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PDF Availablehttps://doi.org/10.3143/geriatrics.50.158
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Cite Publication Date: Jan 1, 2013 | |
 License type: free |
高齢者では，腎機能，心肺機能など臓器機能低下に加えて，認知能低下による検査への協力が得られにくいこともあり，急性期の侵襲的検査はリスクが高い．内視鏡検査では検査前の脱水の是正，出血を誘発する可能性のある抗血栓薬の調整を事前に行い，鎮静薬の過剰投与を防ぐなど心がける．造影剤検査では造影剤腎症の発生を防ぐため，腎機能評価，脱水の是正，糖尿病などリスク評価を行い，造影剤の量を抑える．侵襲的検査の前には，適応と代替検査の可能性について考え，十分なインフォームドコンセントを得るようにする．
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