European Journal of Cancer
Volume 43, Issue 15 , Pages 2231-2234, October 2007

Anaesthesia and the preparation and management of elderly patients undergoing surgery

Department of Anaesthesia, Royal Lancaster Infirmary, Lancaster LA1 4RP, UK

Received 20 July 2007; received in revised form 3 August 2007; accepted 7 August 2007. published online 28 September 2007.

Abstract 

With increasing life expectancy, the number of very elderly patients requiring surgery and anaesthesia is increasing. Age, co-morbidity and altered pharmacokinetics clearly need to be considered in assessment of surgical risk but even in the apparently well older person there is a loss of physiological reserve that may be overlooked on cursory examination. Cognitive impairment after surgery may seriously hinder older people. This paper looks at these factors in detail and provides some remedies.

Keywords: Anaesthesia, Elderly, Physiology

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PII: S0959-8049(07)00645-4

doi:10.1016/j.ejca.2007.08.013

European Journal of Cancer
Volume 43, Issue 15 , Pages 2231-2234, October 2007

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