Manual of Geriatric Anesthesia

This practical guide discusses preoperative assessment, anesthetic administration and postoperative care of geriatric patients, as well as topics such as the hip fracture patient, cataract surgery, postoperative delirium, dementia, ethics and end of life care.

The Manual of Geriatric Anesthesia is a practical guide for physicians, residents, and students interested in the care of the elderly patient undergoing surgery. Although primarily written for anesthesiologists, other perioperative physicians and nurses will also find the information highly valuable. Highlights of the text include concise and clear discussions of preoperative assessment, anesthetic administration, the immediate postoperative care, as well as the more classic 'geriatric' topics such as the hip fracture patient, cataract surgery, postoperative delirium, dementia, ethics and end of life care. Clinical geriatric principles are woven into the text so that the reader can develop skills in geriatrics and develop a broader understanding of terminology and principles used in geriatric medicine.

A practical approach to geriatric anesthesia Appendix with glossary of geriatric terminology and geriatric-specific dosing information Concise and logically formatted for ease of use at the bedside

Autorentext

Sheila Ryan Barnett, MD

Associate Professor of Anesthesiology

Harvard Medical School

Director of Gastrointestinal Anesthesia

Department of Anesthesia, Critical Care, and Pain Medicine

Beth Israel Deaconess Medical Center

Boston, MA , USA

Inhalt
Section I. General Issues.- 1. Aging Demographics and Anesthesia.- 2. Ethical and Legal Considerations.- 3. The Anesthetic Regimen for the Elderly Patient.- 4. The Perioperative Geriatric Consultation.- Section II. Anesthesia Delivery.- 5. Preoperative Assessment of the Elderly Patient.- 6. Analgesics and Sedatives.- 7. General anesthesia: Intravenous induction agents, inhalational agents and neuromuscular blockers.- 8. Regional Anesthesia and Joint Replacement Surgery.- 9. Fluid Management and Blood Transfusion.- Section III. Perioperative Care.- 10. Acute Pain Control in the Elderly.- 11. Chronic Pain in Geriatric Patients.- 12. The Elderly Patient and the Intensive Care Unit.- 13. Trauma and the Geriatric Patient.- Section IV. Specialist Areas.- 14. Cardiovascular Aging and Anesthesia.- 15. Pulmonary Issues in the Elderly Patient.- 16. Vascular surgery: endovascular and major vascular surgery.- 17. Spine surgery: choosing the patient and handling the surgery.- 18. Anesthesia for Genitourinary Surgery in the Elderly Patient.- 19. Anesthetic Management For ECT.- 20. Ophthalmologic Surgery and the Management of Diabetes.- Section V. Common Geriatric Issues.- 21. Postoperative Central Nervous System Changes in Elderly Surgical Patients.- 22. Management of the Hip Fracture Patient.- 23. Polypharmacy and Medicines to avoid.- 24. Dementia and Neurologic Syndromes - Distinctions between Alzheimer's, Vascular Dementia, and Parkinson's.- 25. Psychotropic medications in the elderly.