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1 Index Note: Page numbers of article titles are in boldface type. A Acetaminophen, for geriatric surgical patients, Acute kidney injury, critical care issues in geriatric patients with, Aging, age-related differences relevant to pain, effects on major organ systems, cardiovascular system, endocrine system, gastrointestinal system, nervous system, renal and volume regulation system, respiratory system, pharmacokinetic changes with, American College of Surgeons (ACS), best practices guidelines for preoperative assessment of geriatric patients, 483 American Geriatrics Society (AGS), best practices guidelines for preoperative assessment of geriatric patients, 483 role in history of geriatric anesthesia, American Society of Anesthesiologists (ASA), Committee on Geriatric Anesthesia, history of, involvement in history of geriatric anesthesia, 434 perioperative surgical home concept, Anesthesia, geriatric. See Geriatric anesthesia. Anesthesiologists, role in perioperative surgical home concept, Antipsychotics, and postoperative delirium in geriatric patients, Aortic valve replacement, transcatheter, anesthetic considerations in geriatric patients, Arrhythmias, critical care issues in geriatric patients with, Artificial nutrition, in patients receiving palliative care, 597 B Beers criteria, for high-risk medications in geriatric patients, 571, 572 Biomarkers, potential, for postoperative delirium in geriatric patients, 512 Body composition, pharmacokinetic changes with aging, C Cardiac evaluation, preoperative, in geriatric patients, 474 Cardiopulmonary resuscitation, critical care issues in geriatric patients with, 555 Cardiopulmonary resuscitation (CPR), in patients receiving palliative care, Cardiovascular system, critical care issues in geriatric patients, arrhythmias, Anesthesiology Clin 33 (2015) anesthesiology.theclinics.com /15/$ see front matter ª 2015 Elsevier Inc. All rights reserved.

2 608 Index Cardiovascular (continued) cardiopulmonary resuscitation, 555 congestive heart failure, coronary disease, 554 valvular disease, 554 effects of aging on physiology of, Chronic pain, and opioids in geriatric surgical patients, 569 in older adults, age-related differences related to pain, assessment of, management of, Cognitive dysfunction, postoperative, in the elderly, causes of, comparison with other medically related/induced cognitive disorders, 527 definition, how long it lasts, prevention of, risk factors for, treatment of, Cognitive improvement, postoperative, in the elderly, Congestive heart failure, critical care issues in geriatric patients with, Coronary disease, critical care issues in geriatric patients with, 554 Critical care issues, in geriatric patients, cardiovascular system, arrhythmias, cardiopulmonary resuscitation, 555 congestive heart failure, coronary disease, 554 valvular disease, 554 epidemiology and impact, frailty, 557 neurologic system, delirium, 553 pain, pulmonary system, 555 respiratory failure, 555 renal system, acute kidney injury, urinary tract infection, 556 trauma, assessment, 557 treatment, triage, 557 D Delirium, critical care issues in geriatric patients with, 553 postoperative, in geriatric patients, current controversies, use of antipsychotics, use of ketamine, 511

3 Index 609 diagnosis, clinical features, 507 screening tools, 507 future considerations, 512 potential biomarkers, 512 management, pathophysiology, neuroinflammation, 508 oxidative stress, risk factors, 506 Do-not-resuscitate orders (DNR), in patients receiving palliative care, E Emergency surgery, general, anesthetic considerations in geriatric patients, End of life care. See Palliative care. Endocrine system, effects of aging on physiology of, Enhanced recovery after surgery, with perioperative surgical home, 440 Etomidate, pharmacologic considerations in geriatric patients, 461 Euthanasia, F Fentanyl, pharmacologic considerations in geriatric patients, 463 Fractures, hip, anesthetic considerations in geriatric patients, Frailty, critical care issues in geriatric patients, 557 in preoperative evaluation of geriatric patients, Functional status, in preoperative evaluation of geriatric patients, G Gabapentinoids, for geriatric surgical patients, 571 Gastrointestinal system, effects of aging on physiology of, Geriatric anesthesia, chronic pain in older adults, age-related differences related to pain, assessment of, management of, critical care issues in, cardiovascular system, epidemiology and impact, frailty, 557 neurologic system, pulmonary system, 555 renal system, trauma, for common procedures, emergent general surgery, general approach, hip fractures, transcatheter aortic valve replacement,

