The very old critically ill patients / Hans Flaatten, Bertrand Guidet, Hélène Vallet, editors.
| Other author | Flaatten, Hans. |
| Other author | Guidet, B. (Bertrand) |
| Other author | Vallet, Hélène. |
| Format | Electronic |
| Publication Info | Cham : Springer, 2022. |
| Description | 1 online resource (590 pages). |
| Supplemental Content | Direct link to eBook |
| Subjects |
| Series | Lessons from the ICU Lessons from the ICU. ^A1456670 |
| Contents | 2.3.1 Admission Criteria: What About Age-- 2.3.2 Prognostic Tools for Older ICU Patients -- 2.3.3 Admission Criteria and Pre-ICU Triage -- 2.4 What Are the Objectives of ICU Care in Older Patients-- 2.4.1 Time for Post ICU Geriatric Units-- Practical Implications -- Conclusion -- Take-Home Messages -- References -- II: Age-Related Physiological Changes -- 3: Aged-Related Physiological Changes: CNS Function -- 3.1 Introduction -- 3.2 CNS Ageing -- 3.2.1 General Cellular Age-Related Changes in the Brain -- 3.2.1.1 [beta]-Amyloid and Tau Protein Accumulation -- 3.2.1.2 Autophagia |
| Contents | Intro -- Preface -- Contents -- Contributors -- Abbreviations -- I: Introduction: The Very Old ICU Patients -- 1: The Demography of Ageing and the Very Old Critical Ill Patients -- 1.1 Introduction: Demography of Ageing -- 1.2 Diversity Within Europe -- 1.3 General Health Issues in the Very Old -- 1.4 ICU Admission of the Very Old -- 1.5 The Very Old in the ICU -- Conclusions -- References -- 2: Objectives of ICU Management for Very Old Patients -- 2.1 Introduction -- 2.2 Characteristics of Very Old Patients -- 2.3 ICU Admission of an Older Patient |
| Contents | 3.2.1.3 Oxidative Stress -- 3.2.1.4 Neuroinflammation -- 3.2.2 Specific Cellular Type Age-Related Changes in the Brain -- 3.2.2.1 Neurone -- 3.2.2.2 Neuroglia -- 3.2.2.3 Microglia -- 3.2.2.4 Vascular Unit -- 3.2.3 Specific Anatomical Age-Related Changes in the Brain -- 3.2.3.1 Global Age-Related Variations -- 3.2.3.2 PFC and Dopamine System -- 3.2.3.3 Hippocampus and Cholinergic System -- 3.3 Ageing Consequences for CNS Functions -- 3.3.1 Cognitive Profile -- 3.3.1.1 Attention -- 3.3.1.2 Memory -- 3.3.1.3 Decision Making -- 3.3.2 Movement |
| Contents | 3.3.2.1 Functional Dispersion of Motor CNS Activity -- 3.3.2.2 Movement and Cognition -- 3.3.3 Affective and Emotional Aspects -- 3.3.3.1 Late-Onset Disorders -- 3.3.3.2 Personality -- 3.3.3.3 Well-Being Paradox -- Practical Implications -- Conclusion -- Take-Home Messages -- References -- 4: Age-Related Physiology Changes: Cardiovascular Function in the Very Old Critically Ill Patient -- 4.1 Introduction -- 4.2 Physiology of Cardiovascular Ageing with Clinical Relevance for Intensive Care -- 4.2.1 Atria -- 4.2.2 Ventricles -- 4.2.3 Myocardium -- 4.2.4 Valves |
| Contents | 4.2.5 The Conduction System -- 4.2.6 Vascular -- 4.2.7 Coronary Arteries -- 4.3 Circulatory Failure: Types of Shock -- Practical Implications -- Circulatory Monitoring: Particular Aspects in the Elderly -- 1. Cannulation -- 2. Invasive and Non-invasive Blood Pressure Measurement -- 3. Central Venous Pressure (CVP) Measurement -- 4. Assessment of Cardiac Output -- 5. Assessment of Fluid Responsiveness -- Conclusion -- Take-Home Messages -- References -- 5: Age-Related Changes of the Kidneys and their Physiological Consequences -- 5.1 (Patho)Physiology of Renal Ageing |
| Abstract | This book, part of the European Society of Intensive Care Medicine (ESICM) textbook series, provides detailed up-to-date information on the care of the critical ill very old (80 years) patients in the ICU. The very old are expanding fast in our populations, and this is mirrored in our hospitals and ICUs as well. During the last decade, a lot more information about the group of critical ill elderly has been published, and several large networks cooperate in performing multinational studies in this field, one of them with roots in the ESICM. This book will give readers knowledge about the current epidemiology of elderly ICU patients, in patients centered outcomes and factors affecting these outcomes. A large part is devoted to age related changes in vital organ functions, and the specific geriatric syndromes like frailty, cognitive decline, reduced activity of daily living, sarcopenia and immunosenecence. This is all important for the practicing intensivists to know about. In addition, specific groups of the elderly in the ICU are also described like the elderly patients with trauma or sepsis. The book is written jointly by intensivists and geriatricians, often working in teams and originating from many different countries. This herald a new era in the collaboration between these two groups in order to improve care and rehabilitation. We have a lot to learn from each other, as both groups have a holistic view of our patients although with different perspectives. This book should be of value for all working in adult ICUs, physicians as well as nurses. It will hopefully lead to a better understanding of the particular challenges posed by this important sub-group of ICU patients and how to manage his group in a way that combine respect for life as well as death and includes patients and caregivers in this process. |
| General note | 5.2 Histological and Morphologic Aspects |
| Bibliography note | Includes bibliographical references. |
| Source of description | Online resource; title from PDF title page (SpringerLink, viewed August 16, 2022). |
| Issued in other form | Print version: Flaatten, Hans. Very Old Critically Ill Patients. Cham : Springer International Publishing AG, ©2022 9783030941321 |
| ISBN | 9783030941338 (electronic bk.) |
| ISBN | 3030941337 (electronic bk.) |
| Standard identifier# | 10.1007/978-3-030-94133-8 |
Availability
| Library | Location | Call Number | Status | Item Actions |
|---|---|---|---|---|
| Electronic Resources | Access Content Online | ✔ Available |