Geriatric Anesthesiology

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. Front Matter ....Pages i-xx Front Matter ....Pages 1-1 Geriatric Anesthesiology: Where Have We Been and Where Are We Going? (Julie R. McSwain, J. G. Reves, Sheila Ryan Barnett, G. Alec Rooke)....Pages 3-17 Theories and Mechanisms of Aging (Neal S. Fedarko)....Pages 19-25 Ethical and Legal Issues of Geriatrics (Paul J. Hoehner)....Pages 27-51 Basic Preoperative Evaluation and Preoperative Management of the Older Patient (Linda Liu, Jacqueline M. Leung)....Pages 53-66 The Perioperative Surgical Home for the Geriatric Population (Gary E. Loyd, Anahat Dhillon)....Pages 67-72 Improving Perioperative Functional Capacity: A Case for Prehabilitation (Francesco Carli, Guillaume Bousquet-Dion)....Pages 73-84 Care of the Geriatric Surgery Patient: The Surgeon’s Perspective (Melissa A. Hornor, James D. McDonald, Daniel A. Anaya, Ronnie Ann Rosenthal)....Pages 85-97 The Geriatrician’s Perspective on Surgery in the Geriatric Population (Thuan Ong, Joe C. Huang, Carol A. Crawford, Katherine A. Bennett)....Pages 99-116 Medicare, Administrative, and Financial Matters in Caring for Geriatric Patients (Laura Tarlow)....Pages 117-141 Front Matter ....Pages 143-143 Geriatric Anesthesia: Age-Dependent Changes in the Central and Peripheral Nervous Systems (Anushree Doshi, Roberto Cabeza, Miles Berger)....Pages 145-160 Cardiovascular System (Shamsuddin Akhtar, Thomas J. Ebert)....Pages 161-178 The Aging Respiratory System: Strategies to Minimize Postoperative Pulmonary Complications (Ana Fernandez-Bustamante, Juraj Sprung, Rodrigo Cartin-Ceba, Toby N. Weingarten, David O. Warner)....Pages 179-196 Renal, Metabolic, and Endocrine Aging (Sonalee Shah, Michael C. Lewis)....Pages 197-202 Musculoskeletal and Integumentary Systems (Itay Bentov, May J. Reed)....Pages 203-212 Perioperative Thermoregulation in the Elderly (Daniel I. Sessler)....Pages 213-229 Front Matter ....Pages 231-231 Inhalational Anesthetics (Gary R. Haynes)....Pages 233-253 Intravenous Sedatives and Anesthetics (Tracy Jobin McGrane, Matthew D. McEvoy, J. G. Reves)....Pages 255-281 The Pharmacology of Intravenous Opioids (Stephanie Whitener, Matthew D. McEvoy, Steven L. Shafer, Pamela Flood)....Pages 283-302 Local Anesthetics and Regional Anesthesia (Sylvia H. Wilson, Michael Anderson)....Pages 303-319 Neuromuscular Blocking and Reversal Agents (Cynthia A. Lien)....Pages 321-332 Anesthetic Implications of Chronic Medication Use (R. David Warters, Tamas A. Szabo)....Pages 333-350 Front Matter ....Pages 351-351 Anesthesia for Common Nonoperating Room Procedures in the Geriatric Patient (George A. Dumas, Julie R. McSwain, Sheila Ryan Barnett)....Pages 353-371 Cardiothoracic and Vascular Procedures (Timothy L. Heinke, James H. Abernathy III)....Pages 373-380 Perioperative Management of Pacemakers and Internal Cardioverter-Defibrillators (G. Alec Rooke)....Pages 381-394 Special Concerns of Intraoperative Management in Orthopedic Procedures (John P. Williams, Catalin Ezaru, Lynn Cintron)....Pages 395-412 Geriatric Trauma and Emergent/Urgent Surgery (George Jospeh Guldan III)....Pages 413-423 Perioperative Care of the Elderly Cancer Patient (B. Bryce Speer, Vijaya Gottumukkala)....Pages 425-432 Front Matter ....Pages 433-433 Pain Management (Jack M. Berger, Rodney K. McKeever)....Pages 435-451 ICU Management (Ronald Pauldine)....Pages 453-465 Postoperative Cognitive Impairment in Elderly Patients (Michelle Humeidan, Stacie G. Deiner, Nicholas Koenig)....Pages 467-480 Palliative Care for the Anesthesia Provider (Allen N. Gustin Jr.)....Pages 481-491 Back Matter ....Pages 493-510 "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"--Publisher's description