4 610 Index Geriatric (continued) history of, ASA Committee on Geriatric Anesthesia, ASA involvement, 433 early years, 428 future considerations, involvement by American Geriatrics Society, Society for Advancement of Geriatric Anesthesia, pain management issues in, Beers criteria for, 571 initiating treatment, 567 measurement of pain, 565 multimodal analgesia, 569 nonopioid adjuvants, opioids, physiologic changes in the older adult, 565 regional analgesic techniques, risks of pain treatment, 564 palliative care in, end-of-life and hospice, 595 integrating with perioperative care, ongoing controversies in, perioperative issues related to, perioperative surgical home, benefits of, 441 complications in the geriatric population, definition, future considerations, in the aging patient population, triple aim, pharmacology, applying knowledge to practice, cerebral mechanisms of geriatric anesthesia, consequences of overdosing in elderly patients, 465 considerations with specific medications, pharmacokinetic changes with aging, physiology considerations in, cardiovascular system, endocrine system, gastrointestinal system, nervous system, renal and volume regulation system, respiratory system, postoperative cognitive dysfunction, causes of, comparison with other medically related/induced cognitive disorders, 527 definition, how long it lasts, prevention of, risk factors for, treatment of,

5 Index 611 postoperative cognitive improvement, postoperative delirium, current controversies, diagnosis, future considerations, 512 management, pathophysiology, risk factors, 506 preoperative assessment, cardiac evaluation, 474 diagnostic tests, frailty, functional status, medication history and polypharmacy, 478 neuropsychiatric evaluation, nutritional status, 478 patient counseling, 479 pulmonary evaluation, surgeon s perspective on optimal perioperative care, ACS/AGS Best Practices Guidelines, 483 additions to best practices, practical options for, H Hip fractures, anesthetic considerations in geriatric patients, History, medication, in preoperative evaluation of geriatric patients, 478 of geriatric anesthesia, ASA Committee on Geriatric Anesthesia, ASA involvement, 433 early years, 428 future considerations, involvement by American Geriatrics Society, Society for Advancement of Geriatric Anesthesia, Hospice, and end-of-life care, 595 Hydration, in patients receiving palliative care, 597 I Inhalational anesthetics, pharmacologic considerations in geriatric patients, Intensive care unit, surgical, integrating palliative care with perioperative care in, Intensive care unit. See Critical care. K Ketamine, and postoperative delirium in geriatric patients, 511 M Mechanical circulatory support devices, palliative care consultation and, Medication history, in preoperative evaluation of geriatric patients, 478

6 612 Index Meperidine, pharmacologic considerations in geriatric patients, 464 Metabolism, pharmacokinetic changes with aging, 460 Midazolam, pharmacologic considerations in geriatric patients, 463 Multimodal analgesia, in geriatric surgical patients, 569 N National Surgery Quality Improvement Program, of ACS, best practices guidelines for preoperative assessment of geriatric patients, 483 Nervous system, effects of aging on physiology of, Neuraxial analgesia, in geriatric surgical patients, 574 Neuroinflammation, in postoperative delirium in geriatric patients, 508 Neurologic system, critical care issues in geriatric patients, delirium, 553 pain, Neuromuscular blocking drugs, pharmacologic considerations in geriatric patients, 464 Neuropsychiatric evaluation, preoperative, in geriatric patients, Noninvasive ventilation, in patients receiving palliative care, 597 Nonsteroidal anti-inflammatory drugs (NSAIDs), for geriatric surgical patients, Nutrition, artificial, in patients receiving palliative care, 597 Nutritional status, in preoperative evaluation of geriatric patients, 478 O Opioids, for geriatric surgical patients, metabolism, pharmacologic considerations in geriatric patients, Overdosing, of anesthetics in geriatric patients, 465 Oxidative stress, in postoperative delirium in geriatric patients, P Pain management, for chronic pain in older adults, age-related differences related to pain, assessment of, management of, for geriatric surgical patients, Beers criteria for, 571, 572 initiating treatment, 567 measurement of pain, 565 multimodal analgesia, 569 nonopioid adjuvants, acetaminophen, gabapentinoids, 571 NSAIDs, 570 tramadol, opioid metabolism, opioids, physiologic changes in the older adult, 565 regional analgesic techniques, neuraxial techniques,

