The American Society of Anesthesiologists has published updated guidelines addressing the perioperative care of patients aged 65 and older. These evidence-based recommendations aim to improve surgical outcomes and reduce the risk of complications such as postoperative delirium.
The four main areas of focus are:
(1) comprehensive preoperative assessment, including cognitive and frailty screening;
(2) guidance on choosing between neuraxial and general anesthesia;
(3) considerations for using total intravenous versus inhalation anesthesia; and
(4) pharmacologic strategies for delirium prevention.
These updates reflect the latest research and best practices in geriatric anesthetic care.
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