Chapter

Pathophysiological changes of ageing and their relevance to anaesthesia

Chris Dodds, Chandra M. Kumar and Frédérique Servin

in Anaesthesia for the Elderly Patient

Published on behalf of Oxford University Press

Published in print October 2007 | ISBN: 9780199234622
Published online May 2011 | e-ISBN: 9780199607082 | DOI: http://dx.doi.org/10.1093/med/9780199234622.003.0002

Series: Oxford Anaesthesia Library

Pathophysiological changes of ageing and their relevance to anaesthesia

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Organ function declines at an average rate of 1% a year from the age of 40.

Behavioural influences (choosing not to drink for instance) have to be considered.

Atrial fibrillation (AF) is the default rhythm for the elderly.

Closing volume lies within tidal ventilation when supine after the age of 65.

Muscles are no longer ‘vessel-rich’.

Autonomic dysfunction may be occult but should be sought.

Renal homeostasis is reduced in both speed and degree of compensation to water and solute loads.

Chapter.  4833 words.  Illustrated.

Subjects: Anaesthetics

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