Anesthetic Challenges in Treating the Older Adult Trauma Patient: an Update

Nadav Sheffy*, Rotem Tellem, Itay Bentov

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

Abstract

Purpose of Review: To highlight challenges specific to anesthesia and perioperative care of injured older adults and present novel modalities to improve outcomes in this vulnerable population. Recent Findings: We will describe some of the current directions available for anesthesiologists to improve outcomes in the elderly surgical population: interventions to ameliorate perioperative neurocognitive disorders, reversal of treatment with anti-coagulant medications, controversies in pain management, and increasing utilization of regional anesthesia techniques. Finally, frailty assessment and comprehensive geriatric care as efficient method of assessing risk and improving outcomes will be discussed. Summary: Perioperative care for older injured adults presents numerous challenges for the anesthesiologist. While novel modalities show promise, ample opportunities to improve still exist.

Original languageEnglish
Pages (from-to)209-217
Number of pages9
JournalCurrent Anesthesiology Reports
Volume10
Issue number2
DOIs
StatePublished - 1 Jun 2020

Funding

FundersFunder number
University of Washington Royalty Research Fund

    Keywords

    • Aging
    • BIS
    • DOAC
    • EEG
    • Frailty
    • Geriatrics
    • Injury
    • Post-operative delirium
    • Trauma

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