Basic Preoperative Evaluation and Preoperative Management of the Older Patient
Metabolic equivalent Activity 1 Watching television 2 Walking very slow (<2 mph) 3 Office work 4 Golfing with a cart 5 Normal walking 6 Shoveling snow 7 Fast jogging 8…
Perioperative Care of the Elderly Cancer Patient
© Springer International Publishing AG 2018J. G. Reves, Sheila Ryan Barnett, Julie R. McSwain and G. Alec Rooke (eds.)Geriatric Anesthesiologyhttps://doi.org/10.1007/978-3-319-66878-9_27 27. Perioperative Care of the Elderly Cancer Patient B. Bryce Speer1 and Vijaya Gottumukkala1 (1) Department of Anesthesiology and…
Special Concerns of Intraoperative Management in Orthopedic Procedures
© Springer International Publishing AG 2018J. G. Reves, Sheila Ryan Barnett, Julie R. McSwain and G. Alec Rooke (eds.)Geriatric Anesthesiologyhttps://doi.org/10.1007/978-3-319-66878-9_25 25. Special Concerns of Intraoperative Management in Orthopedic Procedures John P. Williams1 , Catalin Ezaru2 and Lynn Cintron3 (1) Department of Anesthesiology,…
Cardiothoracic and Vascular Procedures
Fig. 23.1 Probability of incurring a morbid event during the perioperative cardiac surgical period and its association with age. Neurologic deficits increase dramatically beginning at age 65, whereas low cardiac…
Care of the Geriatric Surgery Patient: The Surgeon’s Perspective
Postoperative nausea and vomiting Analgesics Corticosteroids (for prophylaxis) Barbiturates Transdermal scopolamine Benzodiazepines Metoclopramide Hypnotics (i.e., zolpidem) Promethazine Pentazocine Prochlorperazine Meperidine Skeletal muscle relaxants Non-COX NSAIDs Reprinted from Mohanty et al….
Renal, Metabolic, and Endocrine Aging
High hepatic extraction ratio Morphine Lidocaine Verapamil Propranolol Nitroglycerin Etomidate Propofol Ketamine Naloxone Intermediate hepatic extraction ratio Aspirin Codeine Hydromorphone Nortriptyline Diphenhydramine Etomidate Low hepatic extraction ratio Warfarin Phenytoin Diazepam…
Theories and Mechanisms of Aging
Theories involving DNA DNA damage mtDNA damage Telomere shortening Transposable element activation Epigenetic modification Error catastrophe Accumulation theories Clinker theories Lipofuscin Cross-links Advanced glycation end products Misfolded protein aggregates Clunker…
Ethical and Legal Issues of Geriatrics
Fig. 3.1 Principles of a geriatric ethic derived from Hauerwas’ dimensions of human nature (Based on data from Ref. [26]) Informed Consent in the Elderly Respect for Personal Autonomy Many ethical…
The Perioperative Surgical Home for the Geriatric Population
Fig. 5.1 Typical diagrams of modern PSH interactions with patient involvement the central focus The intraoperative team concentrates on (1) continuing and enhancing ERAS protocols, (2) assessing and reducing costs…
