Royal Sussex County Hospital, Co-Chair, Association of Anaesthetists Working Party, Brighton, UK.
Peterborough and Stamford Hospitals Foundation NHS Trust, Co-Chair, Association of Anaesthetists Working Party, Peterborough, UK.
Anaesthesia. 2019 Mar;74(3):357-372. doi: 10.1111/anae.14530. Epub 2019 Jan 11.
Ageing populations have greater incidences of dementia. People with dementia present for emergency and, increasingly, elective surgery, but are poorly served by the lack of available guidance on their peri-operative management, particularly relating to pharmacological, medico-legal, environmental and attitudinal considerations. These guidelines seek to deliver such guidance, by providing information for peri-operative care providers about dementia pathophysiology, specific difficulties anaesthetising patients with dementia, medication interactions, organisational and medico-legal factors, pre-, intra- and postoperative care considerations, training, sources of further information and care quality improvement tools.
人口老龄化导致痴呆症发病率上升。患有痴呆症的人需要进行急诊和越来越多的择期手术，但由于缺乏有关其围手术期管理的可用指南，他们的服务质量较差，特别是在药物治疗、医疗法律、环境和态度方面。这些指南旨在通过为围手术期护理提供者提供有关痴呆症病理生理学、麻醉痴呆症患者的具体困难、药物相互作用、组织和医疗法律因素、术前、术中和术后护理注意事项、培训、进一步信息来源和护理质量改进工具的信息，提供此类指导。
