اصول بیهوشی سالمندان

عنوان فارسی:     بیهوشی سالمندان

عنوان انگلیسی:   Geriatric Anesthesiology

Surgical and anesthetic techniques have evolved to allow a growing number of older adults to undergo surgery, and current estimates are that 50% of Americans over the age of 65 years old will have an operation. However, as the knowledge regarding perioperative care of the elderly surgical patient grows, so do the questions. In this edition, each chapter includes a section entitled “Gaps in Our Knowledge,” meant to highlight areas in which research is needed, as well as hopefully inspire readers to begin solving some of these questions themselves.

Building upon the strong foundation of the first two editions, Geriatric Anesthesiology, 3rd edition also assembles the most up-to-date information in geriatric anesthesia and provides anesthesiologists with important new developments.

Topics covered include several new chapters that reflect the evolution of multidisciplinary geriatric care throughout the perioperative continuum, as well as the growing body of literature related to prehabilitation.

In addition, discussion of the surgeon’s perspective and geriatrician’s perspective on surgery in the geriatric population is covered, as well as the systematic physiologic changes associated with aging and the pharmacologic considerations for the geriatric patient undergoing procedures. Finally, the last section discusses postoperative care specific to the geriatric population, including acute pain management, ICU management, recent evidence and up-to-date practice regarding delirium and postoperative cognitive dysfunction, and palliative care.

1. Geriatric Anesthesiology: Where Have We Been and Where Are We Going?
2. Theories and Mechanisms of Aging
3. Ethical and Legal Issues of Geriatrics
4. Basic Preoperative Evaluation and Preoperative Management of the Older Patient
5. The Perioperative Surgical Home for the Geriatric Population
6. Improving Perioperative Functional Capacity: A Case for Prehabilitation
7. Care of the Geriatric Surgery Patient: The Surgeon’s Perspective
8. The Geriatrician’s Perspective on Surgery in the Geriatric Population
9. Medicare, Administrative, and Financial Matters in Caring for Geriatric Patients
10. Geriatric Anesthesia: Age-Dependent Changes in the Central and Peripheral Nervous Systems
11. Cardiovascular System
12. The Aging Respiratory System: Strategies to Minimize Postoperative Pulmonary Complications
13. Renal, Metabolic, and Endocrine Aging
14. Musculoskeletal and Integumentary Systems
15. Perioperative Thermoregulation in the Elderly
16. Inhalational Anesthetics
17. Intravenous Sedatives and Anesthetics
18. The Pharmacology of Intravenous Opioids
19. Local Anesthetics and Regional Anesthesia
20. Neuromuscular Blocking and Reversal Agents
21. Anesthetic Implications of Chronic Medication Use
22. Anesthesia for Common Nonoperating Room Procedures in the Geriatric Patient
23. Cardiothoracic and Vascular Procedures
24. Perioperative Management of Pacemakers and Internal Cardioverter-Defibrillators
25. Special Concerns of Intraoperative Management in Orthopedic Procedures
26. Geriatric Trauma and Emergent/Urgent Surgery
27. Perioperative Care of the Elderly Cancer Patient
28. Pain Management
29. ICU Management
30. Postoperative Cognitive Impairment in Elderly Patients
31. Palliative Care for the Anesthesia Provider