Acute renutrition by cyclic enteral nutrition in elderly and younger patients

Article Abstract:

Cyclic enteral nutrition (CyEN) seems to be an effective and tolerable therapy for undernourished patients, although younger people may benefit more than the elderly. CyEN is nighttime tube feeding. Researchers studied 97 severely undernourished patients, 46 of whom were 65 years of age or older. Investigators performed a nutritional assessment on all patients before and after the initiation of CyEN. Seven nutritional markers and the global nutritional deficiency improved significantly in both younger and elderly patients. Two weeks into the treatment or at the end of treatment, the younger patients had significantly greater improvements in body weight, blood levels of albumin, prealbumin, transferrin, and urinary creatinine than the elderly. Most patients were able to tolerate CyEN, although one patient in each age group developed aspiration pneumonia.

Evaluation, Diet therapy, Enteral feeding, Enteral nutrition, Malnutrition

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Cognitive effects after epidural vs general anesthesia in older adults: a randomized trial

Article Abstract:

The type of anesthesia used for older adults appears not to adversely affect their cognitive functioning. In a large trial comparing the effects of epidural versus general anesthesia, no significant clinical differences were observed among 262 patients who underwent elective total knee replacement. The patients were assigned to either epidural or general anesthesia. Cognition was evaluated by a battery of tests at one week and six months after surgery. Postoperative delirium and long-term cognition decline were similar for both groups. The rate of cardiovascular incident was not significantly different in either group.

Complications and side effects, Anesthesia

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