Research
Print page Print page
Switch language
The Capital Region of Denmark - a part of Copenhagen University Hospital
Published

Management of Ambulatory Anesthesia in Older Adults

Research output: Contribution to journalReviewpeer-review

  1. Late-Onset Asthma: A Diagnostic and Management Challenge

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Practical Management of Anaesthesia in the Elderly

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Age-related macular degeneration: epidemiology and optimal treatment

    Research output: Contribution to journalJournal articleResearchpeer-review

  1. Sequelae of Major Trauma Patients with Maxillofacial Fractures

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. The usefulness of a trauma probability of survival model for forensic life-threatening danger assessments

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Association between cerebrospinal fluid biomarkers of neuronal injury or amyloidosis and cognitive decline after major surgery

    Research output: Contribution to journalJournal articleResearchpeer-review

  4. Anesthesiologists’ airway management expertise: Identifying subjective and objective knowledge gaps

    Research output: Contribution to journalJournal articleResearchpeer-review

View graph of relations

The number of older patients is increasing globally. Combined with the growing number of ambulatory surgeries, many older patients will undergo ambulatory surgery in the future. The ambulatory setting offers many advantages: early mobilization, higher patient satisfaction, lower costs, and a low incidence of several complications such as infections and thromboembolic events. Moreover, cognitive recovery seems to be enhanced compared with in-hospital surgery, and both frail patients and patients with dementia can benefit from ambulatory surgery. This review provides suggestions for managing perioperative anesthesia for older patients in the ambulatory setting. Not all older patients are eligible for ambulatory surgery, and clinicians must be aware of risk factors for complications, especially frailty. Most anesthesia techniques and agents can be used in the ambulatory setting, but short-acting agents are preferred to ensure fast recovery. Both regional and general anesthesia are useful, but clinicians must be familiar with the physiological changes and specific implications in the older population. The older patients are more sensitive to anesthetic agents, meaning that a lower dose is needed to obtain the desired effect. However, they exhibit huge variation in pharmacodynamics and pharmacokinetics. Prolonged onset time may lead to overdosing and extended recovery. After surgery, effective pain management with opioid minimization is essential to ensure rapid recovery.

Original languageEnglish
JournalDrugs & Aging
Volume37
Issue number12
Pages (from-to)863-874
Number of pages12
ISSN1170-229X
DOIs
Publication statusPublished - 1 Jan 2020

    Research areas

  • Age Factors, Aged, Ambulatory Surgical Procedures/adverse effects, Anesthesia/methods, Female, Humans, Pain Management/methods, Postoperative Complications/prevention & control, Preoperative Care/methods, Risk Factors

ID: 61082363