Outpatient Anesthesia in the Geriatric Patient

Outpatient surgery can be performed safely in elderly patients at a great saving in cost and increase in convenience. It need not be limited to Physical Status I and II patients. Special techniques are useful which take into account the changes in metabolism, drug uptake and elimination which occur in the elderly. Drug dosage must be adjusted. Local and field block anesthesia has proved to be very useful. Facilities must be at hand for hospital admission when necessary.

Sympathetic and efficient registration personnel are essential, so that patients are informed and calm. Recovery room staff who are skilled in evaluating pain and in treating nausea reduce the admission rate to a low level.