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Anesthesia for Common Nonoperating Room Procedures in the Geriatric Patient

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Geriatric Anesthesiology

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Abstract

Growth in geriatric procedures and the increasing need for sedation in elderly patients both inside the operating room and in remote locations (nonoperating room anesthesia, or NORA) has grown considerably in recent years. In addition, older patients are more sensitive to anesthetics. When compared to younger patients, older patients have more complications such as hypoxia, hypotension, cardiac events, aspiration, agitation and confusion. Because of this, sedation with short-acting agents at lower doses is often preferable. Positioning, monitoring, administration of anesthetic medications, and communication become even more challenging in an unfamiliar and often dark environment. In this chapter, perioperative anesthetic and sedation strategies are examined for gastrointestinal endoscopy, ECT treatment, and cataract surgery in the elderly. While these procedures are generally low risk, specific geriatric care considerations are required.

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Authors and Affiliations

  1. Department of Anesthesiology and Perioperative Medicine, University of Alabama at Birmingham, Birmingham, AL, USA

    George A. Dumas

  2. Department of Anesthesia and Perioperative Medicine, Medical University of South Carolina, Charleston, SC, USA

    Julie R. McSwain

  3. Department of Anesthesiology, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA

    Sheila Ryan Barnett

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  1. George A. Dumas
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  2. Julie R. McSwain
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  3. Sheila Ryan Barnett
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Correspondence to George A. Dumas .

Editor information

Editors and Affiliations

  1. Department of Anesthesia and Perioperative Medicine, Medical University of South Carolina, Charleston, South Carolina, USA

    J. G. Reves

  2. Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA

    Sheila Ryan Barnett

  3. Department of Anesthesia and Perioperative Medicine, Department of Anesthesiology, Medical University of South Carolina, Charleston, South Carolina, USA

    Julie R. McSwain

  4. Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, Washington, USA

    G. Alec Rooke

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Dumas, G.A., McSwain, J.R., Barnett, S.R. (2018). Anesthesia for Common Nonoperating Room Procedures in the Geriatric Patient. In: Reves, J., Barnett, S., McSwain, J., Rooke, G. (eds) Geriatric Anesthesiology. Springer, Cham. https://doi.org/10.1007/978-3-319-66878-9_22

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