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Post by mary clothier on Sept 30, 2020 12:17:36 GMT -5
Great article! This is our "greatest" patient population!
1) The potential anesthetic implications for a frailty screening would be fantastic! Making us all very mindful of every anesthetic agent used and potential effect on every system! Providing compassionate care to this very special patient population! We will all be there one day hopefully, and many of our parents and grandparent are there! Tailored care pre, intra, and post operatively should be strictly adhered to, having a screening will enhance our care!
2)The article a great review of the cumulative declines on every system! By very definition frailty is a biological syndrome of decreased reserve and resistance to stressors. Anesthesia certainly can be a BIG stressor! Using Regional over GA when applicable always preferred, my Grandmother declined rapidly neurologically post fractured hip repair in 1981 after GA! My clinical practice, "less is more", "can always give more can't take it away", most appropriate with our frail, older patient population!
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nanci
Junior Member
Posts: 57
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Post by nanci on Sept 30, 2020 16:36:51 GMT -5
1) What are some of the potential anesthetic implications of a frailty screening and its impact on intraoperative case management and postoperative outcomes? By earlier identification of high risk patients hospital resources may be mobilized earlier, multidisciplinary care may be arranged and help to reduce poor outcomes. Give the highest risk patients the best chance at reducing poor outcomes, for instance, after the frailty screening patient may be scheduled for an ICU bed instead of PACU stay ahead of time.
2) How will the information in this article impact your practice? Identifies potential modifiable risks and may assist the preop evaluation center better optimize the patients before surgical procedures. Helps us all to realize the increasing frailty in our patient populations and an increased need of changing postoperative care.
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Post by Jessica Switzman on Oct 1, 2020 9:46:29 GMT -5
1.Assessing Fragility and intervening appropriately can change postoperative outcomes for the better. Identifying high risk patients can help us mobilize hospital resources and use alternative anesthetic techniques, i.e regional, avoiding steroids, benzos, etc to help elderly patients recover faster.
2.Communication among anesthesia, surgery, medicine and nursing is vert important for positive outcomes and greatly impacts patient care.
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