Tag Archives: peri-op medicine

Age Anaesthesia Meeting

Take home messages:

In the elderly, hypotension is BAD. Keep MAP>55 and systolic no more than 10% less than baseline systolic. Consider running pressor infusion c.f. obstetric spinals

Always consider regional, BIS, no/less opioids (though not at expense of adequate analgesia)

Consider heavy prilocaine for hips & knee – if surgeon is experienced/quick

Oxycodone > morphine

Predict and treat delirium. HELP principles. Might be context specific therefore do better in own home. Involve geriatricians.

New anticoagulants – ideally need 73 hours but is balance of risk (given that mortality with #NOF increases per day)

Prehabilitation (exercise!). Not just walking. Remember strength training (stand from siting) and balance (stand on one leg with eyes closed)

EPOCH take home themes: data = power, engage and involve everybody, have a systems thinking approach, develop leadership & project management skills

Use frailty scoring systems e.g. Edmonton Frail Score