Jablonski Stanley G, Urman Richard D
Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA.
Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA.
Anesthesiol Clin. 2019 Sep;37(3):401-409. doi: 10.1016/j.anclin.2019.04.001. Epub 2019 Jun 14.
The population of older adults is rapidly growing. With the continued advancement of medical and surgical interventions, the average age of this population will continue to increase. Nearly one-third of surgical procedures are performed in older adults. Physiologic changes, multiple comorbidities, frailty, and postoperative cognitive dysfunction affect an elderly patient's postoperative recovery. Anesthesia providers can play a key role in creating perioperative geriatric pathways. The perioperative care of a geriatric patient is associated with unique and anesthetic risks. Perioperative care must be tailored to individual patients to reduce perioperative complications in this important, vulnerable population.
老年人群的数量正在迅速增长。随着医学和外科干预的持续进步，这一人群的平均年龄将继续增加。近三分之一的外科手术是在老年人中进行的。生理变化、多种合并症、虚弱和术后认知功能障碍会影响老年患者的术后恢复。麻醉医生在制定围手术期老年护理路径方面可以发挥关键作用。老年患者的围手术期护理存在独特的麻醉风险。围手术期护理必须根据个体患者进行调整，以减少这一重要且脆弱人群的围手术期并发症。
