INDICATIONS AND CONTRAINDICATIONS IN TRAUMATIC PATHOLOGY IN PATIENTS WITH DEMENTIA

Authors

  • A.V. BRADEANU “Dunarea de Jos” University, Galati, Romania
  • Cristina KANTOR “Grigore T. Popa” University of Medicine and Pharmacy Iasi, Romania
  • Laura REBEGEA “Dunarea de Jos” University, Galati, Romania
  • Loredana Sabina PASCU “Dunarea de Jos” University, Galati, Romania
  • A. TUCMEANU “Valahia” University of Targoviste, Romania
  • G. BACIU “Dunarea de Jos” University, Galati, Romania
  • Diana BULGARU ILIESCU “Grigore T. Popa” University of Medicine and Pharmacy Iasi, Romania
  • R. ANGHEL “Grigore T. Popa” University of Medicine and Pharmacy Iasi, Romania
  • Anamaria CIUBARA “Dunarea de Jos” University, Galati, Romania

Abstract

INDICATIONS AND CONTRAINDICATIONS IN TRAUMATIC PATHOLOGY IN PATIENTS WITH DEMENTIA (Abstract): The incidence of patients with dementia has increased significantly in the last decades, with the increase in life expectancy and longevity; it is a condition age-specific and doubles with every 5 years of increase in age and it is expected to reach 65,7 million in 2030 and 115.4 million by 2050. In cases of dementia, it is contraindicated any stressful emotional or physical situation that could precipitate symptoms. In the case of trauma, there is a complex process that disturbs the homeostasis of the whole organism. It is known that the elderly has an increased risk of delirium (which is basically a separate transient illness, not a worsening of dementia, so it is reversible) during the postoperative period, and the more patients with dementia who can develop both delirium and postoperative cognitive dysfunction. An important step in general anesthesia is the anesthetic preconditioning in which the brain is stimulated by small lesions that do not produce histological changes but are sufficient to produce a biomolecular stress that will initiate protection against further severe aggressions. In conclusion, patients with dementia have a high mortality rate and therefore require careful supervision and immediate care when first suspicions arise. Delirium should be treated as a deadly emergency. They also need palliative therapies for both pain and support to provide a more familiar environment to reduce depression and anxiety.

Author Biographies

  • A.V. BRADEANU, “Dunarea de Jos” University, Galati, Romania

    Ph.D. student

  • Cristina KANTOR, “Grigore T. Popa” University of Medicine and Pharmacy Iasi, Romania

    Ph.D. student

  • Laura REBEGEA, “Dunarea de Jos” University, Galati, Romania

    Medical Clinical Department

  • Loredana Sabina PASCU, “Dunarea de Jos” University, Galati, Romania

    Medical Clinical Department

  • G. BACIU, “Dunarea de Jos” University, Galati, Romania

    Medical Clinical Department

  • Diana BULGARU ILIESCU, “Grigore T. Popa” University of Medicine and Pharmacy Iasi, Romania

    Department of Medical Specialties (III)

  • R. ANGHEL, “Grigore T. Popa” University of Medicine and Pharmacy Iasi, Romania

    Department of Medical Specialties (III)

  • Anamaria CIUBARA, “Dunarea de Jos” University, Galati, Romania

    Medical Clinical Department

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Additional Files

Published

2019-03-29

Issue

Vol. 123 No. 1 (2019): The Medical-Surgical Journal

Section

INTERNAL MEDICINE - PEDIATRICS

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