The future of ambulatory surgery for geriatric patients

Best Pract Res Clin Anaesthesiol. 2023 Sep;37(3):343-355. doi: 10.1016/j.bpa.2022.12.004. Epub 2023 Jan 4.

Abstract

The elderly segment of the population is growing rapidly worldwide. Older patients comprise a disproportionate percentage of the surgical caseload. Physiological changes are inevitable with aging; some may impact a patient's response to anesthesia and surgery. Careful evaluation of an elderly patient preoperatively is vital to proper patient selection for ambulatory surgeries, particularly for complex and lengthy procedures. Cognitive issues, frailty, and geriatric syndromes make a patient vulnerable and sometimes unsuitable for certain ambulatory procedures. Preoperative planning and interventions may improve outcomes for the elderly patient undergoing ambulatory surgery.

Keywords: ambulatory anesthesia; ambulatory surgery; geriatrics; prehabilitation; preoperative evaluation; preoperative planning.

Publication types

  • Review

MeSH terms

  • Aged
  • Ambulatory Surgical Procedures
  • Anesthesia*
  • Anesthesiology*
  • Frailty* / diagnosis
  • Humans
  • Patients