Indications And Contraindications In Traumatic Pathology In Patients With Dementia

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.