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EPICC: Perioperative care of the very old patient
Summary
As Europeans continue to enjoy increasing lifespans, surgical and perioperative care for the elderly (> 65) and very old (> 85 years) has become commonplace, and will continue to increase in volume and complexity. This increase is due both to a larger proportion of the population reaching a high age, and to expansion of surgical care to individuals who were previously denied surgery because of risk vs benefit considerations. These are now being challenged. In the US, it is expected that the proportion of people aged 65 years and older will grow from 13% to > 20% of the total population by 2030. Within the European Union, the proportion of people aged 80 years or more is projected to more than double, from 5.3 % in 2015 to 12.3 % in 2080.
General Information
Enrolled trainees 343
Open 04.04.2022
Available for ESICM members
Student effort 3
Last Updated April 4, 2022
Intended Learning Outcomes
After completing this module on “Perioperative care of the very old patient”, you should be able to:
- 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
Relevant competencies in CoBaTrICE
- 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
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