Date Reviewed/Updated
for Clinical Accuracy:
12/31/1969
Other Learning Resource Type:
Product Information Abstract:
Modules created to improve performance and knowledge of Anesthesia in Geriatric Patients.
Educational objectives:
To improve performance and knowledge of preoperative evaluation, perioperative managment and anesthesia in Geriatric Patients. On completion of module 1, the resident should be able to: 1) List risk factors for adverse outcomes in non-cardiac surgery. 2) Work through an appropriate preoperative evaluation based on the risk factors identified in objective 1. 3) Identify preventive measures that may be taken to avoid adverse surgical or anesthetic outcomes. On completion of module 2, the resident should be able to: 1) List the elements of a history necessary for an effective pre-anesthesia evaluation. 2) List the appropriate physical exam elements for an effective pre-anesthesia evaluation. 3) List the appropriate preoperative testing with indications. 4) List and evaluate patients for preoperative risk factors for cardiac disease. 5) Clinically assess functional capacity. 6) Demonstrate ability to interpret preoperative testing and evaluate mental status. On completion of module 3, the resident should be able to describe: 1) The fluid management plan in this patient and in elders in general receiving spinal anesthesia. 2) The unique intraoperative complications associated with orthopedic surgery. 3) The problems associated with spinal anesthesia in the elderly patient. 4) The pathophysiologic consequences of arterial tourniquets. 5) Risk factors for the development of bradycardia and cardiac arrest during spinal anesthesia. On completion of Module 4, the resident should be able to: 1) List the causes and treatments for postoperative delirium. 2) List the signs and symptoms of fluid overload in the PACU. 3) List the various options for pain control in the elderly post op. On completion of module 5 and 6, the resident should be able to: 1) List the elements of a history necessary for an effective pre-anesthetic evaluation. 2) List the appropriate physical exam elements for an effective pre-anesthetic evaluation. 3) List the appropriate preoperative testing with indications. 4) List and evaluate patients for major preoperative risk factors for cardiac disease, pulmonary disease, sepsis, and renal disease. 5) Clinically assess functional capacity. 6) Demonstrate the ability to interpret preoperative testing, evaluate mental status, assess hydration, oxygenation, nutrition, manage polypharmacy, counsel the patient regarding their candidacy for various types of anesthesia and their anesthetic risk.
Additional information/Special implementation requirements or guidelines:
Reference sources were provided as hard copy and these tended to be misplaced by learners. The following improves successful execution or use: 1. Required course 2. Hard copy of references available 3. Immediately useful information 4. Learners can schedule hours at their own convenience 5. Mentors and champions in PACU, immediate feedback and reinforcement Used with approximately 40 HO1 anesthesia residents and approximately 200 M4 students in anesthesia. HO1 anesthesia residents completed during Post Operative Care Unit rotation, M4 students during their 1 month anesthesia rotation.
Date Submitted or Reviewed/Updated for Clinical Accuracy:
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Suggested Citation:
, , and . Geriatric Anesthesia Modules for Perioperative Evaluation and Management: Modules 1-5. POGOe - Portal of Geriatrics Online Education; 2006 Available from: https://pogoe.org/taxonomy/term/1224