Aging Clinical and Experimental Research

, Volume 30, Issue 3, pp 229–235 | Cite as

Preoperative evaluation of the elderly surgical patient and anesthesia challenges in the XXI century

Expert Review


Universally recognized goals of preoperative anesthesia assessment are the evaluation of patient’s health status to define the entity of the surgical risk, and the anticipation of possible complications while optimizing and planning preventive strategies. Data obtained by Comprehensive Geriatric Assessment (CGA) and frailty evaluation are of extreme usefulness in surgical risk evaluation in older patients and in the decision about surgery. It is from the team-based discussion of such results that the most appropriate treatment can be individuated, surgery invasiveness and duration critically analyzed and if needed modified, and the best perioperative strategy carefully tailored. These data should thus be used as reference points not only in preoperative assessment but also in planning the perioperative course, from pre-habilitation to adequate intraoperative management to complications prevention and care continuity after discharge. It is from such a far-seeing approach that issues emerged from preoperative evaluation can really contribute to decision-making about surgery in the elderly.


Preoperative anesthesia consultation Comprehensive griatric assessment Surgery Anesthesia Elderly 


Compliance with ethical standards

Conflict of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.

Statement of human and animal rights

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed consent

No patient was enrolled in the study.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Perioperative Geriatric MedicineUniversity of San MarinoSan MarinoSan Marino

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