Geriatric Anesthesiology

by Siverstein, Jeffrey H.; Rooke, G. Alec; Reves, J. G.; McLeskey, Charles H.

• ISBN13: 9780387725260
• ISBN10: 0387725261
• Edition: 2nd
• Format: Hardcover
• Copyright: 2007-11-16
• Publisher: Springer Verlag

Summary

Geriatric anesthesia is a rapidly growing and evolving field. The last few years have seen significant advancements in and important new modalities for addressing the needs of an aging population. The editors of Geriatric Anesthesiology's second edition are uniquely situated to put together a text highlighting both essential knowledge and recent breakthroughs of importance to any who work with the elderly. For the second edition, the editors have introduced a streamlined chapter format and have assembled a selection of chapters intended to deepen the understanding of anesthesic management of the geriatric patient. Some topics are included that might not typically be included in an anesthesial text, but which are of direct relevance to the anesthesiologist. These revisions, coupled with an expanded coverage of classic topics of anesthetic management of the aged surgical candidate, will help enable the user to accurately target the most appropriate methods for anesthetizing the elderly patient. With fully revised and updated content, the second edition of Geriatric Anesthesiology easily maintains the high standard for quality scholarship and useful material set by the first.

Table of Contents

Preface to the Second Edition	p. vii
Preface to the First Edition	p. ix
Contributors	p. xiii
Introduction to Clinical Geriatrics
The Practice of Geriatric Anesthesia	p. 3
Demographics and Economics of Geriatric Patient Care	p. 15
Theories of Aging	p. 29
Ethical Management of the Elderly Patient	p. 38
Teaching Geriatric Anesthesiology to Practitioners, Residents, and Medical Students	p. 58
Research Priorities in Geriatric Anesthesiology	p. 66
Cardinal Manifestations of Aging and Disease in the Elderly
Alterations in Metabolic Functions and Electrolytes	p. 97
Perioperative Thermoregulation	p. 107
Postoperative Central Nervous System Dysfunction	p. 123
Alterations in Circulatory Function	p. 137
The Aging Respiratory System: Anesthetic Strategies to Minimize Perioperative Pulmonary Complications	p. 149
Operative Debridements of Chronic Wounds	p. 165
Anesthetic Management of the Aged Surgical Candidate
Preoperative Risk Stratification and Methods to Reduce Risk	p. 181
Anesthetic Implications of Chronic Medications	p. 197
The Pharmacology of Opioids	p. 209
Intravenous Hypnotic Anesthetics	p. 229
Inhalational Anesthetics	p. 246
Relaxants and Their Reversal Agents	p. 266
Management of Regional Anesthesia	p. 278
Fluid Management	p. 293
Pain Management	p. 308
Anesthesia Considerations for Geriatric Outpatients	p. 322
Anesthesia for Common Surgical Procedures in the Aged
Sedation and Monitoring	p. 341
Total Hip Replacement, Joint Replacement, and Hip Fracture	p. 355
Transurethral Prostatectomy Syndrome and Other Complications of Urologic Procedures	p. 368
Thoracic Procedures	p. 378
Cardiac Procedures	p. 390
Vascular Procedures	p. 398
Abdominal Procedures	p. 416
Index	p. 429
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