SubSpecialties  |   June 2013
Anesthesia Care for Specific Aging-Associated Diseases: Have We Figured It Out?
Author Affiliations
  • Zhongcong Xie, M.D., Ph.D.
    President, Society for the Advancement of Geriatric Anesthesia ASA Committee on Geriatric Anesthesia
Article Information
Central and Peripheral Nervous Systems / Geriatric Anesthesia / Patient Safety / SubSpecialties
SubSpecialties   |   June 2013
Anesthesia Care for Specific Aging-Associated Diseases: Have We Figured It Out?
ASA Monitor 06 2013, Vol.77, 64-65.
ASA Monitor 06 2013, Vol.77, 64-65.
On a hot summer night in Boston in 1999, I was a CA-2 resident on call in Massachusetts General Hospital. Around midnight, a case was booked in for an exploratory laparotomy. The patient was a 78-year-old female with coronary artery disease (CAD) and Alzheimer’s disease (AD). I was well trained in caring for a patient with CAD, e.g., avoiding the reduction in blood pressure and the increase in heart rate. However, I did not know how to provide good anesthesia care, even in principle, for a patient with AD. I called my attending anesthesiologist to ask what I could do for this patient. In particular, I asked what drugs I should or should not use to avoid worsening the cognitive dysfunction symptoms in this AD patient. Hesitating on the other end of the phone, my attending, who was in the call room, finally told me: “Figure it out.”
First Page Preview
First page PDF preview
First page PDF preview ×
View Large
0 Comments
Submit a Comment
Submit A Comment

Contributors must reveal any conflict of interest. Comments are moderated.

Name
Affiliation & Institution
I have a potential conflict of interest
Comment Title
Comment


This feature is available to Subscribers Only
ASA Member Login or Create an Account ×