FIELD: medicine.
SUBSTANCE: invention refers to medicine, namely to anaesthesiology and resuscitation, can be used in anesthesiologic and postoperative management of elderly patients with a thoracic pathology. In the elderly patients subjected to thoracic surgeries, values of the following values are determined: patient's physical status by American Society of Anesthesiologists classification; acute cerebrovascular accident in anamnesis; presence or absence of chronic cardiac failure; presence or absence of MAST test alcoholism (Michigan test with self-assessment); operation duration; episodes of hypoxemia and arterial hypotension during operation; volume of intraoperative infusion; intensity of pain syndrome by 10-point visual analogue scale 60 minutes after operation. Derived values are used to determine the prognostic coefficient by the declared formula. If the prognostic factor is 1.7 or higher, there is a high risk of delirium developing. If the prognostic factor is less than 1.7, there is a low risk of developing delirium following thoracic surgeries.
EFFECT: method provides timely prevention of delirium and enables improving quality of life of patients by evaluating the complex of the most significant risk factors.
1 cl, 2 dwg, 1 tbl, 2 ex
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Authors
Dates
2020-07-23—Published
2019-12-16—Filed