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Perioperative anesthesia issues in the elderly.

Linda L Liu1, Jeanine P Wiener-Kronish

  • 1Department of Anesthesia and Perioperative Care, University of California-San Francisco, 505 Parnassus Avenue, Room M917, Box 0624, San Francisco, CA 94143, USA. liul@anesthesia.ucsf.edu

Critical Care Clinics
|November 7, 2003
PubMed
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Surgical care for elderly patients is improving, though risks remain. Recognizing and addressing risk factors is key to optimizing outcomes for geriatric surgical patients.

Area of Science:

  • Geriatric Medicine
  • Anesthesiology
  • Surgical Care

Background:

  • Surgical procedures in geriatric patients carry inherent risks.
  • Postoperative mortality and morbidity in the elderly are showing improvement.
  • Optimal care necessitates identifying and managing potential risk factors.

Purpose of the Study:

  • To review current understanding of perioperative anesthetic issues in the elderly.
  • To highlight areas for potential intervention in geriatric surgical care.
  • To inform future recommendations for optimizing anesthetic management in older adults.

Main Methods:

  • Review of existing literature and identified risk factors.
  • Analysis of current data on geriatric surgical outcomes.

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  • Identification of areas lacking comprehensive randomized trials.

    • Main Results:

    • While data is incomplete, several areas for intervention have been identified.
    • Progress is being made in reducing postoperative mortality and morbidity in this population.
    • Further research, including randomized trials, is needed.

    Conclusions:

    • Perioperative anesthetic management in the elderly is a critical area for ongoing research.
    • Recognizing and intervening on risk factors can improve surgical outcomes for geriatric patients.
    • Future concrete recommendations are anticipated with more complete data and trials.