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Anasthesiol Intensivmed Notfallmed Schmerzther · May 2018
Review[Upper Age Limit in Outpatient Anesthesia: Opportunities and Risks].
- Tobias Hüppe, Nicole Kneller, and Alexander Raddatz.
- Anasthesiol Intensivmed Notfallmed Schmerzther. 2018 May 1; 53 (5): 380-386.
AbstractAmbulatory surgery in elderly patients continues to increase - avoiding hospitalization and thus postoperative cognitive dysfunction in older patients being its major objectives. An upper age limit in outpatient anesthesia does not exist to date. However, functional rather than chronological age is crucial in patient selection. In consensus discussion, baseline functional status should be evaluated regularly - defined as everyday behaviors necessary to maintain daily life and encompassing areas of physical, cognitive, and social functioning. Moreover, frailty in elderly patients can be quantified objectively and is associated with increased perioperative morbidity in ambulatory general surgery. The decision for or against outpatient anesthesia therefore remains a case-by-case decision which should be discussed within a team.Georg Thieme Verlag KG Stuttgart · New York.
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