Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-cd9895bd7-gvvz8 Total loading time: 0 Render date: 2024-12-27T06:08:53.006Z Has data issue: false hasContentIssue false

Chapter 20 - Significance of age in practice of thoracic anesthesia

from Section 2 - Anesthesia for operative procedures

Published online by Cambridge University Press:  10 December 2009

By
Vijay Jeganath  and
Jayanta Nandi
Edited by
Cait P. Searl  and
Sameena T. Ahmed
Cait P. Searl
Affiliation:
Freeman Hospital, Newcastle
Sameena T. Ahmed
Affiliation:
Freeman Hospital, Newcastle
Get access

Summary

The population in the developed world is aging, together with an increasing life expectancy for both men and women. The incidence of thoracic pathologies in the elderly of the developed world is rising. The main cautions of thoracic anesthesia in the elderly are those of geriatric anesthesia in general and those of the surgical procedure itself. In the elderly, risk assessment should focus on identifying the physiologic state and reserve of specific organ systems. It is often more challenging to identify previously undiagnosed comorbidity, optimize it and try to predict its bearing on the outcome. The aim of the pre-anesthetic assessment is to detect and optimize comorbidities, and quantify objectively the extent of reduced physiologic reserve of systems. The goalposts of healthcare delivery standards have been moved with expectations of better results following anesthesia and surgery in thoracic surgery in the elderly.

Keywords

anesthesialung cancerpulmonary blood vesselsthoracoscopic lobectomyvideo-assisted thoracoscopic surgerythoracotomy
Type
Chapter
Information
Core Topics in Thoracic Anesthesia , pp. 137 - 144
Publisher: Cambridge University Press
Print publication year: 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Save book to Kindle

To save this book to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×