Considerations for the Use of Local Anesthesia in the Frail Elderly: Current Perspectives
Philippe Cuvillon, Jean Yves Lefrant, Yann Gricourt
Abstract
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.
Topics & Concepts
PerioperativeMedicineLocal anesthesiaGold standard (test)Intensive care medicineAnesthesiaInternal medicineCardiac, Anesthesia and Surgical OutcomesHernia repair and managementAbdominal Surgery and Complications