Geriatric anesthesia / / Charles H. Brown, IV. MD, MHS, Division of Cardiac Anesthesia, Department of Anesthesiology and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore, MD, USA, Mark D. Neuman, MD, MSc, Department of Anesthesiology and Critical Care, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA

• Record Nr.: UNINA9910137120203321
• Autore: Brown Charles H.
• Pubbl/distr/stampa: Philadelphia : , : Elsevier, , 2015
• ISBN: 0-323-39552-X
• Descrizione fisica: 1 online resource (235 p.)
• Collana: Anesthesiology clinics, , 1932-2275 ; ; volume 33, number 3; The clinics. Internal medicine
• Disciplina: 617.96
• Soggetti: Geriatric anesthesia
• Lingua di pubblicazione: Inglese
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Note generali: Includes index.; "Clinics review articles"--cover.
• Nota di contenuto: Cover image; Title page; Table of Contents; Copyright Page; Contributors; Consulting Editor; Editors; Authors; Forthcoming Issues; Forthcoming Issues; Recent Issues; Foreword: Geriatric Anesthesia: Can We Achieve the Goal of Returning our Elderly to Baseline or Improved Function?; Preface: Optimizing Perioperative Care for Older Adults; The History of Geriatric Anesthesia in the United States and the Society for the Advancement of Geriatric Anesthesia; Key points; Introduction; The early years; American Society of Anesthesiologists Committee on Geriatric Anesthesia; Society for the Advancement of Geriatric AnesthesiaInvolvement by the American Geriatrics Society; American Society of Anesthesiologists involvement; Future considerations; Geriatrics and the Perioperative Surgical Home; Key points; Introduction; Definition of the perioperative surgical home; Triple aim; Where to start?; Benefits of the perioperative surgical home; Aging patient population; Role in geriatrics; Complications in the geriatric population: room for improvement?; Future considerations/summary; Physiology Considerations in Geriatric Patients; Key points; Introduction; Nervous systemCardiovascular system; Respiratory system; Gastrointestinal system; Renal and volume regulation system; Endocrine system; Summary; Geriatric Pharmacology; Key points; Introduction; Cerebral mechanisms of general anesthesia; Pharmacokinetic changes with aging; Pharmacologic considerations of specific anesthetic medications; Applying pharmacologic knowledge to practice; Consequences of overdosing anesthetics in elderly patients; Summary; Preoperative Assessment of Geriatric Patients; Key points; Introduction; Neuropsychiatric evaluation; Cardiac evaluation; Pulmonary evaluation; FrailtyFunctional status; Nutritional status; Medication history and polypharmacy; Diagnostic tests; Patient counseling; Future considerations/summary; Optimal Preoperative Evaluation and Perioperative Care of the Geriatric Patient; Key points; Introduction; The American College of Surgeons/American Geriatrics Society best practice guidelines; The complete meal: best practices and more; The à la carte menu: more practical options for some; Summary; Anesthetic Considerations for Common Procedures in Geriatric Patients; Key points; Introduction; General approach to anesthetic management in the elderly patientAnesthetic considerations for hip fractures; Anesthetic considerations for emergent general surgery; Anesthetic considerations for transcatheter aortic valve replacement; Future directions; Postoperative Delirium in the Geriatric Patient; Key points; Introduction; Risk factors; Diagnosis; Pathophysiology; Management; Current controversies and future considerations; Summary; Postoperative Cognitive Dysfunction; Key points; A description of postoperative cognitive dysfunction and postoperative cognitive improvement; Who is at risk for developing postoperative cognitive dysfunction?
• Sommario/riassunto: The volume of elderly patients requiring anesthesia and surgery is growing rapidly. Thirty-five percent of surgeries are performed on patients older than 65 years, and in general, these patients have higher morbidity and mortality rates after anesthesia compared with their younger counterparts. One of the major challenges of treating elderly patients is the heterogeneity of the geriatric population-and the need to individualize care for each patient to provide the best outcome.