Neurological Aging and Pharmacological Management of Geriatric Patients

被引:2
作者
Akhtar, Shamsuddin [1 ]
机构
[1] Yale Sch Med, Dept Anesthesiol & Pharmacol, New Haven, CT 06510 USA
关键词
Aging; Anesthesia; Functional connectivity; Perioperative period; Unconsciousness; INDUCTION; ASSOCIATION; DYSFUNCTION; ANESTHESIA; AGE;
D O I
10.1007/s40140-021-00497-8
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Purpose of Review This review will focus on changes in nervous system with aging, alteration in neuro-connectivity with aging, changes in dosing of anesthetic drugs with aging, and current practice patterns of anesthetic drug dosing in the elderly patients. Recent Findings Neuro-connectivity continues to evolve throughout the life span. After the age of 40 years, functional connectivity becomes less segregated and specific. Evaluation of current practice patterns suggest that practitioners are liberal in administering anesthetics in the elderly patients and frequently exceed the recommended dose range. Functional connectivity continues to evolve with aging and becomes less segregated and specific. Though it is well recognized that elderly patients require less dose of anesthetic drugs, this has not translated into clinical practice.
引用
收藏
页码:381 / 386
页数:6
相关论文
共 28 条
  • [1] Akhtar S., 2018, STOELTINGS ANESTHESI
  • [2] Pharmacological considerations in the elderly
    Akhtar, Shamsuddin
    [J]. CURRENT OPINION IN ANESTHESIOLOGY, 2018, 31 (01) : 11 - 18
  • [3] A Retrospective Observational Study of Anesthetic Induction Dosing Practices in Female Elderly Surgical Patients: Are We Overdosing Older Patients?
    Akhtar, Shamsuddin
    Heng, Joseph
    Dai, Feng
    Schonberger, Robert B.
    Burg, Mathew M.
    [J]. DRUGS & AGING, 2016, 33 (10) : 737 - 746
  • [4] Does intravenous induction dosing among patients undergoing gastrointestinal surgical procedures follow current recommendations: a study of contemporary practice
    Akhtar, Shamsuddin
    Liu, Jia
    Heng, Joseph
    Dai, Feng
    Schonberger, Robert B.
    Burg, Matthew M.
    [J]. JOURNAL OF CLINICAL ANESTHESIA, 2016, 33 : 208 - 215
  • [5] Methodology of measuring postoperative cognitive dysfunction: a systematic review
    Borchers, Friedrich
    Spies, Claudia D.
    Feinkohl, Insa
    Brockhaus, Wolf-Rudiger
    Kraft, Antje
    Kozma, Petra
    Fislage, Marinus
    Kuehn, Simone
    Ionescu, Catinca
    Speidel, Saya
    Hadzidiakos, Daniel
    Veldhuijzen, Dieuwke S.
    Yuerek, Fatima
    Evered, Lisbeth A.
    Ottens, Thomas H.
    [J]. BRITISH JOURNAL OF ANAESTHESIA, 2021, 126 (06) : 1119 - 1127
  • [6] Studying variability in human brain aging in a population-based German cohort-rationale and design of 1000 BRAINS
    Caspers, Svenja
    Moebus, Susanne
    Lux, Silke
    Pundt, Noreen
    Schuetz, Holger
    Muehleisen, Thomas W.
    Gras, Vincent
    Eickhoff, Simon B.
    Romanzetti, Sandro
    Stoecker, Tony
    Stirnberg, Ruediger
    Kirlangic, Mehmet E.
    Minnerop, Martina
    Pieperhoff, Peter
    Moedder, Ulrich
    Das, Samir
    Evans, Alan C.
    Joeckel, Karl-Heinz
    Erbel, Raimund
    Cichon, Sven
    Noethen, Markus M.
    Sturma, Dieter
    Bauer, Andreas
    Shah, N. Jon
    Zilles, Karl
    Amunts, Katrin
    [J]. FRONTIERS IN AGING NEUROSCIENCE, 2014, 6
  • [7] Optimal Preoperative Assessment of the Geriatric Surgical Patient: A Best Practices Guideline from the American College of Surgeons National Surgical Quality Improvement Program and the American Geriatrics Society
    Chow, Warren B.
    Rosenthal, Ronnie A.
    Merkow, Ryan P.
    Ko, Clifford Y.
    Esnaola, Nestor F.
    [J]. JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2012, 215 (04) : 453 - 466
  • [8] Human consciousness is supported by dynamic complex patterns of brain signal coordination
    Demertzi, A.
    Tagliazucchi, E.
    Dehaene, S.
    Deco, G.
    Barttfeld, P.
    Raimondo, F.
    Martial, C.
    Fernandez-Espejo, D.
    Rohaut, B.
    Voss, H. U.
    Schiff, N. D.
    Owen, A. M.
    Laureys, S.
    Naccache, L.
    Sitt, J. D.
    [J]. SCIENCE ADVANCES, 2019, 5 (02)
  • [9] Functional brain connectivity changes across the human life span: From fetal development to old age
    Edde, Manon
    Leroux, Gaelle
    Altena, Ellemarije
    Chanraud, Sandra
    [J]. JOURNAL OF NEUROSCIENCE RESEARCH, 2021, 99 (01) : 236 - 262
  • [10] Age-associated physiological and pathological changes at the blood-brain barrier: A review
    Erdo, Franciska
    Denes, Laszlo
    de Lange, Elizabeth
    [J]. JOURNAL OF CEREBRAL BLOOD FLOW AND METABOLISM, 2017, 37 (01) : 4 - 24