Surgical and anesthetic techniques have evolved to allow a growing number of older adults to undergo surgery, and current estimates are that 50% of Americans over the age of 65 years old will have an operation. However, as the knowledge regarding perioperative care of the elderly surgical patient grows, so do the questions. In this edition, each chapter includes a section entitled “Gaps in Our Knowledge,” meant to highlight areas in which research is needed, as well as hopefully inspire readers to begin solving some of these questions themselves. Building upon the strong foundation of the first two editions, Geriatric Anesthesiology, 3rd edition also assembles the most up-to-date information in geriatric anesthesia and provides anesthesiologists with important new developments.Topics covered include several new chapters that reflect the evolution of multidisciplinary geriatric care throughout the perioperative continuum, as well as the growing body of literature related to prehabilitation. In addition, discussion of the surgeon’s perspective and geriatrician’s perspective on surgery in the geriatric population is covered, as well as the systematic physiologic changes associated with aging and the pharmacologic considerations for the geriatric patient undergoing procedures. Finally, the last section discusses postoperative care specific to the geriatric population, including acute pain management, ICU management, recent evidence and up-to-date practice regarding delirium and postoperative cognitive dysfunction, and palliative care.  

Part I – Fundamentals

Ch. 1: Geriatric Anesthesiology:  Where Have We Been and Where Are We Going?

Julie R. McSwain, J.G. Reves, Sheila Ryan Barnett, G. Alec Rooke

Ch. 2: Theories and mechanisms of aging

Neal S. Fedarko

Ch. 3: Ethical and Legal Issues of Geriatrics

Paul J. Hoehner

Ch. 4: Basic Preoperative Evaluation and Preoperative Management of the Older Patient

Linda Liu, Jacqueline M. Leung

Ch. 5: The Perioperative Surgical Home for the Geriatric Population

Gary E. Loyd, Anahat Dhillon

Ch. 6: Improving perioperative functional capacity. A case for prehabilitation

Francesco Carli, Guillaume Bousquet-Dion

Ch. 7: Care of the Geriatric Surgery Patient - The Surgeon’s Perspective

Melissa A. Hornor, James D. McDonald, Daniel A. Anaya, Ronnie Ann Rosenthal

Ch. 8: The Geriatrician's Perspective on Surgery in the Geriatric Population

Thuan Ong, Joe C. Huang, Carol Crawford, Katherine Bennett 

Ch. 9: Medicare, Administrative and Financial Matters in Caring for Geriatric Patients

Laura Tarlow

Part II - System Changes

Ch. 10: Geriatric Anesthesia: Age-dependent Changes in the Central and Peripheral Nervous Systems

Anushree Doshi, Roberto Cabeza, Miles Berger

Ch. 11: Cardiovascular System

Shamsuddin Akhtar, Thomas J. Ebert

Ch. 12: The Aging Respiratory System: Strategies to Minimize Postoperative Pulmonary Complications

Ana Fernandez-Bustamante, Juraj Sprung, Rodrigo Cartin-Ceba, Toby N. Weingarten, David O. Warner

Ch. 13: Renal, Metabolic and Endocrine Aging

Sonalee Shah, Michael C. Lewis

Ch. 14: Musculoskeletal and Integumentary Systems

Itay Bentov, May J. Reed

Ch. 15: Perioperative Thermoregulation in the Elderly

Daniel I. Sessler

Part III – Pharmacology

Ch. 16: Inhalational Anesthetics

Gary R. Haynes

Ch. 17: Intravenous Sedatives and Anesthetics

Tracy Jobin McGrane, Matthew D. McEvoy, J.G. Reves

Ch. 18: The Pharmacology of Intravenous Opioids

Stephanie Whitener, Matthew D. McEvoy, L. Shafer, Pamela Flood

Ch. 19: Local Anesthetics and Regional Anesthesia

Sylvia H. Wilson, Michael Anderson

Ch. 20: Neuromuscular Blocking and Reversal Agents

Cynthia A. Lien

Ch. 21: Anesthetic Implications of Chronic Medication Use

R. David Warters, Tamas A. Szabo 

Part IV - Special Concerns

Ch. 22: Anesthesia for Common Non-Operating Room Procedures in the Geriatric Patient

George A. Dumas, Julie R. McSwain, Sheila Ryan Barnett

Ch. 23: Cardiothoracic and Vascular Procedures

Timothy L. Heinke, James H. Abernathy III

Ch. 24: Perioperative Management of Pacemakers and Internal Cardioverter-Defibrillators

G. Alec Rooke

Ch. 25: Special concerns of intraoperative management in orthopedic procedures

John P. Williams, Catalin Ezaru, Lynn Cintron

Ch. 26: Geriatric Trauma and Emergent/Urgent Surgery

George Jospeh Guldan III

Ch. 27: Perioperative Care of the Elderly Cancer Patient

B. Bryce Speer, Vijaya Gottumukkala

Part V - Postoperative Care

Ch. 28: Pain Management

Jack M. Berger, Rodney K. McKeever

Ch. 29: ICU Management

Ronald Pauldine

Ch. 30: Postoperative Cognitive Impairment in Elderly Patients

Michelle Humeidan, Stacie G. Deiner, Nicholas Koenig

Ch. 31: Palliative Care for the Anesthesia Provider

Allen N. Gustin, Jr.