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The future, a commentary 

The future, a commentary
Chapter:
The future, a commentary
Author(s):

Bernadette Th. Veering

and Chris Dodds

DOI:
10.1093/med/9780199604999.003.0037
Page of

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date: 20 August 2019

This chapter provides a view of the challenges facing anaesthesia and the elderly in the foreseeable future. It highlights the lack of good quality research into almost all aspects of anaesthetic care of elderly patients. Specific complications, such as postoperative cognitive dysfunction and delirium, that have not changed in incidence for more than 60 years, despite innumerable advances in anaesthetic and surgical practice, are discussed. Pain assessment and its management and fluid balance are also raised as areas where very little has apparently changed over the years. The chapter, however, ends on an optimistic note about the future as more research is commissioned and training improves.

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