Geriatrik Üroonkolojide Anestezi Değerlendirmesi

Yazarlar

İsmail Önder Yılmaz
Volkan İzol

Özet

Ürolojik kanserlerin yaşlı hastalarda artan insidansı, cerrahi öncesi kapsamlı ve multidisipliner bir değerlendirmeyi zorunlu kılmaktadır. Bu süreçte, komorbiditelerin ve polifarmasi riskinin yönetiminin yanı sıra, fonksiyonel kapasite ve kırılganlık durumunun çeşitli ölçüm araçlarıyla; beslenme durumunun ise örneğin Mini Nutritional Assessment gibi geçerliliği olan değerlendirme yöntemleriyle objektif biçimde incelenmesi büyük önem taşır. Anestezi yönetiminde ise total intravenöz anestezi (TIVA), kombine spinal-epidural veya kombine genel-epidural anestezi gibi farklı yaklaşımların etkinlik ve güvenliği, hastanın bireysel özellikleri dikkate alınarak değerlendirilmelidir. Her olguda bireyselleştirilmiş tedavi yaklaşımı ve disiplinler arası iş birliği, perioperatif risklerin azaltılmasında önemli katkı sağlamaktadır.

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