TY  - CHAP
M1  - Book, Section
TI  - The Geriatric Patient
A1  - Young, Christie
A1  - Soto, Roy
A1  - Wagner, Matthew
A1  - Grichnik, Katherine
A2  - Longnecker, David E.
A2  - Mackey, Sean C.
A2  - Newman, Mark F.
A2  - Sandberg, Warren S.
A2  - Zapol, Warren M.
PY  - 2017
T2  - Anesthesiology, 3e
AB  - KEY  POINTSThe  elderly  are  the  fastest-growing  segment  of  the  population.  By  2030,  more  than  20%  of  the  population  will  be  more  than  65  years  old,1  and  by  2045,  those  who  are  greater  than  80  years  old  will  represent  the  largest  proportion  of  the  elderly.2A  healthy  elderly  patient  may  have  normal  organ  function  but  less  reserve.There  is  a  significant  difference  in  defining  a  patient  as  elderly  versus  defining  a  patient  as  frail.  Newer  research  has  focused  on  the  concept  of  frailty,  not  elderly,  and  its  implications  on  the  perioperative  period.  Frailty  has  been  shown  to  increase  risk  of  morbidity  and  mortality  even  after  adjusting  for  age.There  are  normal  organ  and  overall  functional  changes  of  aging  that  do  not  imply  disease  but  must  be  considered  when  planning  an  anesthetic.Elderly  patients  have  a  high  incidence  of  chronic  disease  states.Elderly  or  frail  patients  do  not  require  a  “special”  anesthetic  but  rather  require  strict  attention  to  meticulous  preoperative  assessment,  preoperative  optimization,  detailed  management  of  intraoperative  variables  and  concurrent  disease  states,  choice  of  drug,  and  cautious  titration  of  drug  administration  and  dosages.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/23
UR  - accessanesthesiology.mhmedical.com/content.aspx?aid=1144114013
ER  -