This updated, innovative and comprehensive book uniquely integrates the educational needs of anaesthetists, surgeons, geriatricians, medical directors and nurses dealing with geriatric surgery. It allows them to speak the same language, share the same goals, incorporate each other's knowledge and develop both technical and non-technical skills.
This updated, innovative and comprehensive book uniquely integrates the educational needs of anaesthetists, surgeons, geriatricians, medical directors and nurses dealing with geriatric surgery. It allows them to speak the same language, share the same goals, incorporate each other's knowledge and develop both technical and non-technical skills.
Foreword Preface Introduction: population aging, healthcare systems and surgery Part I. Preoperative Evaluation: 1. Aging and age-related functional changes 2. Preoperative evalution: a 360° perspective 3. Comorbidities and multimorbidity 4. Poly-medication and perioperative drugs management 5. Assessment of functional reserves 6. Cognitive and emotional evaluation 7. Sensorial evaluation and impact of hearing and visual impairment on communication 8. Preoperative testing 9. Team-based discussion on preoperative evaluation and decision-making about surgery 10. Communication and informed consent 11. Preoperative care in emergency surgery Part II. Preparation to Surgery: 12. Prehabilitation: how to enhance cardio-respiratory functional reserves before surgery 13. Diagnosis and treatment of nutritional deficits 14. Prevention of cognitive complications 15. Psychological support in elderly surgical patients 16. The role of geriatric nurses in preparing the elderly for surgery Part III. Intraoperative Management: 17. Entering the operating theatre: a challenging experience 18. Safety in the operating room: special needs of geriatric patients 19. The geriatric patient and anesthesia 20. Regional anesthesia techniques 21. Fluids and electrolytes management 22. Surgery in the elderly: general considerations 23. Cancer surgery and the elderly 24. Orthopedic surgery 25. Cardiovascular surgery 26. Thoracic surgery 27. Abdominal surgery 28. Day surgery 29. Cataract surgery and other office-based procedures Part IV: Postoperative Management: 30. The elderly in the recovery room 31. Endocrine and metabolic response to surgical stress in the elderly 32. Postoperative pain treatment 33. General principles of postoperative recovery 34. Fast-track and ERAS programs in geriatric surgery 35. Postoperative nursing 36. Cardiovascular complications 37. Perioperative venous thromboembolism in the elderly: prevention and treatment 38. Treatment of postoperative delirium 39. Postoperative respiratory complications 40. Renal complications 41. Postoperative admission to the intensive care unit 42. Prevention of postoperative geriatric syndromes 43. Planning for discharge 44. Ethics in geriatric surgery, end of life and palliative care Part V. Key Issues for Optimal Organization: 45. Models of care and organizational solutions for geriatric surgery 46. Hospital design 47. Patient's safety, ergonomics and clinical risk management 48. Systemic approach to management in GS: methods and tools 49. Systems engineering in GS: the contribute of modelling and simulation 50. Closing the loop with the client's perspective: how the elderly live the experience of surgery Index.
Foreword Preface Introduction: population aging, healthcare systems and surgery Part I. Preoperative Evaluation: 1. Aging and age-related functional changes 2. Preoperative evalution: a 360° perspective 3. Comorbidities and multimorbidity 4. Poly-medication and perioperative drugs management 5. Assessment of functional reserves 6. Cognitive and emotional evaluation 7. Sensorial evaluation and impact of hearing and visual impairment on communication 8. Preoperative testing 9. Team-based discussion on preoperative evaluation and decision-making about surgery 10. Communication and informed consent 11. Preoperative care in emergency surgery Part II. Preparation to Surgery: 12. Prehabilitation: how to enhance cardio-respiratory functional reserves before surgery 13. Diagnosis and treatment of nutritional deficits 14. Prevention of cognitive complications 15. Psychological support in elderly surgical patients 16. The role of geriatric nurses in preparing the elderly for surgery Part III. Intraoperative Management: 17. Entering the operating theatre: a challenging experience 18. Safety in the operating room: special needs of geriatric patients 19. The geriatric patient and anesthesia 20. Regional anesthesia techniques 21. Fluids and electrolytes management 22. Surgery in the elderly: general considerations 23. Cancer surgery and the elderly 24. Orthopedic surgery 25. Cardiovascular surgery 26. Thoracic surgery 27. Abdominal surgery 28. Day surgery 29. Cataract surgery and other office-based procedures Part IV: Postoperative Management: 30. The elderly in the recovery room 31. Endocrine and metabolic response to surgical stress in the elderly 32. Postoperative pain treatment 33. General principles of postoperative recovery 34. Fast-track and ERAS programs in geriatric surgery 35. Postoperative nursing 36. Cardiovascular complications 37. Perioperative venous thromboembolism in the elderly: prevention and treatment 38. Treatment of postoperative delirium 39. Postoperative respiratory complications 40. Renal complications 41. Postoperative admission to the intensive care unit 42. Prevention of postoperative geriatric syndromes 43. Planning for discharge 44. Ethics in geriatric surgery, end of life and palliative care Part V. Key Issues for Optimal Organization: 45. Models of care and organizational solutions for geriatric surgery 46. Hospital design 47. Patient's safety, ergonomics and clinical risk management 48. Systemic approach to management in GS: methods and tools 49. Systems engineering in GS: the contribute of modelling and simulation 50. Closing the loop with the client's perspective: how the elderly live the experience of surgery Index.
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