Perioperative Management of the Geriatric Patient

  • Bellal Joseph
  • Peter Rhee


It is obvious and well known that the geriatric population is growing in number and complexity in modern surgical practice. Advances in surgical and anesthetic techniques, combined with sophisticated perioperative monitoring are some of the reasons for the complexity. Therefore, a more comprehensive and multidisciplinary approach is necessary to adequately address the significant differences in physiology and outcomes presented by this challenging group. The optimal goal of surgical critical care for geriatric patients is not only to reduce mortality rates, but for them to maintain and preserve a good quality of life and increase their ability to return to their pre-injury level of function and independence. Ideally, following discharge, patients should be able to live independently, healthfully, and be reintegrated into their previous social life. The mortality of intensive care patients increases gradually with age and reaches around 20% in patients between 60 and 75 years of age. Obviously the mortality rate of older patients is much greater than for the younger cohorts [1].



There are no identifiable conflicts of interests to report.

The authors have no financial or proprietary interest in the subject matter or materials discussed in the manuscript.


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© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Division of Trauma, Department of SurgeryUniversity of ArizonaTucsonUSA

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