Show Summary Details
Page of

Cardiac anaesthesia in the elderly 

Cardiac anaesthesia in the elderly
Cardiac anaesthesia in the elderly

Ivan L. Rapchuk

, Pragnesh Joshi

, and John F. Fraser

Page of

PRINTED FROM OXFORD MEDICINE ONLINE ( © Oxford University Press, 2020. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 05 July 2020

This chapter reviews in detail current practices in cardiac anaesthesia with regard to the elderly. After summarizing the important cardiovascular pathophysiological changes with ageing, it describes the major surgical areas of practice, including treatment for ischaemic heart disease, aortic aneurysms, and aortic and mitral valvular disease. Preoperative preparation is discussed as well as the complications of coronary bypass in the elderly. Intraoperative and postoperative care, including cardiorespiratory critical care, the management of bleeding, renal function, neurological dysfunction, and pain control are detailed. The increasing use of mechanical assist devices, largely used for palliative care, is discussed. The current understanding of the complex issue of postcardiac surgical neurological dysfunction is then discussed. Emerging procedures are reviewed including minimally invasive and transcatheter valvular techniques. The role of the anaesthetist in the planning and provision of care for these procedures is reviewed, with emphasis on the need for haemodynamic stability throughout these procedures.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.