Anesthesia for Geriatric Patients - Anesthesia Considerations for Elderly Patients
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- Age-related coexisting disease is a major predictor for perioperative mortality and serious morbidity. Age-related coexisting disease increases elderly patients' risks for perioperative events such as:
- Myocardial infarction
- Congestive heart failure
- Aspiration and pneumonia
- Adverse drug reactions
- Pressure sores
- Age alone is a minor predictor for perioperative complications.
- Assessment of health and functional status. A detailed history and physical examination are required, with emphasis on physical condition, ambulation, activities of daily living, preoperative living situation, and preexisting disabilities.
- Preoperative testing. Testing should be based on coexisting disease and recommended guidelines (see Chapter 1). Recommended testing in elderly patients includes electrocardiogram, chest radiograph, complete blood count, electrolyte panel that includes blood urea nitrogen, creatinine, potassium (especially if the patient is receiving a diuretic), and glucose.
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Pino, Richard M., editor. "Anesthesia for Geriatric Patients - Anesthesia Considerations for Elderly Patients." Clinical Anesthesia Procedures, 9th ed., Wolters Kluwer, 2019. Anesthesia Central, anesth.unboundmedicine.com/anesthesia/view/ClinicalAnesthesiaProcedures/728320/all/Anesthesia_for_Geriatric_Patients___Anesthesia_Considerations_for_Elderly_Patients.
Anesthesia for Geriatric Patients - Anesthesia Considerations for Elderly Patients. In: Pino RM, ed. Clinical Anesthesia Procedures. 9th ed. Wolters Kluwer; 2019. https://anesth.unboundmedicine.com/anesthesia/view/ClinicalAnesthesiaProcedures/728320/all/Anesthesia_for_Geriatric_Patients___Anesthesia_Considerations_for_Elderly_Patients. Accessed April 21, 2019.
Anesthesia for Geriatric Patients - Anesthesia Considerations for Elderly Patients. (2019). In Pino, R. M. (Ed.), Clinical Anesthesia Procedures. Available from https://anesth.unboundmedicine.com/anesthesia/view/ClinicalAnesthesiaProcedures/728320/all/Anesthesia_for_Geriatric_Patients___Anesthesia_Considerations_for_Elderly_Patients
Anesthesia for Geriatric Patients - Anesthesia Considerations for Elderly Patients [Internet]. In: Pino RM, editors. Clinical Anesthesia Procedures. Wolters Kluwer; 2019. [cited 2019 April 21]. Available from: https://anesth.unboundmedicine.com/anesthesia/view/ClinicalAnesthesiaProcedures/728320/all/Anesthesia_for_Geriatric_Patients___Anesthesia_Considerations_for_Elderly_Patients.
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