Geriatric anesthesia: Demographics, epidemiology, state of the art at international level, educational needs, and future perspectives.
Autor: | Bettelli G; Specialist in Anaesthesia and Intensive Care, Specialist in Cardiology, MSc in Geriatric Medicine, Scientific Director, 2 Level Master in Perioperative Geriatric Medicine, San Marino University, Past Director Dpt. of Anesthesia, Intensive Care, Day Surgery and Pain Treatment, Past Director Geriatric Surgery Area, IRCCS INRCA - Italian National Research Centre on Aging, Ancona, Italy. |
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Jazyk: | angličtina |
Zdroj: | Saudi journal of anaesthesia [Saudi J Anaesth] 2023 Oct-Dec; Vol. 17 (4), pp. 467-473. Date of Electronic Publication: 2023 Aug 18. |
DOI: | 10.4103/sja.sja_411_23 |
Abstrakt: | Population aging has induced in the last year a corresponding aging inside the surgical population, currently accounting for 45%.50% of the total surgical population in the majority of the advanced countries. This has induced a number of new challenges in the daily anesthesia practice, ranging from the need of implementing specific education in the field of geriatric medicine, organizational adjustments aimed to adapt our preoperative evaluation methodology to the needs older patients present, and a careful redesign of the whole perioperative course for these patients. Today's anesthesiologists are called to became familiar with the aging processes and their impact on the patho.physiological perioperative course, with the concept of functional impairment and frailty and with the dimensions of polypathology, polymedication, and reduced functional reserves. The introduction of new trends such as the team-based approach and interdisciplinary culture are essential to overcome these emerging criticalities. Competing Interests: There are no conflicts of interest. (Copyright: © 2023 Saudi Journal of Anesthesia.) |
Databáze: | MEDLINE |
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