Anesthesia Considerations for the Geriatric Patient

Edelstein, Steven B.; Metry, Jonathan E.

doi:10.1007/s13670-017-0206-0

Cited by 3 publications

(3 citation statements)

References 29 publications

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“…However, cardiac responsiveness to adrenergic stimulation is declined. Maximal heart rate and cardiac output also decrease with age [3]. Consequently, baroreflex responses could not completely maintain hemodynamic stability in stressful conditions such as orthostatic hypotension and administration of vasoactive drugs.…”

Section: Cardiovascular Systemmentioning

confidence: 99%

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Anesthetic Consideration for Geriatric Patients

Amornyotin¹

2021

Update in Geriatrics

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The geriatric population experiences significant alterations of numerous organ systems as a result of the aging process. They also have several co-morbidities including hypertension, cardiac disease, diabetes, cerebrovascular disease and renal dysfunction. Geriatric patients are considerably vulnerable and especially sensitive to the stress of trauma, surgery and anesthesia. A high incidence of postoperative complications in this population is observed. Appropriate perioperative care was required for geriatric patients. To date, development in anesthesia and surgical techniques has substantially reduced morbidity and mortality in the geriatric patients. Several anesthetic techniques have been utilized for these patients. However, anesthesia-related mortality in geriatric patients is quiet high. All geriatric patients undergoing surgical procedures require a preprocedural evaluation and preparation, monitoring patients during intraprocedural and postprocedural periods as well as postprocedural management. This chapter highlights the physiological changes, preprocedure assessment and preparation, anesthetic techniques, intraprocedural and postprocedural management in geriatric population.

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Section: Cardiovascular Systemmentioning

confidence: 99%

“…There is also a reduced response to atropine. Moreover, diminished responses to hypovolemia are supplementary confounded by volatile anesthetics and the sedative drugs that impair baroreflex control mechanisms [1,3].…”

Section: Cardiovascular Systemmentioning

confidence: 99%

Anesthetic Consideration for Geriatric Patients

Amornyotin¹

2021

Update in Geriatrics

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“…The most important outcome and overall objective of perioperative care of geriatric population, is to speed recovery and avoid functional decline.The risk from anesthesia is more related with the presence of co-existing disease than with the age of the patient. Minimizing perioperative risk in geriatric patients requires thoughtful preoperative assessment of organ function and reserve, meticulous intraoperative management of coexisting disorders, and vigilant postoperative pain control [1][2][3][4][5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

General anesthesia in Geriatric patients in combination with Epidural anesthesia in the right colectomy

Dalamagka¹

2022

GSC Biol. and Pharm. Sci.

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Aging involves a progressive loss of functional reserve in all organ systems, to variable extend. Moreover, perioperative morbidity becomes more frequent in the elderly with steep increases after the age of 75. The elderly are more sensitive to anesthetic agents and generally require smaller doses for the same clinical effect, and drug action is usually prolonged. In the study, a 78-year-old man with Chronic obstructive pulmonary disease (COPD) and a cardiac history underwent a right colectomy with a combination of general and epidural anesthesia. The purpose of this paper is to investigate the beneficial effects of epidural anesthesia when it acts in combination with general anesthesia in elderly patients.

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