Geriatric Anaesthesia for Centenarians- A Challenging, Learning Experience!

Abstract

With improving healthcare facilities, the geriatric population in India is on the rise. Anaesthesia in the geriatric age group poses many challenges to the peri-operative physician because of the decreased functional reserve and various comorbidities associated with advanced age. In addition to that, there is greater risk of post-operative cognitive dysfunction and delirium. Anaesthesia in patients above 100 years is a sub-speciality in itself, with several special considerations. We, hereby present the case of a 102-year-old female patient with severe aortic stenosis posted for left-sided dynamic hip screw fixation on an emergency basis under low dose, unilateral spinal anaesthesia, supplemented with slow and graded epidural anaesthesia.

Evaluation and standarisation of Shatavaryadi Churna

“…1 Shatavaryadi Churna has six contents viz Shatavari (Asparagus), Ela (Cardamom), Amalaki (Emblicmyrobalan), Vidang (False black pepper), Maricha (Black pepper), Pippali (Indian long pepper). Collectively, it consists primarily of Madhura (50%) 2 , Katu (33%) 3 Rasa(Taste), Ruksha (29%) 4 , Laghu (22%) Gunas 5 (Ayurvedic pharmacological parameters), SheetaVirya (67%) 6 and Madhura Vipaka (67%) 7 . All six ingredients have got Balya (strength improver) [8] [9] [10] [11] [12] [13] and Rasayan (Rejuvenator) properties.…”