatremia may present similarly in the post-operative period of elderly
Electrolyte check and appropriate correction helps.
How does methcobalamin help

regs