By Michael C. Lewis MD (auth.), Sheila Ryan Barnett (eds.)
The handbook of Geriatric Anesthesia is a pragmatic advisor for physicians, citizens, and scholars drawn to the care of the aged sufferer present process surgical procedure. even supposing basically written for anesthesiologists, different perioperative physicians and nurses also will locate the data hugely beneficial. Highlights of the textual content comprise concise and transparent discussions of preoperative overview, anesthetic management, the rapid postoperative care, in addition to the extra vintage ‘geriatric’ issues similar to the hip fracture sufferer, cataract surgical procedure, postoperative delirium, dementia, ethics and finish of lifestyles care. scientific geriatric ideas are woven into the textual content in order that the reader can advance abilities in geriatrics and strengthen a broader realizing of terminology and rules utilized in geriatric medicine.
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Extra resources for Manual of Geriatric Anesthesia
Surrogate Decision-Making In the absence of an advance directive or a living will, some states have enacted laws permitting family members, close friends, and domestic partners to serve as surrogates able to make medical decisions on the patient’s behalf. These laws generally establish hierarchy defining in law who is authorized to serve as a surrogate. Surrogates differ from health care agents in they are limited in their authority to make decisions that are reasonably in the patient’s best interest.
2d 1020 (2009). Chapter 3 The Anesthetic Regimen for the Elderly Patient Sheila Ryan Barnett Why is Anesthetic Choice Important for Elderly Patients? Older patients carry a higher risk of postoperative morbidity and mortality compared to younger counterparts. Although much of the increased risk cannot be influenced by the choice of the anesthetic alone, avoiding even minor complications may improve outcomes. A postoperative complication in an older patient can be devastating. A study examining data from the Veterans Administration demonstrated that the development of a postoperative complication was associated with a 25% increase in 30-day mortality in patients over the age of 80 years.
A reduction in pharyngeal sensitivity has been demonstrated and common comorbidities such as a previous cerebrovascular accident, swallowing disorders, and diseases such as Parkinson’s disease lead to the increased possibility of aspiration. The development of aspiration pneumonia can be devastating in the in older patient with reduced functional reserve. Thus, regardless of the anesthetic regimen, protection of the airway is paramount, and sedation should be administered cautiously in elderly patients with an unprotected airway.