Considerations for the Use of Local Anesthesia in the Frail Elderly: Current Perspectives

The frail, elderly population is at a high risk of postoperative complications. Besides perioperative rehabilitation techniques and management by geriatric teams, the least invasive techniques in anesthesia are required, making regional anesthesia very interesting in terms of benefit-risk ratio. Amo...

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Bibliographic Details
Published in:Local and regional anesthesia 2022-08, Vol.15, p.71-75
Main Authors: Cuvillon, Philippe, Lefrant, Jean Yves, Gricourt, Yann
Format: Article
Language:English
Subjects:
Abdomen
Analysis
Anesthesia
Bone surgery
Bupivacaine
Costs
Cytokines
Delirium
Drug dosages
frail population
Frailty
General anesthesia
Health aspects
Hypotension
Hypothermia
Hypoventilation
Length of stay
Local anesthesia
Medical societies
Morbidity
Mortality
Orthopedics
Patient compliance
Patients
Population
Regional anesthesia
Review
surgery
technique
Ventilators
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Summary:The frail, elderly population is at a high risk of postoperative complications. Besides perioperative rehabilitation techniques and management by geriatric teams, the least invasive techniques in anesthesia are required, making regional anesthesia very interesting in terms of benefit-risk ratio. Among them, local anesthesia is a simple, reproducible, inexpensive technique applied to many superficial or deep surgeries, which should make it a gold standard for the frail person. This review provides an update on the current possibilities for various surgeries and exclusion. Keywords: local anesthesia, technique, surgery, frail population
ISSN:1178-7112
1178-7112
DOI:10.2147/LRA.S325877