Perioperative care of the very old patient

Intended Learning Outcomes


Perioperative care of the very old patient
Understand current epidemiology of the ageing surgical population Describe the physiological, physical and clinical, features associated with normal ageing Perform an adequate screening of physiologic and cognitive reserves in older patients scheduled for surgery Evaluate impact of frailty on perioperative outcomes guided by a simple assessment tool Have basic knowledge of long term chronic disease and medication impact on the perioperative management of the elderly patient Evaluate the risks and benefits of a standard surgical procedure Suggest proactive perioperative management strategies Execute decisions on surgery and postoperative care according to ethical principles


Perioperative care of the very old patient
1.1. Adopts a structured and timely approach to the recognition, assessment and stabilisation of the acutely ill patient with disordered physiology 3.1. Manages the care of the critically ill patient with specific acute medical conditions 6.1. Manages the pre- and post-operative care of the high-risk surgical patient 12.4. Involves patients (or their surrogates if applicable) in decisions about care and treatment 12.11. Takes responsibility for safe patient care 12.12. Formulates clinical decisions with respect for ethical and legal principles