My 88 yr old grandmother with severe COPD (on O2 24/7) fractured her hip last night. She also has a 3.4 mm aoritc anuerism. Surgery is being recommended. What questions/concerns to be asked/voiced with reguards to anesthesia and postoperative care?
Given that your grandmother is 88 years old with oxygen-dependent severe chronic obstructive pulmonary disease (COPD), her risk of any type of surgery will be high, especially with a major procedure such as fractured hip repair. Her aortic aneurysm is relatively small at 3.5 cm, I assume you meant cm and not mm, and poses minimal risk.
The first thing you should do is to have a frank discussion with your grandmother about her desire for surgery. Is she currently ambulatory, even minimally so within her own residence? If she is not, you should discuss the rationale for surgery, with the doctor(s) proposing it. The benefit may not outweigh the risk of death or serious morbidity. If there is agreement that the risk is worth taking, you should ask the surgeon if there is more than one surgical approach which would pose the least risk and/or the greatest benefit.
In one study of people 90 years old or older who had hip fractures, those who had surgery and survived beyond the immediate post surgical period, a greater percentage of them were alive after 2 years than the group that opted not to have surgery. You should also discuss this with your grandmother's primary care physician.
i had just come out of a week long coma, when i had a hernia that was strangling,
i had cronic pneumonia, a trachea in my neck, tubes coming out all over the place,
they said it is a emergency operation, i asked as best i could if i was strong enough to cope with this operation they said yes, i was very ill at the time, but survived ok,
so i think you can say if they thought she was not strong enough to cope they would not do it.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.