Geriatric Anesthesia is the one-of-a-kind guide that reviews everything the reader needs to know about anesthetics in the aged, including palliative care, pain, and polypharmacy.

Features:

• Expert authorship-a majority of the authors are from the prestigious Johns Hopkins School of Medicine Department of Anesthesia
• Full discussion of pharmacology
• A key section on preoperative assessment, including guidelines on age and anesthetic risk, functional and nutritional status, polypharmacy
• An insightful review of controversies in intraoperative management, such as the role of invasive monitoring in the elderly, thermoregulation, and hemodilution, prophylactic beta blockade, and regional vs. general anesthesia in achieving successful surgical outcome
• Postoperative issues, from delirium/postoperative cognitive dysfunction to the assessment and management of chronic pain and palliative care
• Essential coverage of special topics-perioperative care of the patient with dementia/cognitive dysfunction and medical ethics, including end-of-life care
• Easy-to-understand tables and 100 line drawings that visually drive home key concepts throughout

Contents

General Information

1. Overview of Aging and Its Demographics
2. Mechanisms of Aging

Aging and Its Effects on Organ Reserve

3. Central/Peripheral Nervous System
4. Cardiovascular System
5. Respiratory System
6. Endocrine System
7. Urinary and Hepatic System

Pharmacology

8. Pharmacology of Intravenous Drugs in the Elderly
9. Inhalation Agents
10. Local Anesthetics and the Elderly

Preoperative Assessment

11. Age and Anesthetic Risk
12. Issues of Specific Importance to the Elderly in Preoperative Assessment
13. Polypharmacy
14. Preoperative Screening for Outpatient Surgery in Geriatric Patients
15. Geriatric Trauma
16. Diastolic Heart Function and the Elderly

Controversies in Intraoperative Management

17. Body Temperature Management in the Elderly Surgical Patient
18. Hemodilution
19. Beta Blockade
20. Consciousness Monitoring in the Elderly
21. The Controversy of Regional vs. General Anesthesia in Surgical Outcome

Postoperative Issues Specific to the Elderly

22. Delirium and Postoperative Cognitive Dysfunction
23. Postanesthesia Care Unit
24. Issues of Specific Importance to the Elderly Intensive Care Unit Patient
25. Assessment and Management of Acute Pain in the Elderly

Special Topics

26. Assessment and Management of Chronic Pain in the Elderly
27. Anesthesia Management of the Patient with Dementia
28. Legal Issues of Importance to the Elderly

Index

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