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Comprehensive geriatric assessment and its role in oncology:a brief review

肿瘤 2024年第1期44卷 20-24页

作者： evelyne Yehudit bischof 上海交通大学医学院附属仁济医院肿瘤中心上海200127

As the global population ages,the incidence of cancer among older adults is increasing.The management of older patients with cancer poses unique challenges due to the age-related physiological changes,multiple comorbidities,and functional decline often observed in this population.Comprehensive Geriatric Assessment(CGA)has emerged as a valuable tool in oncology to evaluate the overall health and functional status of older cancer patients in order to optimise cancer care for older adults.This comprehensive approach acknowledges the unique challenges faced by elderly patients with cancer and seeks to optimize outcomes by considering their specific circumstances and individual requirements.

关键词： Comprehensive geriatric assessment Oncology Older adults Cancer care Treatment decisionmaking Functional status Multidimensional evaluation

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Anesthesia with ciprofol in cardiac surgery with cardiopulmonary bypass:A case report

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World Journal of Clinical Cases 2023年第1期11卷 157-163页

作者： Le Yu evelyne bischof Hui-Hong Lu Department of Anesthesiology East HospitalTongji University School of MedicineShanghai 200120China Laboratory of Tumor Molecular Biology School of Basic Medical SciencesShanghai University of Medicine and Health SciencesShanghai 201318China Department of Anesthesiology Shanghai East Hospital of Tongji UniversityShanghai 200120China

BACKGROUND Ciprofol is a novel agent for intravenous general anesthesia.In February 2022,it was approved by the National Medical Products Administration for general anesthesia induction and maintenance.It has the advantages of fast onset,fast elimination,stable circulation,and few adverse reactions.However,the efficacy and safety of ciprofol in cardiac surgery with cardiopulmonary bypass have not been reported.Here we describe a case where ciprofol was successfully used for anesthesia in cardiac surgery with cardiopulmonary bypass.CASE SUMMARY A 72-year-old man(height 176 cm;weight 70 kg)was diagnosed with coronary atherosclerotic cardiomyopathy requiring coronary artery bypass grafting and left ventricular aneurysmectomy.Ciprofol was administered for induction(0.4 mg/kg)and maintenance(0.6-1.0 mg/kg/h)of general anesthesia.During the entire operation,the bispectral index,hemodynamics,and blood oxygen saturation were maintained at normal levels.The patient recovered well after surgery,with no serious adverse events related to ciprofol.CONCLUSION Ciprofol is safe and effective for anesthesia in cardiac surgery with cardiopulmonary bypass.

关键词： Ciprofol Coronary artery bypass grafting Left ventricular aneurysmectomy Cardiopulmonary bypass Case report

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