Published in:
01-09-2017 | Surgical Care for the Geriatric Patient (F Luchette and R Gonzalez, Section Editors)
Anesthesia Considerations for the Geriatric Patient
Published in: Current Geriatrics Reports | Issue 3/2017
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Purpose of Review
This review discusses the pathophysiology and medical challenges facing the provider when dealing with the geriatric patient population. We discuss not only physiologic issues but also cognitive and social problems that complicate the management of these patients.
Recent Findings
The phenotype of frailty adversely affects patient outcomes. Assuming the physical condition of the patient is not impaired; age alone is not a predictor of poor outcomes, even in complex surgical cases. There is little evidence that one approach of anesthesia is superior to another in regard to outcomes, though there may be some benefits in choosing regional anesthesia techniques.
Summary
The geriatric patient population continues to grow and we will see more patients at the extremes of age (>80) presenting not only for urgent/emergent but also for elective, non-palliative procedures. Ongoing multicenter trials are underway to help understand the implications of anesthesia choice in these patients.