Colburn Jessica L, Mohanty Sanjay, Burton John R
Division of Geriatric Medicine and Gerontology, School of Medicine, The Johns Hopkins University, Baltimore, Maryland.
Department of Surgery, Henry Ford Hospital, Detroit, Michigin.
J Am Geriatr Soc. 2017 Jun;65(6):1339-1346. doi: 10.1111/jgs.14877. Epub 2017 Mar 21.
A multidisciplinary panel of experts representing surgery, anesthesia, and geriatrics recently published guidelines for surgeons on the optimal perioperative management of older adults, including recommendations on postoperative recovery and posthospital transitions of care. Geriatricians have an important role in the care for older adults in the preoperative period as older adults consider surgical options and prepare for surgical procedures, during the perioperative period as inpatient consultants, and in the postoperative period as older adults transition to rehabilitation facilities or to home. This article outlines the perioperative surgical guidelines and describes how they apply to the role of the geriatrician in the care of older adults during the perioperative period.
一个由外科、麻醉和老年医学领域专家组成的多学科小组最近发布了针对外科医生的老年人围手术期最佳管理指南,包括关于术后恢复和出院后护理过渡的建议。在老年人考虑手术选择并为手术做准备的术前阶段、作为住院顾问的围手术期以及老年人过渡到康复机构或回家的术后阶段,老年医学专家在老年人护理中都发挥着重要作用。本文概述了围手术期外科指南,并描述了这些指南如何适用于老年医学专家在围手术期对老年人的护理角色。