Choosing the Best Anesthetic Regimen

  • Sheila R. Barnett


The administration of anesthesia to a geriatric patient requires meticulous attention to detail and a clear understanding of the impact of aging on organ reserve and function. Older surgical patients present for surgery with complicated medical histories, limited physiologic reserve, and frequently unpredictable responses to anesthetic agents [1, 2]. In general, elderly frail patients with underlying chronic disease can be less tolerant of brief episodes of hemodynamic instability such as hypotension or desaturation that may not be preventable during the course of a surgery. While these events may be insignificant in a young patient and in the frail elder, they may lead to serious consequences, such as cardiac ischemia and arrhythmias [3, 4]. This chapter reviews the basic anesthetic concepts and discusses the impact of aging on the choice of anesthesia.


Chronic Obstructive Pulmonary Disease Laparoscopic Cholecystectomy Regional Anesthesia Geriatric Patient Laryngeal Mask Airway 
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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Department of Anesthesiology, Beth Israel Deaconess Medical CenterHarvard Medical SchoolBostonUSA

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