2011-06-01
Perioperative care of the older patient
Publication
Publication
Zeitschrift fur Gerontologie und Geriatrie , Volume 44 - Issue 3 p. 187- 191
Nearly 60% of the Dutch population undergoing surgery is aged 65 years and over. Older patients are at increased risk of developing perioperative complications (e.g., myocardial infarction, pneumonia, or delirium), which may lead to a prolonged hospital stay or death. Preoperative risk stratification calculates a patient's risk by evaluating the presence and extent of frailty, pathophysiological risk factors, type of surgery, and the results of (additional) testing. Type of anesthesia, fluid management, and pain management affect outcome of surgery. Recent developments focus on multimodal perioperative care of the older patient, using minimally invasive surgery, postoperative anesthesiology rounds, and early geriatric consultation.
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doi.org/10.1007/s00391-011-0201-6, hdl.handle.net/1765/25570 | |
Surgery and Traumatology | |
Zeitschrift fur Gerontologie und Geriatrie | |
Organisation | Erasmus MC: University Medical Center Rotterdam |
Blommers, E., Klimek, M., Hartholt, K., van der Cammen, T., Klein, J., & Noordzij, P. (2011). Perioperative care of the older patient. Zeitschrift fur Gerontologie und Geriatrie, 44(3), 187–191. doi:10.1007/s00391-011-0201-6 |