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Day case anaesthesia and the elderly 

Day case anaesthesia and the elderly
Chapter:
Day case anaesthesia and the elderly
Author(s):

Uma Shridhar Iyer

DOI:
10.1093/med/9780199604999.003.0028
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date: 20 August 2019

This chapter deals with the ever-increasing drive to day care surgery, with especial regard to the elderly. Complications are more commonly noted in elderly patients undergoing day surgery procedures and their assessment and care are detailed. Patient selection is reviewed, especially the needs of the over-85-years group who have greater risk of complications. Aspects of preparation for surgery are discussed, in particular, the need for mental state evaluation. The choices for intraoperative anaesthetic care, whether using a general, regional, or local anaesthetic technique, are then reviewed. Issues with their postoperative care are highlighted including rapid oxygen desaturation, ability to void before discharge, and pain management. Patient follow-up is discussed with attention being given to the assessment for postoperative cognitive dysfunction amongst other aspects. It summarizes by reiterating that age alone is not a barrier to day surgery, but that they need meticulous care.

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