{"id":339,"date":"2012-07-31T21:35:53","date_gmt":"2012-07-31T21:35:53","guid":{"rendered":"http:\/\/hectorgallego.codigo-binario.com\/?p=339"},"modified":"2018-01-31T14:28:45","modified_gmt":"2018-01-31T21:28:45","slug":"cirugia-en-el-anciano","status":"publish","type":"post","link":"https:\/\/geriatriamexicali.com\/index.php\/cirugia-en-el-anciano\/","title":{"rendered":"CIRUGIA EN EL ANCIANO"},"content":{"rendered":"<p>La expectativa de vida se ha incrementado en los \u00faltimos a\u00f1os. Con ello se ha incrementado la necesidad de realizar procedimientos quir\u00fargicos tanto de forma electiva como de forma &nbsp;urgente en los ancianos.<\/p>\n<p>Las cirug\u00edas que m\u00e1s frecuentemente se realizan en ellos son:<\/p>\n<ul>\n<li>Cirug\u00eda de Cadera.<\/li>\n<li>Cirug\u00edas Abdominales: Ves\u00edcula Biliar, Apendicitis, Hernias, Colon.<\/li>\n<li>Cirug\u00eda de Pr\u00f3stata.<\/li>\n<li>Cirug\u00eda de rodillas.<\/li>\n<li>Cirug\u00edas del Sistema Nervioso Central<\/li>\n<\/ul>\n<p><a href=\"https:\/\/i0.wp.com\/geriatriamexicali.com\/wp-content\/uploads\/2012\/07\/screenshot.81.jpg?ssl=1\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-340\" title=\"screenshot.8\" src=\"https:\/\/i0.wp.com\/geriatriamexicali.com\/wp-content\/uploads\/2012\/07\/screenshot.81.jpg?resize=244%2C245&#038;ssl=1\" alt=\"\" width=\"244\" height=\"245\" srcset=\"https:\/\/i0.wp.com\/geriatriamexicali.com\/wp-content\/uploads\/2012\/07\/screenshot.81.jpg?w=244&amp;ssl=1 244w, https:\/\/i0.wp.com\/geriatriamexicali.com\/wp-content\/uploads\/2012\/07\/screenshot.81.jpg?resize=150%2C150&amp;ssl=1 150w\" sizes=\"(max-width: 244px) 100vw, 244px\" \/><\/a><\/p>\n<p align=\"center\"><strong>VALORACION PERIOPERATORIA EN EL ANCIANO.<\/strong><\/p>\n<p>La evaluaci\u00f3n peri operatoria geri\u00e1trica requiere un delicado balance entre los hallazgos encontrados por el medico, y los ex\u00e1menes de laboratorio y gabinete solicitados.<\/p>\n<p>Esta valoraci\u00f3n se hace con la finalidad de encontrar anormalidades indetectadas previamente, y que puedan influir en los buenos resultados de la cirug\u00eda. Se deben corregir en la medida de lo posible los hallazgos encontrados.<\/p>\n<p style=\"text-align: center;\">\u201cLas cirug\u00edas de urgencia no requieren valoraci\u00f3n peri operatoria\u201d.<\/p>\n<p>&nbsp;<strong>Es importante durante la valoraci\u00f3n peri operatoria lo siguiente<\/strong>:<\/p>\n<ol start=\"1\">\n<li>Historia completa de Enfermedades Previas y actuales.<\/li>\n<li>Valoraci\u00f3n Geri\u00e1trica integral, haciendo \u00e9nfasis en Estado de la Memoria y Funcionalidad.<\/li>\n<li>Historia completa de Medicamentos que toma el paciente.<\/li>\n<li>Antecedentes de cirug\u00edas previas, y resultados de las mismas.<\/li>\n<li>Antecedentes de Alergias o transfusiones.<\/li>\n<li>Exploraci\u00f3n Completa del paciente y de los ex\u00e1menes solicitados.<\/li>\n<li>Conclusiones de la Valoraci\u00f3n, explicando claramente los riesgos durante y despu\u00e9s de la cirug\u00eda, as\u00ed como los beneficios de la misma.<\/li>\n<\/ol>\n<p>Debemos de recordar siempre que la mayor\u00eda de los problemas de los pacientes ancianos que se someten a procedimientos quir\u00fargicos son despu\u00e9s de la cirug\u00eda (Post-Quir\u00fargico), y debemos brindar especial atenci\u00f3n en prevenir en la medida de lo posible estas complicaciones y lo mas importante, tratarlas oportunamente.<\/p>\n<p style=\"text-align: center;\"><strong>&nbsp;<\/strong><strong>\u201cLa edad avanzada no es motivo para no operar al paciente\u201d.