PERIOPERATIVE MANAGEMENT OF GERIATRIC PATIENTS
Ahmed Refaat Ahmed Hassan;
Abstract
Surgery in the geriatric population is not without risk, but -e------ mortality rate has markedly decreased. Chronological age is much less
important as an independent risk factor. A more important predictor is the
presence of coexisting disease. Although prospective trials involving risk modification are lacking, medical optimization, adequate planning preoperatively, including scheduling surgery electively as opposed to emergency, and improving nutritional status may be helpful. The anesthetic technique is probably not as important as meticulous control of hemodynamics perioperatively. Opportunity to improve perioperative outcomes in. the elderly will be possible when risk factors for these adverse events can be modified and outcomes evaluated.
For anesthesia departments employing increased usage of conscious and deep sedation outside their operating rooms, we may see the advent of formal anesthesia sedation services available throughout a hospital community. Advantages of such a service i clude providing a hospital with timely, reliable, high quality service with an optimization of recovery and turnaround time.
Goals of optimized pain management in the postoperative period are to provide patient comfort and satisfaction, to restore function, to decrease perioperative morbidity, and thereby decrease hospital stay and health care costs.
important as an independent risk factor. A more important predictor is the
presence of coexisting disease. Although prospective trials involving risk modification are lacking, medical optimization, adequate planning preoperatively, including scheduling surgery electively as opposed to emergency, and improving nutritional status may be helpful. The anesthetic technique is probably not as important as meticulous control of hemodynamics perioperatively. Opportunity to improve perioperative outcomes in. the elderly will be possible when risk factors for these adverse events can be modified and outcomes evaluated.
For anesthesia departments employing increased usage of conscious and deep sedation outside their operating rooms, we may see the advent of formal anesthesia sedation services available throughout a hospital community. Advantages of such a service i clude providing a hospital with timely, reliable, high quality service with an optimization of recovery and turnaround time.
Goals of optimized pain management in the postoperative period are to provide patient comfort and satisfaction, to restore function, to decrease perioperative morbidity, and thereby decrease hospital stay and health care costs.
Other data
| Title | PERIOPERATIVE MANAGEMENT OF GERIATRIC PATIENTS | Other Titles | طرق الادارة والتحكم فى مرضى كبار السن قبل واثناء وبعد العمليات الجراحية | Authors | Ahmed Refaat Ahmed Hassan | Issue Date | 2005 |
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