노인환자에서 마취방법에 따른 비교 : 회복실에서 Post Anesthesia Care Unit = Comparison of Anesthetic Methods in Eldery Patients

다국어 초록 (Multilingual Abstract)

Background: It is difficult to care for elderly patients during perioperative period because they have lots of medical problems. Although there is no difference in overall morbidity and mortality between anesthetic methods, regional anesthesia is better than general anesthesia because it is less necessary to take care of elderly patients.
Method: We divided 163 elderly patients (over 65 years) into two groups; general anesthesia group(GA, total;43) and regional anesthesia (RA, total;120) group according to their anesthetic service during lower abdominal& pelvis and orthopedic surgeries.
In PACU, we compared to their postanesthetic recovery score(PAR), recovery time and incidences of complications-pulmonary, cardiaovascular and PONV(postoperative nausea and vomiting) in both group.
Results: The PAR scores of RA group was higher than that of GA group (9.5±0.5 vs 8.5±0.7) and recovery time of RA groups was shorter than that of GA group(42.8±19.1min vs 52.6±21.8min). The incidence of pulmonary and cardiac complication in RA group were significantly lower than those of GA group except the incidence of PONV (p<0.05).
Conclusion; For old age patients, RA is better anesthetic method in aspect of PACU care.