Future Directions for Geriatric Anesthesiology

Desmarais, Philippe; Herrmann, Nathan; Alam, Fahad; Choi, Stephen; Avramescu, Sinziana

doi:10.1016/j.anclin.2019.05.002

Cited by 2 publications

(1 citation statement)

References 56 publications

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“…Due to the exponential increase in the older adult population [1], older adults will increasingly present with symptomatic degenerative spine disease for surgery. Older adults requiring surgery present multiple challenges to the anesthesiology and surgery teams due to multiple comorbidities, cognitive status, functional status, and social capacity [1,2]. Frailty, an age-related decline in physiological reserve, has been associated with poor postoperative outcomes, including increased length of hospital stay, increased risk of non-home discharge, and morbidity [3][4][5].…”

Section: Introductionmentioning

confidence: 99%

The Impact of Multimodal Prehabilitation on Patient-Reported Outcomes for a Frail Octogenarian Undergoing Multilevel Lumbar Spinal Fusion Surgery: A Case Report

Knudsen,

Polifka,

Markut

et al. 2023

Cureus

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This case report presents the perioperative optimization pathway of a frail octogenarian who underwent multilevel lumbar spinal fusion surgery. This patient was enrolled in a multimodal prehabilitation program for frail older adults. The multimodal prehabilitation program includes preoperative interventions that prevent further decline in physiological functions before spine surgery. The program focuses on physical exercise, nutritional intervention, and pain neuroscience education. Six weeks postoperatively, clinical and patient-reported outcomes improved in the categories targeted by the preoperative interventions and surgery. This report suggests that prehabilitation is feasible for preoperatively optimizing frail older adults undergoing complex spine surgery.

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Section: Introductionmentioning

confidence: 99%

The Impact of Multimodal Prehabilitation on Patient-Reported Outcomes for a Frail Octogenarian Undergoing Multilevel Lumbar Spinal Fusion Surgery: A Case Report

Knudsen,

Polifka,

Markut

et al. 2023

Cureus

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Perioperative Precision Medicine: Where Are We in 2020?

Pal

Kertai

2020

Current Opinion in Anaesthesiology

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Purpose of review The present review examines how targeted approaches to care, based on individual variability in patient characteristics, could be applied in the perioperative setting. Such an approach would enhance individualized risk assessment and allow for targeted preventive and therapeutic decision-making in patients at increased risk for adverse perioperative events. Recent findings Prior and current studies highlight valuable lessons on how future investigations attempting to link specific patient-related characteristics or treatment modalities with outcomes and adverse drug responses might be designed in the perioperative setting. Summary Our review highlights the past, present, and future directions of perioperative precision medicine. Current evidence provides important lessons on how a specific patient and disease tailored approach can help perioperative physicians in delivering the most appropriate and safest perioperative care.

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Future Directions for Geriatric Anesthesiology

Cited by 2 publications

References 56 publications

The Impact of Multimodal Prehabilitation on Patient-Reported Outcomes for a Frail Octogenarian Undergoing Multilevel Lumbar Spinal Fusion Surgery: A Case Report

The Impact of Multimodal Prehabilitation on Patient-Reported Outcomes for a Frail Octogenarian Undergoing Multilevel Lumbar Spinal Fusion Surgery: A Case Report

Perioperative Precision Medicine: Where Are We in 2020?

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