The elderly in the post-anesthesia care unit
- PMID: 37779571
- PMCID: PMC10540998
- DOI: 10.4103/sja.sja_528_23
The elderly in the post-anesthesia care unit
Abstract
It is increasingly conceivable that elderly patients will be treated in perioperative settings as the world's population shifts toward an older age distribution. They are more prone to a variety of unfavorable outcomes as a consequence of the physiological changes that accompany aging and the coexistence of multiple medical conditions. Postoperative complications in elderly patients are linked to a large increase in morbidity and mortality and the burden placed on the healthcare system. Our goal is to determine how elderly patients' recovery after anesthesia differs from that of younger patients. In addition, we will discuss the main postoperative complications experienced by elderly patients and the measures that are utilized to limit the risk of these complications developing.
Keywords: Aging; ICU; PACU; anesthesia; delirium; elderly; geriatric; intensive care unit; myocardial infarction; post-anesthesia care unit; postoperative complications; recovery; surgery.
Copyright: © 2023 Saudi Journal of Anesthesia.
Conflict of interest statement
There are no conflicts of interest.
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References
-
- United Nations, Department of Economic and Social Affairs, Population Division (2019). World Population Ageing 2019: Highlights (ST/ESA/ SER.A/430)
-
- Geriatric issues in anesthesia - Clinical Pain Advisor. [[Last accessed on 2023 Jul 29]]. Available from: https://www.clinicalpainadvisor.com/decision-support-in-medicine/anesthe...
-
- Seniors and Anesthesia-Side Effects |Made for This Moment. [[Last accessed on 2023 Jun 12]]. Availablefrom: https://www.asahq.org/madeforthismoment/preparing- for-surgery/risks/age/
-
- Azevedo JG. Quality of recovery in elderly cancer patients. J Portuguese Soc Anesthesiol. 2018;27:62–8.
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