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Geriatric Anesthesiology: Where Have We Been and Where Are We Going?
Pages 3-17
Surgical and anesthetic techniques have evolved to allow a growing number of older adults to undergo surgery, and current estimates are that 50% of Americans over the age of 65 years old will have an operation. However, as the knowledge regarding perioperative care of the elderly surgical patient grows, so do the questions. In this edition, each chapter includes a section entitled “Gaps in Our Knowledge,” meant to highlight areas in which research is needed, as well as hopefully inspire readers to begin solving some of these questions themselves. Building upon the strong foundation of the first two editions, Geriatric Anesthesiology, 3rd edition also assembles the most up-to-date information in geriatric anesthesia and provides anesthesiologists with important new developments.Topics covered include several new chapters that reflect the evolution of multidisciplinary geriatric care throughout the perioperative continuum, as well as the growing body of literature related to prehabilitation. In addition, discussion of the surgeon’s perspective and geriatrician’s perspective on surgery in the geriatric population is covered, as well as the systematic physiologic changes associated with aging and the pharmacologic considerations for the geriatric patient undergoing procedures. Finally, the last section discusses postoperative care specific to the geriatric population, including acute pain management, ICU management, recent evidence and up-to-date practice regarding delirium and postoperative cognitive dysfunction, and palliative care.
Geriatric Anesthesiology: Where Have We Been and Where Are We Going?
Pages 3-17
Theories and Mechanisms of Aging
Pages 19-25
Ethical and Legal Issues of Geriatrics
Pages 27-51
Basic Preoperative Evaluation and Preoperative Management of the Older Patient
Pages 53-66
The Perioperative Surgical Home for the Geriatric Population
Pages 67-72
Improving Perioperative Functional Capacity: A Case for Prehabilitation
Pages 73-84
Care of the Geriatric Surgery Patient: The Surgeon’s Perspective
Pages 85-97
The Geriatrician’s Perspective on Surgery in the Geriatric Population
Pages 99-116
Medicare, Administrative, and Financial Matters in Caring for Geriatric Patients
Pages 117-141
Geriatric Anesthesia: Age-Dependent Changes in the Central and Peripheral Nervous Systems
Pages 145-160
Cardiovascular System
Pages 161-178
The Aging Respiratory System: Strategies to Minimize Postoperative Pulmonary Complications
Pages 179-196
Renal, Metabolic, and Endocrine Aging
Pages 197-202
Musculoskeletal and Integumentary Systems
Pages 203-212
Perioperative Thermoregulation in the Elderly
Pages 213-229
Inhalational Anesthetics
Pages 233-253
Intravenous Sedatives and Anesthetics
Pages 255-281
The Pharmacology of Intravenous Opioids
Pages 283-302
Local Anesthetics and Regional Anesthesia
Pages 303-319
Neuromuscular Blocking and Reversal Agents
Pages 321-332
Anesthetic Implications of Chronic Medication Use
Pages 333-350
Anesthesia for Common Nonoperating Room Procedures in the Geriatric Patient
Pages 353-371
Cardiothoracic and Vascular Procedures
Pages 373-380
Perioperative Management of Pacemakers and Internal Cardioverter-Defibrillators
Pages 381-394
Special Concerns of Intraoperative Management in Orthopedic Procedures
Pages 395-412
Geriatric Trauma and Emergent/Urgent Surgery
Pages 413-423
Perioperative Care of the Elderly Cancer Patient
Pages 425-432
Pain Management
Pages 435-451
ICU Management
Pages 453-465
Postoperative Cognitive Impairment in Elderly Patients
Pages 467-480
Palliative Care for the Anesthesia Provider
Pages 481-491
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