Anesthetic management of geriatric patients.

Anesthetic management of geriatric patients. Korean J Anesthesiol. 2019 Oct 22;: Authors: Lim BG, Lee IO Abstract The number of elderly patients who frequently access health care services is increasing worldwide as well as in Korea. Anesthesiologists are developing the expertise to care for these elderly patients. In this review, we considered concerns when anesthetizing elderly patients. A comprehensive search of major international databases (PubMed, Embase, and Cochrane) and Korean databases (KoreaMed) was conducted. The search was organized and documents were divided conceptually into three domains: preoperative considerations, intraoperative management, and postoperative problems. Preoperative preparation of elderly patients included preoperative functional assessment and immediate preoperative problems, such as cognitive impairment, cardiopulmonary evaluation, depression, frailty, nutrition, polypharmacy, and anticoagulation. Intraoperative management included anesthetic mode and pharmacology, monitoring, intravenous fluid or transfusion management, lung-protective ventilation, and prevention of hypothermia. Postoperative checklists included perioperative analgesia, postoperative delirium, postoperative cognitive dysfunction, and postoperative complication. Older surgical patients require a different level of perioperative care than younger patients because they have multiple chronic diseases and, therefore, are prone to develo...
Source: Korean Journal of Anesthesiology - Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research