Geriatric Anesthesia An Issue Of Anesthesiology Clinics Volume 41 3

In this issue of Anesthesiology Clinics, guest editor Dr. Shamsuddin Akhtar brings his considerable expertise to the topic of Geriatric Anesthesia. Top experts in the field cover key topics such as cardiovascular changes in the elderly; perioperative pulmonary complications in the elderly; frailty, sarcopenia, aging, and perioperative outcomes; perioperative delirium; and more. Contains 18 relevant, practice-oriented topics including central nervous system changes in the elderly: new Insights; data science and geriatric anesthesia research: opportunity and challenges; aging, COVID, and perioperative care; balancing efficiency, empathy, safety, and quality; pain management in the elderly; and more. Provides in-depth clinical reviews on geriatric anesthesia, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

The volume of elderly patients requiring anesthesia and surgery is growing rapidly. Thirty-five percent of surgeries are performed on patients older than 65 years, and in general, these patients have higher morbidity and mortality rates after anesthesia compared with their younger counterparts. One of the major challenges of treating elderly patients is the heterogeneity of the geriatric population—and the need to individualize care for each patient to provide the best outcome.

This issue of Anesthesiology Clinics, edited by Dr. Elizabeth Whitlock and Dr. Robert Whittington, in collaboration with Consulting Editor Lee Fleisher, focuses on Geriatric Anesthesia. Topics in this issue include: The Growing Challenge of the Elderly Population; The Perioperative Period; Preoperative Assessment of the Geriatric Patient; Prehabilitation: Optimizing Elders Undergoing Elective Surgery; The Ethics of Surgery at the End of the Life; Perioperative Geriatric Physiology and the Frailty Syndrome; Geriatric Pharmacology; Emergency Surgery in the Elderly; Management of Acute Pain in the Elderly; Special Considerations for the Elderly Brain: Delirium and Perioperative Cognitive Change; Special Challenges of the Geriatric Critical Care Patient; Chronic Pain Management in the Elderly; Providing Patient- Focused Care: Treatment Burdens, Difficult Conversations, and Symptom Management; and Future Directions for Geriatric Anesthesiology.

This issue of Anesthesiology Clinics, guest edited by Drs. Ranjit Deshpande and Stanley Rosenbaum, is focused on Anesthesia at the Edge of Life. This issue is one of four each year selected by the series Consulting Editor, Dr. Lee Fleisher. Articles in this issue include but are not limited to: Anesthesia for major surgery in the neonate; Anesthesia for the patient on mechanical circulatory support; Anesthesia for the patient with severe liver failure; Anesthesia for the patient on renal replacement therapy; Anesthesia for neurosurgical emergencies; Anesthesia for obstetrical disasters; Anesthesia for the patient in septic shock; Anesthesia for a patient with extensive trauma; Anesthesia for endocrine emergencies; Anesthetic management in malignant hyperthermia; Anesthesia for electroconvulsive therapy; Anesthesia for the morbidly obese patient; Anesthesia for the frail geriatric patient; Emergency anesthesia in resource-limited areas; and Organ donation and ethics in anesthesiology.

In this issue of Anesthesiology Clinics, guest editor Dr. Shamsuddin Akhtar brings his considerable expertise to the topic of Geriatric Anesthesia. Top experts in the field cover key topics such as cardiovascular changes in the elderly; perioperative pulmonary complications in the elderly; frailty, sarcopenia, aging, and perioperative outcomes; perioperative delirium; and more. Contains 18 relevant, practice-oriented topics including central nervous system changes in the elderly: new Insights; data science and geriatric anesthesia research: opportunity and challenges; aging, COVID, and perioperative care; balancing efficiency, empathy, safety, and quality; pain management in the elderly; and more. Provides in-depth clinical reviews on geriatric anesthesia, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

Geriatric anesthesia is a rapidly growing and evolving field and this is the major revision of a classic anesthesia reference. The last few years have seen significant advancements and important new modalities for addressing the needs of an aging population. The editors of this second edition are uniquely situated to put together a text highlighting both essential knowledge and recent breakthroughs of importance to all who work with the elderly. This edition easily maintains the high standard for quality scholarship and useful material set by the first.

This issue of Anesthesiology Clinics prepares the anesthesiologist for the most challenging problems he will face with geriatric patients. Topics covered include delirium, postoperative cognitive dysfunction, fat embolism during hip replacement, Parkinson's disease and deep brain stimulator placement, diastolic dysfunction, atrial fibrillation, delayed arousal, severe atrial stenosis, multiple medications, informed consent and the ethical management of the older patient, dead bowel, acute perioperative beta-blockade in the older patient, urinary retention, and anesthetic care for patients with skin breakdown.