title: Controversies in anaesthesia for noncardiac surgery in older adults.
abstract: As the population of the world is rapidly ageing, the amount of surgery being performed in older patients is also increasing. Special attention is required for the anaesthetic and perioperative management of these patients. The clinical and non-clinical issues specific to older surgical patients are reviewed, with a special emphasis on areas of debate related to anaesthesia care in this group. These issues include the role of frailty and disability in preoperative assessment, choice of anaesthesia technique for hip fracture, postoperative delirium, and approaches to shared decision-making before surgical procedures.
authors.affiliation: Department of Anesthesiology and Critical Care, The University of Pennsylvania, 6 Dulles, 3400 Spruce Street, Philadelphia, PA 19104, USA sushila.murthy@gmail.com.
authors.forename: S
authors.initials: S
authors.lastname: Murthy
authors.affiliation: Department of Anesthesiology, Perioperative and Pain Medicine.
authors.forename: D L
authors.initials: DL
authors.lastname: Hepner
authors.affiliation: Department of Surgery, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA.
authors.forename: Z
authors.initials: Z
authors.lastname: Cooper
authors.affiliation: Department of Anesthesiology, Perioperative and Pain Medicine.
authors.forename: A M
authors.initials: AM
authors.lastname: Bader
authors.affiliation: Department of Anesthesiology and Critical Care, The University of Pennsylvania, 6 Dulles, 3400 Spruce Street, Philadelphia, PA 19104, USA.
authors.forename: M D
authors.initials: MD
authors.lastname: Neuman
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000758:Anesthesia / Q000009:adverse effects / Q000379:methods*; D003693:Delirium / Q000209:etiology; D016330:Frail Elderly; D015577:Geriatric Assessment / Q000379:methods; D006620:Hip Fractures / Q000601:surgery; D006801:Humans; D010358:Patient Participation; D019990:Perioperative Care / Q000379:methods* / Q000592:standards; D011183:Postoperative Complications; D017410:Practice Guidelines as Topic; D018570:Risk Assessment / Q000379:methods
keywords: ageing; anaesthesia; frail elderly; geriatric anaesthesia; hip fracture