Geriatric Surgery and Perioperative Care presents clear evidence to support regulatory and financial decisions in the light of the value-based care principles. The book outlines standards of care for elderly patients undergoing surgery as well as minimal requirements for modern management aimed at delivering cost-effective healthcare. It opens with the epidemiology and patho-physiological changes of aging and their impact on anesthesia and surgery. Subsequent chapters guide readers through the surgical process, addressing preoperative optimization, intraoperative procedures and management, and postoperative principles, including ICU care. The book concludes with ethical principles, care models, and hospital design to support a golden silver surgery using a team-based approach. This title is an important resource for healthcare professionals, practitioners, and others pursuing current strategies and methods for successful perioperative care of the elderly.
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Part I. Pre-Operative Management 1. Epidemiological and structural overview of the current situation 2. Aging, pathophysiological changes and their impact on anesthesia and surgery 3. Preoperative evaluation and optimization: a team-based task 4. Decision making about surgery and plan for hospital admission 5. Patient allocation and preparation to surgery Part II. Peri- and Post-Operative Management 6. Anesthesia techniques, intraoperative management, and early postoperative recovery 7. Team-based approach to surgical stress reduction and procedural safety 8. General principles for optimal postoperative recovery 9. Postoperative ICU care 10. Post-operative course at the ward 11. The clinical path: hospital discharge. Management of hospital discharge and late postoperative recovery Part III. Surgical Issues 12. Surgery for older patients: An overview 13. The impact of ERAS and fast-track surgery in senior patients 14. Breast surgery in older women 15. Thoracic Surgery in elderly patients 16. Emergency general surgery in older patients 17. Supporting Older Adults Safely through Abdominal Surgery: The Impact of Prehabilitation and Geriatric-Co Management 18. Orthopedic Surgery and Hip Fractures in Elderly Patients 19. Gallbladder surgery at an advanced age 20. Cataract surgery in the elderly 21. Presbystasis and vestibular rehabilitation in elderly patients 22. Head and Neck Surgery for Older Patients 23. Diverticular disease in older patients 24. Patient Frailty and plastic surgery at an advanced age 25. Outpatient surgery: day surgery and office-based surgery for senior patients 26. Unveiling the Dynamics of Functional Recovery and Quality of Life in Geriatric Patients with Cancer Part IV. Recommendations for a Better Future 27. Models of care: Purposes, internal organization and inspiring principles 28. Towards a “Silver Architecture”: Hospital Design for Geriatric Surgery 29. Towards a “Silver Architecture”: Patient safety and clinical risk management 30. Ethical principles: professional duties and patients’ rights 31. Cornerstones for Optimal Surgical Care of the Older Adult – Current State and Moving the Needle Forward
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A practical reference for advanced healthcare specialists interested in building a team-based, multi-professional culture on perioperative geriatric medicine
Presents clear evidence to support regulatory and financial decisions in the light of the value-based care principles Provides a synthesis of optimal, evidence-based methods to support and treat geriatric surgical patients through all stages of the clinical path Outlines ethical principles and care models for managing all aspects of geriatric anesthesia and surgery Covers details on aging processes, pathophysiological changes induced by aging, and effective preventive strategies to improve clinical outcome and reduce costs
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Produktdetaljer

ISBN
9780443219092
Publisert
2024-11-20
Utgiver
Vendor
Academic Press Inc
Vekt
450 gr
Høyde
235 mm
Bredde
191 mm
Aldersnivå
P, 06
Språk
Product language
Engelsk
Format
Product format
Heftet
Antall sider
440

Redaktør

Om bidragsyterne

Gabriella Bettelli is past-Director of the Geriatric Surgical Area and Anesthesia Unit at the INRCA (Italian National Research Centre on Aging, Ancona Italy), specialist in anesthesia, cardiology, and geriatrics (2nd Level University Master). She founded and currently coordinates an international 2nd Level University Master in Perioperative Geriatric Medicine, held in co-partnership by the San Marino University and the Catholic University of Rome. She edited the book Perioperative Care of the Elderly: clinical and organizational aspects (Cambridge University Press, 2017), co-edited various books on safety in anesthesia, and published more than 120 papers, most of them indexed. She is a member of the ESAIC Task Force for Postoperative Delirium GL, currently under updating, and reviewer for Anesthesia & Analgesia, Journal of Gerontology, Journal of Frailty and Aging and Saudi Journal of Anesthesia. Riccardo A. Audisio, MD, PhD (Hon), FRCS, is past-President of SIOG (International Society of Geriatric Oncology), BASO (British Association of Surgical Oncology) and ESSO (European Society of Surgical Oncology). He served as an advisor to the Department of Health, UK and to the All-Party Parliamentary Group on Breast Cancer in Older Women. Professor Audisio sat on the Board of Directors of ECCO (European Cancer Organization). He is past-Chair of the Education & Training Committee of ESSO. Professor Audisio chairs the Surgical Oncology track at the Global Health Catalyst, Harvard Medical School. He has edited 10 books on the management of Elderly Cancer Patients (Springer), co-edited the ESMO Handbook of Cancer in the Senior Patient, and authored over 30 peer reviewed papers on the topic. His clinical research focuses on Breast Cancer, Geriatric Oncology, Education/Certification in Surgical Oncology and the optimization of Surgical Oncology in L/MICs.