2 implications of aging on perioperative care in older adults advancing age is associated with a reduction in physiologic reserve of all organ systems even in the absence of any underlying pathology and these changes predispose to the development of perioperative adverse events. Perioperative care of elderly patients james r webster jr ms md the demographics of aging and the advances in the science of anesthesia and surgery make the pre intra and postoperative care of elderly patients a common and important issue for all physicians. Surgical risk increases with age primarily from loss of cardiac and pulmonary reserve complications are tolerated poorly by the elderly emphasizing the importance of their prediction and prevention surgical risk in this population is significant but with careful preoperative assessment and . Complex issues around perioperative care in this patient population45 we address each section by compiling the health care team patient and his or her family caregivers should ensure that patient goals and treatment do not specifically address preoperative fasting in elderly patients however the recommendations below. Older patients carry some of the highest risks of suffering an adverse event or death following anesthesia and surgery they are inherently vulnerable presenting with numerous comorbidities and reduced physiological reserve requiring gero centric perioperative care for everything from routine
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