Anesthesia for the patient with dementia.
With a growing aging population, more patients suffering from dementia are expected to undergo surgery, thus being exposed to either general or regional anesthesia. This calls for specific attention ranging from the legal aspects of obtaining informed consent in demented patients to deciding on the use of premedication, choice of anesthetics, and management of postoperative pain. This review reflects on both general considerations concerning geriatric patients but also on the specific features of perioperatively used drugs and anesthetics that might have an impact on patients with Alzheimer's disease (AD).
Funder
Kamilia S
KS
Department of Anesthesia, Centre of Head and Orthopedics, Copenhagen University Hospital, Rigshospitalet, Denmark.
Steinmetz
Jacob
J
Rasmussen
Lars S
LS
D058109:Airway Management; D000700:Analgesics / Q000009:adverse effects / Q000627:therapeutic use; D000758:Anesthesia / Q000009:adverse effects*; D000765:Anesthesia, Conduction / Q000009:adverse effects; D000768:Anesthesia, General / Q000009:adverse effects; D000777:Anesthetics / Q000009:adverse effects; D003704:Dementia / Q000150:complications*; D006801:Humans; D007258:Informed Consent; D019148:Neuromuscular Blockade; D010149:Postoperative Pain / Q000188:drug therapy; D011229:Preanesthetic Medication; D011292:Premedication
D000700:Analgesics; D000777:Anesthetics