Geriatric anesthesia in an aging society.
10.5124/jkma.2011.54.3.303
- Author:
Jong Wha LEE
1
;
Ki Young LEE
Author Information
1. Department of Anesthesiology and Pain Medicine, Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, Korea. kylee504@yuhs.ac
- Publication Type:Original Article
- Keywords:
Aging;
Anesthesia;
Elderly patient
- MeSH:
Aged;
Aging;
Anesthesia;
Hemodynamics;
Humans;
Pain, Postoperative;
Risk Factors
- From:Journal of the Korean Medical Association
2011;54(3):303-310
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Aging is a process of the gradual reduction of functional reserve, and when it begins and how fast it proceeds are different from patient to patient. Therefore, it is important to thoroughly evaluate the current status of an elderly patient. Based on an in-depth understanding of pharmacokinetic and pharmacodynamic changes that occur due to aging, sophisticated titration of doses and infusion rates of drugs depending on the current functional status of the patient is essential for hemodynamic stability. Physicians must always keep in mind that the top priority of geriatric anesthetic management is the rapid return of functional independence. Therefore, wher-ever practical, it is prudent to use drug(s) of short duration, and metabolic processes not affected by the current disease and/or the proposed surgical procedures. Active preoperative assessment of cardiac and cerebrovascular risk factors and adequate postoperative pain relief are important to prevent postoperative cognitive dysfunction, which delays functional recovery.
