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. 2023 Jan;67(1):152-158.
doi: 10.4103/ija.ija_1029_22. Epub 2023 Jan 21.

Recent advances in geriatric anaesthesia

Anuradha Mahender  1 , Surekha S Chavan  2 , Richa Saroa  3 , Meenal Chauhan  4
Affiliations

Recent advances in geriatric anaesthesia

Anuradha Mahender et al. Indian J Anaesth. 2023 Jan.

Abstract

The World Health Organization defines healthy ageing as 'the process of developing and maintaining the functional ability that enables well-being in older age'. This functional ability is the characteristic of the individual's own physical and mental status influenced by the environmental and socio-economic factors. Preoperative preparation of the elderly patients includes functional assessment to identify preexisting cognitive impairment or cardio-pulmonary reserve, frailty, nutrition, polypharmacy and anti-coagulation issues. Intraoperative management includes anaesthetic mode and pharmacology, monitoring, intravenous fluid and transfusion management, lung protective ventilation and hypothermia. Postoperative checklist includes perioperative analgesia, postoperative delirium and cognitive dysfunction.

Keywords: Aged; frailty; geriatric assessment; perioperative care.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Comprehensive geriatric assessment. GA – general anaesthesia, EEG – electroencephalogram, TUG – timed up and go. POD – postoperative day
See this image and copyright information in PMC

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