The elderly outpatient: current anesthetic implications

Current Opinion in Anaesthesiology
Stanley Muravchick

Abstract

The present overview describes recent contributions to the literature with regard to choice of anesthetic techniques, approaches to anesthetic management of elderly outpatients undergoing arthroscopy and other procedures, reconsideration of the problem of postoperative delirium in the elderly patient, and a general summary of perioperative management and assessment of anesthetic risk in older adults. Major advances in monitoring technology, pharmacology, and comprehensive preoperative assessment have reduced the probability of major adverse outcomes for geriatric surgical patients to low levels. Therefore, it has become difficult to demonstrate clear-cut superiority for any specific anesthetic agent or approach. Nevertheless, the need for prompt and complete recovery of consciousness and rapid discharge after surgery presents additional challenges for the anesthesiologist who is caring for elderly outpatients with regard to prompt recovery of cognitive function and suppression of nausea and vomiting. The efficiency and speed with which outpatient surgery and anesthetic recovery can be conducted in older adults continue to improve. Monitors of depth of anesthesia, ultra-short-acting agents, and combined techniques have minimized...Continue Reading

References

Aug 1, 1992·Journal of the American Geriatrics Society·P Williams-RussoM E Charlson
May 1, 1991·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·M Gielen
Nov 1, 1994·British Journal of Anaesthesia·S T O'Keeffe, A Ní Chonchubhair
Feb 1, 1996·British Journal of Anaesthesia·Y TzabarK Millar
Apr 16, 1998·Anesthesia and Analgesia·E P LynchE R Marcantonio
Oct 13, 1998·Anesthesia and Analgesia·D J PavlinH Keyes
Mar 27, 1999·Cardiology Clinics·P M Podrazik, J B Schwartz
Jul 28, 1999·Anesthesiology·D R SinclairG Mezei
Aug 10, 2000·Anesthesiology Clinics of North America·S L Shafer
Aug 10, 2000·Anesthesiology Clinics of North America·G A Rooke
Nov 30, 2000·British Journal of Anaesthesia·H J Priebe
Jun 5, 2001·Hernia : the Journal of Hernias and Abdominal Wall Surgery·H Lau, F Lee
Aug 29, 2001·Anesthesia and Analgesia·C MenigauxM Chauvin
Nov 29, 2001·Journal of Hypertension·T K WaddellB A Kingwell
Jan 5, 2002·Anesthesia and Analgesia·Alex Macario, Franklin Dexter
Jan 29, 2002·Anesthesia and Analgesia·Michael Hanania, Eric Kitain
Jan 31, 2002·Anesthesiology·David AmarAlan H Kadish
Apr 20, 2002·Anesthesiology·Mary E WarnerMark A Warner
Apr 20, 2002·Anesthesiology·J Lance LichtorBradford S Lane
Aug 10, 2002·Anesthesiology·Tim JohnsonUNKNOWN ISPOCD2 Investigators

❮ Previous
Next ❯

Citations

Feb 26, 2008·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·O D FaizS K Clark
Jun 14, 2013·Case Reports in Anesthesiology·Maria SanfilippoAntonella Paparazzo
Nov 26, 2015·Clinical Therapeutics·Paul S GarcíaDavid Fishman
Dec 20, 2007·Oral and Maxillofacial Surgery Clinics of North America·Leslie R Halpern, Seth Feldman
Aug 21, 2014·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·O G S AylingG Roche-Nagle
Jul 2, 2016·Current Treatment Options in Gastroenterology·Rita AbdelmessihGarrett Lawlor
Jun 11, 2008·Drugs & Aging·Margaret EksteinAvi A Weinbroum
May 15, 2013·Gastrointestinal Endoscopy·Vinay ChandrasekharaBrooks D Cash

❮ Previous
Next ❯

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Acta Anaesthesiologica Scandinavica
J CanetISPOCD2 investigators
CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne
Donald Redelmeier
BMJ : British Medical Journal
Stephen Singleton
Current Opinion in Anaesthesiology
Anne Marie Troy, Anthony J Cunningham
© 2021 Meta ULC. All rights reserved