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KMID : 1155520160110020190
Anesthesia and Pain Medicine
2016 Volume.11 No. 2 p.190 ~ p.194
Comparison of spinal anesthesia between the non-elderly and elderly patients
Park Sang-Yoong

Kim Jeong-Ho
Rim Jong-Cheol
Kim Jeong-A
Lee Ji-Hyeon
Choi So-Ron
Lee Seung-Cheol
Lee Jong-Hwan
Chung Chan-Jong
Abstract
Background: The clinical features of spinal anesthesia may differ between young and old patients because of the anatomical and physiological changes that occur with an increase in age. This study was performed retrospectively to compare the clinical aspects of spinal anesthesia between the non-elderly and elderly patients.

Methods: We investigated the medical records of 1,180 adult patients who received spinal anesthesia during a one-year period. They were divided into two groups on the basis of 65 years of age; the non-elderly patient group (Y group, n = 813) versus the elderly patient group (E group, n = 367). Pre-, intra-, and postoperative data related to spinal anesthesia were collected. The data about satisfaction and causes of dissatisfaction with the procedure were evaluated.

Results: There were significant differences between the two groups in terms of age, height, and weight, except for sex. Significantly more than two attempts at spinal puncture were performed in the E group (37.6%) than in the Y group (21.4%). There were no statistically significant differences in perioperative complications after spinal anesthesia between the two groups. There were no significant differences in the reported causes of dissatisfaction between the two groups. The rate of wanting to undergo spinal anesthesia in the future was 96.4% in the Y group and 97.5% in the E group, which showed no statistically significant difference.

Conclusions: Although the elderly patients had to undergo more spinal puncture attempts, more than 90% of the elderly patients were satisfied with spinal anesthesia and wanted to undergo spinal anesthesia again for similar surgeries in the future.
KEYWORD
Elderly patient, Spinal anesthesia
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