Geriatric Surgery and Perioperative Care presents clear evidence to support regulatory and financial decisions in the light of the value-based care principles. The book outlines standards of care for elderly patients undergoing surgery as well as minimal requirements for modern management aimed at delivering cost-effective healthcare. It opens with the epidemiology and patho-physiological changes of aging and their impact on anesthesia and surgery. Subsequent chapters guide readers through the surgical process, addressing preoperative optimization, intraoperative procedures and management, and postoperative principles, including ICU care.
The book concludes with ethical principles, care models, and hospital design to support a golden silver surgery using a team-based approach. This title is an important resource for healthcare professionals, practitioners, and others pursuing current strategies and methods for successful perioperative care of the elderly.
The book concludes with ethical principles, care models, and hospital design to support a golden silver surgery using a team-based approach. This title is an important resource for healthcare professionals, practitioners, and others pursuing current strategies and methods for successful perioperative care of the elderly.
Table of Contents
Part I. Pre-Operative Management1. Epidemiological and structural overview of the current situation
2. Aging, pathophysiological changes and their impact on anesthesia and surgery
3. Preoperative evaluation and optimization: a team-based task
4. Decision making about surgery and plan for hospital admission
5. Patient allocation and preparation to surgery
Part II. Peri- and Post-Operative Management
6. Anesthesia techniques, intraoperative management, and early postoperative recovery
7. Team-based approach to surgical stress reduction and procedural safety
8. General principles for optimal postoperative recovery
9. Postoperative ICU care
10. Post-operative course at the ward
11. The clinical path: hospital discharge. Management of hospital discharge and late postoperative recovery
Part III. Surgical Issues
12. Surgery for older patients: An overview
13. The impact of ERAS and fast-track surgery in senior patients
14. Breast surgery in older women
15. Thoracic Surgery in elderly patients
16. Emergency general surgery in older patients
17. Supporting Older Adults Safely through Abdominal Surgery: The Impact of Prehabilitation and Geriatric-Co Management
18. Orthopedic Surgery and Hip Fractures in Elderly Patients
19. Gallbladder surgery at an advanced age
20. Cataract surgery in the elderly
21. Presbystasis and vestibular rehabilitation in elderly patients
22. Head and Neck Surgery for Older Patients
23. Diverticular disease in older patients
24. Patient Frailty and plastic surgery at an advanced age
25. Outpatient surgery: day surgery and office-based surgery for senior patients
26. Unveiling the Dynamics of Functional Recovery and Quality of Life in Geriatric Patients with Cancer
Part IV. Recommendations for a Better Future
27. Models of care: Purposes, internal organization and inspiring principles
28. Towards a “Silver Architecture”: Hospital Design for Geriatric Surgery
29. Towards a “Silver Architecture”: Patient safety and clinical risk management
30. Ethical principles: professional duties and patients’ rights
31. Cornerstones for Optimal Surgical Care of the Older Adult Current State and Moving the Needle Forward