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Anasthesiol Intensivmed Notfallmed Schmerzther · May 2017
Review[Preoperative Evaluation and Arrangements: The Elderly Patient].
- Cynthia Olotu-Steffen, Simone Gurlit, and Rainer Kiefmann.
- Anasthesiol Intensivmed Notfallmed Schmerzther. 2017 May 1; 52 (5): 342-355.
AbstractWith a constantly growing portion of elderly within our population and the advances of modern medicine, surgery on aged and very aged patients has become a daily hospital routine. Due to the physical and mental features of ageing these patients face special perioperative risks. They display a higher rate of complications, morbidity and cognitive deficits which might in the end lead to persisting need of care. Even in the healthy elderly, most organ functions are "physiologically" instable or deficient and the homeostasis of health and disease is fragile. The preoperative evaluation of the aged patient has to be extended towards risk factors and pathologic pre-conditions which derive especially from high age and are so far not determined by a mere "fit-for-anaesthesia?"Georg Thieme Verlag KG Stuttgart · New York.
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