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Anaesthesia for the elderly
Authors:Andrew Severn
Affiliation:Andrew Severn FRCA is a Consultant Anaesthetist at the University Hospitals of Morecambe Bay, UK. He is editor for the module on geriatric anaesthesia in the Royal College of Anaesthetists’ e-learning programme and chairs the Age Anaesthesia Association. Conflicts of interest: none declared
Abstract:The elderly constitute a group of patients who, in addition to their recognized pathology, may also suffer from age related changes in organ systems, deficiencies of which may be manifest as failure in the perioperative period. The significance of systolic hypertension and rigid arteries has attracted relatively little attention in anaesthetic literature. The problem of cognitive failure after major surgery remains a substantial problem of which anaesthetists need to be aware.
Keywords:Anaesthesia   cardiac failure   diastolic   geriatrics   hypertension   perioperative cognitive dysfunction   systolic
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