TY - JOUR
T1 - Perioperative management of special populations
T2 - The geriatric patient
AU - Loran, David B.
AU - Hyde, Brannon R.
AU - Zwischenberger, Joseph B.
PY - 2005/12
Y1 - 2005/12
N2 - Americans over age 65 represent the fastest growing segment of the United States population. As a result, the demographic landscape of America is changing. Knowledge of aged physiology is necessary to construct a risk-benefit analysis tailored for each patient to improve perioperative outcomes and lower the morbidity and mortality rates among the elderly. Benefit estimates should account for a patient's life expectancy and quality of life before and after surgery. With aging, baseline functions of almost every organ system undergo progressive decline resulting in a decreased physiologic reserve and ability to compensate for stress. Pain control, postoperative cognitive dysfunction, end-of-life issues, and realistic expectations after surgery are paramount issues throughout the perioperative period.
AB - Americans over age 65 represent the fastest growing segment of the United States population. As a result, the demographic landscape of America is changing. Knowledge of aged physiology is necessary to construct a risk-benefit analysis tailored for each patient to improve perioperative outcomes and lower the morbidity and mortality rates among the elderly. Benefit estimates should account for a patient's life expectancy and quality of life before and after surgery. With aging, baseline functions of almost every organ system undergo progressive decline resulting in a decreased physiologic reserve and ability to compensate for stress. Pain control, postoperative cognitive dysfunction, end-of-life issues, and realistic expectations after surgery are paramount issues throughout the perioperative period.
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U2 - 10.1016/j.suc.2005.09.004
DO - 10.1016/j.suc.2005.09.004
M3 - Review article
C2 - 16326206
AN - SCOPUS:28544450122
SN - 0039-6109
VL - 85
SP - 1259
EP - 1266
JO - Surgical Clinics of North America
JF - Surgical Clinics of North America
IS - 6
ER -