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The Society for the Advancement of Geriatric Anesthesia (SAGA) is dedicated to improving the care of the older patient coming to surgery. It offers educational programs at its annual meeting as well as at meetings of other anesthesia societies. It also offer educational support for anesthesia training programs. [7]
A comparison between inhalation anesthetics and intravenous anesthetics to determine which were more likely to cause postoperative cognitive dysfunction when used in the elderly for non-cardiac surgery found that fewer people experienced POCD with total intravenous anesthesia (TIVA) compared to inhalational anesthesia, however, these ...
Anticholinergics can be used as a long-acting patch placed behind the patient's ear. Adverse effects include dry mouth and blurry vision. Care must be taken when handling the patch, as transfer of medication to the eye can induce pupillary dilation. Avoid use in elderly patients. Medications include scopolamine.
TIVA is used to induce general anesthesia while avoiding the disadvantages of volatile anesthesia (and traditional inhalation agents). [9] Intravenous anesthetic agents are titrated at safe doses to maintain stage III surgical anesthesia (unconsciousness, amnesia, immobility, and absence of response to noxious stimulation). [10]
Image credits: JustGenericName #3. When families want us to "do everything possible" to keep their elderly, weak, sickly, poor quality of life family member alive.
Patient being monitored following anesthesia. There are a few criteria for discharging a patient who has undergone procedural sedation. The recovery time for a patient to be ready for discharge varies but is typically 60–120 minutes. The criteria are as follows: Patient must be stable from a cardiovascular standpoint and have an open airway.
Patients either have general or local anesthesia during the procedure. Various techniques exist, but facelifts have long-lasting results — 10 to 15 years, sometimes longer.
An outgrowth of this committee, the Anesthesia Patient Safety Foundation was created in 1985 as an independent, nonprofit corporation with the vision that "no patient shall be harmed by anesthesia". [25] The current mortality attributable to the management of general anesthesia is controversial. [26]