7 perineural blocks, risks of pain treatment, 564 Pain, chronic, in the geriatric critical care patient, Palliative care, for geriatric anesthesiologists, definition, end-of-life and hospice, 595 integrating with perioperative care, and mechanical circulatory support devices, in the surgical intensive care unit, ongoing controversies in, euthanasia, palliative sedation, physician-assisted suicide, perioperative issues related to, CPR, DNR orders, and anesthesiology, hydration and artificial nutrition, 597 noninvasive ventilation, 597 Pathophysiology, of postoperative delirium in geriatric patients, neuroinflammation, 508 oxidative stress, Perineural blocks, in geriatric surgical patients, Perioperative care, of geriatric patients, surgeon s perspective on optimal, ACS/AGS Best Practices Guidelines, 483 additions to best practices, practical options for, Perioperative surgical home, geriatrics and, benefits of, 441 complications in the geriatric population, definition, future considerations, in the aging patient population, triple aim, Pharmacology, geriatric, applying knowledge to practice, cerebral mechanisms of geriatric anesthesia, consequences of overdosing in elderly patients, 465 considerations with specific medications, etomidate, inhalational anesthetics, midazolam, 463 neuromuscular blocking agents, 464 opioids, propofol, 461 thiopental, 463 pharmacokinetic changes with aging, body composition, metabolism, 460 Physician-assisted suicide, Physiology, considerations in geriatric patients, and pain management for surgery, cardiovascular system, Index 613

8 614 Index Physiology (continued) endocrine system, gastrointestinal system, nervous system, renal and volume regulation system, respiratory system, Polypharmacy, in preoperative evaluation of geriatric patients, 478 Postoperative cognitive improvement. See Cognitive improvement, postoperative. Postoperative delirium. See Delirium, postoperative. Preoperative assessment, of geriatric patients, cardiac evaluation, 474 diagnostic tests, frailty, functional status, medication history and polypharmacy, 478 neuropsychiatric evaluation, nutritional status, 478 patient counseling, 479 pulmonary evaluation, Preoperative evaluation, of geriatric patients, ACS NSQIP/AGS best practices guidelines for, 483 Propofol, pharmacologic considerations in geriatric patients, 461 Pulmonary evaluation, preoperative, in geriatric patients, Pulmonary system, critical care issues in geriatric patients, 555 R Regional analgesia, for surgery in geriatric patients, neuraxial, 574 perineural blocks, Remifentanil, pharmacologic considerations in geriatric patients, Renal system, critical care issues in geriatric patients, acute kidney injury, urinary tract infection, 556 effects of aging on physiology of, Respiratory failure, critical care issues in geriatric patients with, 555 Respiratory system, effects of aging on physiology of, S Sedation, palliative, controversy over, Society for the Advancement of Geriatric Anesthesia (SAGA), role in history of geriatric anesthesia, Suicide, physician-assisted, Surgeons, perspective on optimal perioperative care of geriatric patients, ACS/AGS Best Practices Guidelines, 483 additions to best practices, practical options for, Surgery, anesthesia for common procedures in geriatric patients, emergent general surgery, general approach,

9 Index 615 hip fractures, transcatheter aortic valve replacement, geriatric, perioperative surgical home, benefits of, 441 complications in the geriatric population, definition, future considerations, in the aging patient population, triple aim, Surgical intensive care unit, integrating palliative care with perioperative care in, T Thiopental, pharmacologic considerations in geriatric patients, 463 Transcatheter aortic valve replacement, anesthetic considerations in geriatric patients, Trauma, critical care issues in geriatric patients, assessment, 557 treatment, triage, 557 Triple aim, with perioperative surgical home, U Urinary tract infections, critical care issues in geriatric patients with, 556 V Valvular disease, critical care issues in geriatric patients with, 554 Ventilation, noninvasive, in patients receiving palliative care, 597

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