Geriatric anesthesia: Demographics, epidemiology, state of the art at international level, educational needs, and future perspectives

Population aging has induced in the last year a corresponding aging inside the surgical population, currently accounting for 45%.50% of the total surgical population in the majority of the advanced countries. This has induced a number of new challenges in the daily anesthesia practice, ranging from...

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Main Author: Gabriella Bettelli
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Saudi Journal of Anaesthesia
Subjects:
Online Access:http://www.saudija.org/article.asp?issn=1658-354X;year=2023;volume=17;issue=4;spage=467;epage=473;aulast=Bettelli
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author Gabriella Bettelli
author_facet Gabriella Bettelli
author_sort Gabriella Bettelli
collection DOAJ
description Population aging has induced in the last year a corresponding aging inside the surgical population, currently accounting for 45%.50% of the total surgical population in the majority of the advanced countries. This has induced a number of new challenges in the daily anesthesia practice, ranging from the need of implementing specific education in the field of geriatric medicine, organizational adjustments aimed to adapt our preoperative evaluation methodology to the needs older patients present, and a careful redesign of the whole perioperative course for these patients. Today's anesthesiologists are called to became familiar with the aging processes and their impact on the patho.physiological perioperative course, with the concept of functional impairment and frailty and with the dimensions of polypathology, polymedication, and reduced functional reserves. The introduction of new trends such as the team-based approach and interdisciplinary culture are essential to overcome these emerging criticalities.
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spelling doaj.art-16f5771e4cb24fc787ac34ce02354d2e2023-10-30T11:57:08ZengWolters Kluwer Medknow PublicationsSaudi Journal of Anaesthesia1658-354X2023-01-0117446747310.4103/sja.sja_411_23Geriatric anesthesia: Demographics, epidemiology, state of the art at international level, educational needs, and future perspectivesGabriella BettelliPopulation aging has induced in the last year a corresponding aging inside the surgical population, currently accounting for 45%.50% of the total surgical population in the majority of the advanced countries. This has induced a number of new challenges in the daily anesthesia practice, ranging from the need of implementing specific education in the field of geriatric medicine, organizational adjustments aimed to adapt our preoperative evaluation methodology to the needs older patients present, and a careful redesign of the whole perioperative course for these patients. Today's anesthesiologists are called to became familiar with the aging processes and their impact on the patho.physiological perioperative course, with the concept of functional impairment and frailty and with the dimensions of polypathology, polymedication, and reduced functional reserves. The introduction of new trends such as the team-based approach and interdisciplinary culture are essential to overcome these emerging criticalities.http://www.saudija.org/article.asp?issn=1658-354X;year=2023;volume=17;issue=4;spage=467;epage=473;aulast=Bettellieducation in geriatricsgeriatric surgerypopulation aging
spellingShingle Gabriella Bettelli
Geriatric anesthesia: Demographics, epidemiology, state of the art at international level, educational needs, and future perspectives
Saudi Journal of Anaesthesia
education in geriatrics
geriatric surgery
population aging
title Geriatric anesthesia: Demographics, epidemiology, state of the art at international level, educational needs, and future perspectives
title_full Geriatric anesthesia: Demographics, epidemiology, state of the art at international level, educational needs, and future perspectives
title_fullStr Geriatric anesthesia: Demographics, epidemiology, state of the art at international level, educational needs, and future perspectives
title_full_unstemmed Geriatric anesthesia: Demographics, epidemiology, state of the art at international level, educational needs, and future perspectives
title_short Geriatric anesthesia: Demographics, epidemiology, state of the art at international level, educational needs, and future perspectives
title_sort geriatric anesthesia demographics epidemiology state of the art at international level educational needs and future perspectives
topic education in geriatrics
geriatric surgery
population aging
url http://www.saudija.org/article.asp?issn=1658-354X;year=2023;volume=17;issue=4;spage=467;epage=473;aulast=Bettelli
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