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01.12.2017 | Geriatric Anesthesia (S Akhtar, Section Editor) | Ausgabe 4/2017

Current Anesthesiology Reports 4/2017

Regional Versus General Anesthesia in the Elderly: New Insights

Zeitschrift:
Current Anesthesiology Reports > Ausgabe 4/2017
Autoren:
Jonathan Dun-Chi Lin, Jean-Pierre Philip Ouanes, Frederick E. Sieber
Wichtige Hinweise
This article is part of the Topical Collection on Geriatric Anesthesia

Abstract

The comparison between regional anesthesia and general anesthesia is a continually evolving debate. Each technique has pros and cons, and the selection of anesthetic approach is highly dependent on specific indications, patient comorbidities, and type of surgery. Elderly patients, who are more likely to have multiple comorbidities and overall frailty, require a more nuanced approach. In this article, we review the literature for differences in various outcomes between regional anesthesia and general anesthesia. We summarize systematic reviews, meta-analyses, and literature reviews, focusing on results in the past decade. Notable differences in outcomes are discussed, especially those pertinent to the geriatric population. Regional anesthesia may be associated with multiple benefits despite differences in clinical practice over the years. Further research is needed to elucidate these benefits.

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