Risk factors related to delayed post-anesthetic awakening in the elderly operated by elective video laparoscopic surgery

Abstract

In all surgical procedures, the organism presents different physiological alterations that expose the patient to a series of difficulties that, if not taken into account, can cause very severe complications in the post-anesthetic awakening of elderly patients. A longitudinal prospective cohort study was carried out on elderly people who underwent laparoscopic video surgery at the general provincial hospital "Carlos Manuel de Céspedes de Bayamo, from the Cauto region during the period from January 1, 2019 (,) to December 31, 2019. December 2021; with the aim to identify the risk factors related to a delay in post- anesthetic awakening. It was established that the exposed cohort consisted of 39 elderly people with delayed post-anesthetic awakening in the study period who met the inclusion criteria. The magnitude of the associations was estimated by calculating the relative risks (RR) of delay. There is an association between patient-dependent risk factors: smoking, obesity, presence of comorbidities and use of chronic pharmacological therapy, with a delay in post-anesthetic awakening in the elderly. The duration of the intervention, fasting time greater than 12 hours and hypoglycemia were the factors dependent on the surgical-anesthetic act associated with a delay in post-anesthetic awakening in the elderly.