<\/strong><\/p>\n<p style=\"text-align: center;\"><a href=\"https:\/\/i0.wp.com\/geriatriamexicali.com\/wp-content\/uploads\/2012\/07\/screenshot.7.jpg?ssl=1\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-medium wp-image-312\" title=\"screenshot.7\" src=\"https:\/\/i0.wp.com\/geriatriamexicali.com\/wp-content\/uploads\/2012\/07\/screenshot.7-300x215.jpg?resize=300%2C215&#038;ssl=1\" alt=\"\" width=\"300\" height=\"215\" srcset=\"https:\/\/i0.wp.com\/geriatriamexicali.com\/wp-content\/uploads\/2012\/07\/screenshot.7.jpg?resize=300%2C215&amp;ssl=1 300w, https:\/\/i0.wp.com\/geriatriamexicali.com\/wp-content\/uploads\/2012\/07\/screenshot.7.jpg?w=303&amp;ssl=1 303w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><strong>&nbsp;<\/strong><strong>\u201c<\/strong>Para obtener mejores resultados en las cirug\u00edas de los ancianos, deben ser manejados por&nbsp; un equipo multidisciplinario<strong>: <em>Cirujano (General, Ur\u00f3logo, Traumat\u00f3logo, Neurocirujano, otros), Anestesi\u00f3logo y&nbsp; <\/em>Geriatra\u201d<\/strong><\/p>\n<h3 align=\"center\">DELIRIUM EN EL POST-OPERATORIO.<\/h3>\n<p>De las complicaciones mas frecuentes en los pacientes que se someten a procedimientos quir\u00fargicos se encuentra el \u201cDelirum\u201d. Puede llegar a presentarse hasta en el 60% de los pacientes operados por cualquier causa.<\/p>\n<h3 style=\"text-align: center;\">Diagn\u00f3stico<\/h3>\n<p>Se realiza mediante la exploraci\u00f3n f\u00edsica, habitualmente son pacientes <strong>agitados, desorientados e inatentos<\/strong>, cuando el <strong>Delirium es Hiperactivo<\/strong>, Sin embargo existe un reto para el geriatra en diagnosticar el Hipoactivo, ya que son pacientes con tendencia a la poca actividad y prefieren estar dormidos.<\/p>\n<h3 style=\"text-align: center;\">Tratamiento<\/h3>\n<p>Debemos Identificar antes de proporcionar alg\u00fan medicamento, las causas posibles de la agitaci\u00f3n en el paciente post-operado, como son: Dolor, Nauseas, Estre\u00f1imiento, Falta de Oxigeno, u otras situaciones mas graves que ponen en riesgo la buena evoluci\u00f3n del paciente.<\/p>\n<p>Existen medicamentos que se deben de administrar a estos pacientes cuando ponen en riesgo la integridad del mismo paciente o la de los que lo rodean en el medio hospitalario (Familiares\/Personal de salud) y que pueden complicar la&nbsp; recuperaci\u00f3n de la cirug\u00eda realizada.<\/p>\n<p style=\"text-align: center;\">&nbsp;<strong><em>\u201cEl Delirium NO es igual&nbsp; que Demencia, el primero es un estado REVERSIBLE\u201d.&nbsp;<\/em><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>La expectativa de vida se ha incrementado en los \u00faltimos a\u00f1os. Con ello se ha incrementado la necesidad de realizar procedimientos quir\u00fargicos tanto de forma electiva como de forma &nbsp;urgente en los ancianos. Las cirug\u00edas que m\u00e1s frecuentemente se realizan en ellos son: Cirug\u00eda de Cadera. Cirug\u00edas Abdominales: Ves\u00edcula Biliar, Apendicitis, Hernias, Colon. Cirug\u00eda de [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":35070,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[5],"tags":[],"class_list":["post-339","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-geriatria"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>CIRUGIA EN EL ANCIANO - Dr. Hector Gallego<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/geriatriamexicali.com\/index.php\/cirugia-en-el-anciano\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"CIRUGIA EN EL ANCIANO - Dr. Hector Gallego\" \/>\n<meta property=\"og:description\" content=\"La expectativa de vida se ha incrementado en los \u00faltimos a\u00f1os. Con ello se ha incrementado la necesidad de realizar procedimientos quir\u00fargicos tanto de forma electiva como de forma &nbsp;urgente en los ancianos. Las cirug\u00edas que m\u00e1s frecuentemente se realizan en ellos son: Cirug\u00eda de Cadera. Cirug\u00edas Abdominales: Ves\u00edcula Biliar, Apendicitis, Hernias, Colon. 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