Perioperative Care Strategy for Older Adults

Med Clin North Am. 2020 Sep;104(5):895-908. doi: 10.1016/j.mcna.2020.06.010.

Abstract

Geriatric patients are not just older adult patients. Aging brings about unique physiologic, psychological, and sociologic changes within individuals. Recognition of these unique characteristics and measuring for their impact; instituting mitigating strategies; using age-specific anesthetic measures; and performing a systematic, algorithmic care model in the postoperative period overseen by a multidisciplinary team brings about enhanced outcomes and improved quality of care for this expanding group of patients.

Keywords: Advance directive; Delirium; Frailty; Geriatric.

Publication types

  • Review

MeSH terms

  • Aged
  • Aging* / physiology
  • Aging* / psychology
  • Geriatric Assessment / methods
  • Humans
  • Patient Selection
  • Postoperative Care / methods*
  • Postoperative Complications* / diagnosis
  • Postoperative Complications* / prevention & control
  • Surgical Procedures, Operative* / adverse effects
  • Surgical Procedures, Operative* / methods