Perioperative care for the older outpatient undergoing ambulatory surgery.

Published

Journal Article (Review)

As the number of ambulatory surgery procedures continues to grow in an aging global society, the implementation of evidence-based perioperative care programs for the elderly will assume increased importance. Given the recent advances in anesthesia, surgery, and monitoring technology, the ambulatory setting offers potential advantages for elderly patients undergoing elective surgery. In this review article we summarize the physiologic and pharmacologic effects of aging and their influence on anesthetic drugs, the important considerations in the preoperative evaluation of elderly outpatients with coexisting diseases, the advantages and disadvantages of different anesthetic techniques on a procedural-specific basis, and offer recommendations regarding the management of common postoperative side effects (including delirium and cognitive dysfunction, fatigue, dizziness, pain, and gastrointestinal dysfunction) after ambulatory surgery. We conclude with a discussion of future challenges related to the growth of ambulatory surgery practice in this segment of our surgical population. When information specifically for the elderly population was not available in the peer-reviewed literature, we drew from relevant information in other ambulatory surgery populations.

Full Text

Cited Authors

  • White, PF; White, LM; Monk, T; Jakobsson, J; Raeder, J; Mulroy, MF; Bertini, L; Torri, G; Solca, M; Pittoni, G; Bettelli, G

Published Date

  • June 2012

Published In

Volume / Issue

  • 114 / 6

Start / End Page

  • 1190 - 1215

PubMed ID

  • 22467899

Pubmed Central ID

  • 22467899

Electronic International Standard Serial Number (EISSN)

  • 1526-7598

International Standard Serial Number (ISSN)

  • 0003-2999

Digital Object Identifier (DOI)

  • 10.1213/ane.0b013e31824f19b8

Language

  • eng