4th Nursing World Conference
- August 19-21, 2019
- London, UK
Ms. Sudta Parakkamodom, B.N.S, M.S. is a nurse anesthetist, head of Data management unit, head of steering committee of Siriraj Anaesthesia Electronic Medical Record (SiAEMR) development Program and quality control at Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Thailand
Currently, The Siriraj Anaesthesia Electronic Medical Record (SiAEMR) has contributed to other hospital in Thailand and received invention award from Inventions Geneva Salon International 2018 and special award from Association of Polish Inventors and Rationalizers.
The global population aged 60 years or over numbered 962 million in 2017, more than twice as large as in 1980 when there were 382 million older persons worldwide. The number of elderly is expected to double again by 2050, when it is projected to reach nearly 2.1 billion. Globally, the number of persons aged 80 years or over is anticipated to increase more than threefold between 2017 and 2050, rising from 137 million to 425 million.
Department of Anesthesiology, Faculty of Medicine of Siriraj hospital, has the responsibilities to take care of more than 50,000 patients annually which 30% are geriatric persons. Anaesthesia service is a medical specialty that focuses on perioperative medicine and the administration of anesthetics. It expresses traditionally as the conditions of no pain perception during surgical procedure.
As the average age of populations continues to rise, anesthesiologists should concern to address the health problems and predisposing factors which impact to their patients. These include underlying diseases, drugs-related adverse events, postoperative cognitive dysfunction (POCD), and pathophysiologic changes of the cardiovascular system namely atherosclerosis, reduced vascular compliance, increased arterial wall thickness and decreased β2-mediated vasodilation.
Postoperative cognitive dysfunction becomes a challenging phenomenon amongst ageing population after surgery and anaesthesia. Physiologic dysfunction including changes in normal behavior, drugs metabolism and hypersensitivity, results in dependency, cognitive impairment, longer hospital stay, side effects, and adverse peri-operative outcomes.
Investigators are serious about the increasing number of geriatric patients undergoing anaesthesia, and would like to study factors relating to its postoperative complications.