Frailty: the perioperative and anesthesia challenges of an emerging pandemic

被引：17
作者：
Jin, Zhaosheng [1 ]
Rismany, Joshua [1 ]
Gidicsin, Christopher [1 ]
Bergese, Sergio D. [1 ,2 ]
机构：
[1] SUNY Stony Brook, Dept Anesthesiol, Hlth Sci Ctr, Level 4,Room 060, Stony Brook, NY 11794 USA
[2] SUNY Stony Brook, Dept Neurosurg, Hlth Sci Ctr, Stony Brook, NY 11794 USA
来源：
JOURNAL OF ANESTHESIA | 2023年 / 37卷 / 04期
关键词：
Anesthesia; Enhanced recovery; Frailty; Perioperative outcomes; EMERGENCY GENERAL-SURGERY; COMPREHENSIVE GERIATRIC ASSESSMENT; ACUTE POSTOPERATIVE PAIN; OLDER-ADULTS; ENHANCED RECOVERY; COGNITIVE FRAILTY; SURGICAL-PATIENTS; BISPECTRAL INDEX; PHYSICAL FRAILTY; HIP FRACTURE;
D O I：
10.1007/s00540-023-03206-3
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
Frailty is a complex and multisystem biological process characterized by reductions in physiological reserve. It is an increasingly common phenomena in the surgical population, and significantly impacts postoperative recovery. In this review, we will discuss the pathophysiology of frailty, as well as preoperative, intraoperative, and postoperative considerations for frailty care. We will also discuss the different models of postoperative care, including enhanced recovery pathways, as well as elective critical care admission. With discoveries of new effective interventions, and advances in healthcare information technology, optimized pathways could be developed to provide the best care possible that meets the challenges of perioperative frailty.
引用
收藏
页码：624 / 640
页数：17
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