Abstract
The anesthetic management of elderly patients with coexisting diseases is important when considering the mortality and morbidity rates. In order to avoid tracheal intubation and the use of neuromuscular and other anesthetic agents, regional techniques are preferred for these patients. Furthermore, during regional anesthesia, respiratory support via noninvasive ventilation may allow patients to undergo more comfortable and safe operations.
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Abbreviations
- APAP:
-
Auto-titrating continuous positive airway pressure
- ASA:
-
American Society of Anesthesiologists
- ASV:
-
Adaptive servo-ventilation
- BIPAP:
-
Bi-level positive airway pressure
- BMI:
-
Body mass index
- COPD:
-
Chronic obstructive pulmonary disease
- CPAP:
-
Continuous positive airway pressure
- EPAP:
-
Expiratory positive airway pressure
- IPAP:
-
Inspiratory positive airway pressure
- NIV:
-
Noninvasive ventilation
- OSA:
-
Obstructive sleep apnea
- SpO2 :
-
Peripheral oxygen saturation
References
Lutz W, Sanderson W, Scherbov S. The coming acceleration of global population ageing. Nature. 2008;451(7179):716–9.
Qaseem A, Snow V, Fitterman N, et al. Clinical Efficacy Assessment Subcommittee of the American College of Physicians. Risk assessment for and strategies to reduce perioperative pulmonary complications for patients undergoing noncardiothoracic surgery: a guideline from the American College of Physicians. Ann Intern Med. 2006;144(8):575–80.
Goncalves GA, Prezzi ED, Carletti GM, et al. Use of noninvasive positive pressure ventilation and spinal anesthesia during hip replacement arthroplasty in a patient with severe chronic obstructive pulmonary disease: case report. Rev Bras Ter Intensiva. 2008;20(3):313–7.
Hillman DR, Jungquist CR, Auckley D. Perioperative implementation of noninvasive positive airway pressure therapies. Respir Care. 2018;63(4):479–87.
Cabrini L, Nobile L, Plumari VP, et al. Intraoperative prophylactic and therapeutic non-invasive ventilation: a systematic review. Br J Anaesth. 2014;112(4):638–47.
Cullen A, Ferguson A. Perioperative management of the severely obese patient: a selective pathophysiological review. Can J Anaesth. 2012;59(10):974–96.
Leech CJ, Baba R, Dhar M. Spinal anaesthesia and non-invasive positive pressure ventilation for hip surgery in an obese patient with advanced chronic obstructive pulmonary disease. Br J Anaesth. 2007;98(6):763–5.
Alonso-Inigo JM, Herranz-Gordo A, Fas MJ, et al. Epidural anesthesia and non-invasive ventilation for radical retropubic prostatectomy in two obese patients with chronic obstructive pulmonary disease. Rev Esp Anestesiol Reanim. 2012;59(10):573–6.
von Ungern-Sternberg BS, Regli A, Schneider MC, et al. Effect of obesity and site of surgery on perioperative lung volumes. Br J Anaesth. 2004;92(2):202–7.
Numata T, Nakayama K, Fujii S, et al. Risk factors of postoperative pulmonary complications in patients with asthma and COPD. BMC Pulm Med. 2018;18(1):4.
Thys F, Delvau N, Roeseler J, et al. Emergency orthopaedic surgery under noninvasive ventilation after refusal for general anaesthesia. Eur J Emerg Med. 2007;14(1):39–40.
Bapat PP, Anderson JA, Bapat S, et al. Use of continuous positive airway pressure during spinal anaesthesia in a patient with severe chronic obstructive pulmonary disease. Anaesthesia. 2006;61(10):1001–3.
Marinho A, Guimaraes MJ, Lages NC, et al. Role of noninvasive ventilation in perioperative patients with neuromuscular disease: a clinical case. Braz J Anesthesiol. 2016;66(1):72–4.
Dawson J, Jones M, Hirschauer N, et al. Continuous spinal anaesthesia and non-invasive ventilation for total knee replacement in a patient on home ventilation. Br J Anaesth. 2012;109(1):125–6.
Kato T, Suda S, Kasai T. Positive airway pressure therapy for heart failure. World J Cardiol. 2014;6(11):1175–91.
Iwama H. Application of nasal bi-level positive airway pressure to respiratory support during combined epidural-propofol anesthesia. J Clin Anesth. 2002;14(1):24–33.
Ohmizo H, Morota T, Seki Y, et al. Combined spinal-propofol anesthesia with noninvasive positive-pressure ventilation. J Anesth. 2005;19(4):311–4.
Kinoshita H, Matsuda N, Hatano Y. The use of capnography for apnea monitoring during non-invasive positive pressure ventilation during spinal anesthesia. Can J Anaesth. 2007;54(10):850.
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Hatipoglu, Z., Ozcengiz, D. (2020). Use of NIV in Surgery Procedures in Elderly (Noninvasive Surgery): Continuous Spinal Anesthesia. In: Esquinas, A., Vargas, N. (eds) Ventilatory Support and Oxygen Therapy in Elder, Palliative and End-of-Life Care Patients . Springer, Cham. https://doi.org/10.1007/978-3-030-26664-6_19
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DOI: https://doi.org/10.1007/978-3-030-26664-6_19
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