ANESTHESIOLOGICAL CARE AND INTENSIVE CARE OF GERONTOLOGICAL PATIENTS IN UROLOGY

Аннотация

Is accompanied by an expansion of indications for surgical interventions previously considered impossible, in particular, in elderly and senile patients (Gorilovsky L.M., 1993; Kosachenko V.M., 2005, etc.) - According to epidemiological data from the Russian Federation, in recent years the proportion of gerontological patients undergoing hospital treatment has been significantly increasing, and according to UN forecasts, the number of elderly and senile people in the world by 2010 will amount to 15% of the total population (Burov N.E., 2000; Gorilovsky L.M., 1999; Seltsovsky A.P., 1999, etc.). In this regard, the problem of treatment and, in particular, anesthetic care for this category of patients is extremely urgent. It is well known that during the aging process, numerous involutional changes occur in the body, characterized by a decrease in the functional capabilities of organs and systems, a decrease, and in some cases, a perversion of metabolic processes, a decrease in the reactivity of the body and resistance (or resistance) to stress effects (Fedorovsky N.M., 2002; Folkes-Crabbe.D., 1993, etc.).