Old People's Surgical Peculiarities

Recommended Prerequisites

Degree in medicine, knowledge and Surgery Anesthesiology.

Teaching Methods

Lecture.

Learning Outcomes

In 2010 about 8% of the population was elderly, that is 65 years or more (according to the WHO definition). In the elderly, are 4 times more frequent surgery interventions than the rest of the population, therefore in the near future, a greater proportion of proposed patients for surgical treatment will be over 65 years, a substantial number of patients over 85 years. Elderly patients are a unique clinical group with anatomical, physiological and biochemical own. Thus we can say that the treatment of elderly patients who need to undergo a surgical treatment is a real challenge for anesthesiologists and surgeons. Students should recognize patients who will benefit from standard treatment and those for whom treatment risks outweigh the benefits and know the medical-surgical strategies, particularly individual in this age group, to improve tolerance to surgery.

Work Placement(s)

No

Syllabus

The elderly surgical patient.

Preoperative evaluation.

Perioperatótios particularities of care for elderly patients.

Ambulatory Surgery.

Laparoscopic Surgery.

Most frequent surgical pathology in the elderly.

Head Lecturer(s)

Pedro Renato Sousa da Silva Vaz

Assessment Methods

Assessment
Exam: 100.0%

Bibliography

Lutz W, Sanderson W, Scherbov S. The coming acceleration of global population ageing. Nature 2008;451:716–9.

Vaupel JW. Biodemography of human ageing. Nature. 2010; 464(7288):536–542.

United Nations. World Population Ageing 2009. [documento on the Internet]. Department of Economic and Social Affairs; 2010. Available from: http://www.un.org/en/development/desa/population/publications/pdf/ageing/WorldPopulationAgeingReport2009.pdf.

Hardin RE, Jemtel TL, Zenilman ME.  Experience with dedicated geriatric surgical consult services: Meeting the need for surgery in the frail elderly. Clinical Interventions in Aging. 2009; 4 73–80.

Chow W B;Rosenthal R A; MerkowR P;KoYC; Esnaola NF. Optimal geriatric preoperative assessment .J Am coll Surg2012;4:453-466.

Bettelli G. Preoperative evaluation in geriatric surgery: comorbidity, functional status and pharmacological history. Min