| Development in anesthesia and operative techniques has considerably reduced morbidity and mortality in the elderly patients. Several anesthetic techniques have been used for elderly patients including general anesthesia, regional anesthesia, intravenous sedation and monitored anesthesia care. However, anesthesia related mortality in these patients is still high. Elderly person of 80 years of age and older presents a specific challenge to anesthetists, who needs to acquire and maintain skill and expertise in the management of such patients. Departments should have a lead clinician with an interest in the care of the elderly. Development in anesthesia and operative techniques has considerably reduced morbidity and mortality in the elderly patients. All elderly patients undergoing surgical procedures require a preprocedural evaluation to assess the risks of anesthesia and procedure and to manage problems related to the preexisting medical conditions, monitoring patients during intraprocedural and postprocedural periods as well as postprocedural management. Several anesthetic techniques have been used for elderly patients including general anesthesia, regional anesthesia, intravenous sedation and monitored anesthesia care. However, anesthesiarelated mortality in these patients is still high. All elderly patients undergoing surgical procedures require a preprocedural evaluation to assess the risks of anesthesia and procedure and to manage problems related to the preexisting medical conditions, monitoring patients during intraprocedural and postprocedural periods as well as postprocedural management. This article considers the age-related physiological changes, preprocedure assessment and preparation, anesthetic techniques, intraoperative care and postoperative care. Age does not obtund the perception of pain. Acute and chronic pain management teams should be available to treat the elderly. Prophylaxis for Thrombo embolic disease should initiated to prevent further complicationsddd |
