Monitoring, Brain Health, and Anesthesia for Elderly Patients

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Monitoring, Brain Health, and Anesthesia for Elderly Patients

Brett Morgan, DNP, CRNA, FAAN

Zohn Centimole, PhD, CRNA Rhea Temmermand, PhDc, MSN, CRNA

AANA Annual Congress 2024

References

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• Miller D, Lewis SR, Pritchard MW, et al. Intravenous versus inhalational maintenance of anaesthesia for postoperative cognitive outcomes in elderly people undergoing non-cardiac surgery. Cochrane Database Syst Rev. 2018;8(8):CD012317. Published 2018 Aug 21. doi:10.1002/14651858.CD012317.pub2

• Nasreddine ZS, Phillips NA, Bédirian V, et al. The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment [published correction appears in J Am Geriatr Soc. 2019 Sep;67(9):1991. doi: 10.1111/jgs.15925]. J Am Geriatr Soc. 2005;53(4):695-699. doi:10.1111/j.1532-5415.2005.53221.x

• Purdon PL, Pavone KJ, Akeju O, et al. The Ageing Brain: Age-dependent changes in the electroencephalogram during propofol and sevoflurane general anaesthesia. Br J Anaesth 2015;115 Suppl 1(Suppl 1):i46-i57. doi:10.1093/bja/aev213

• Radtke FM, Franck M, MacGuill M, et al. Duration of fluid fasting and choice of analgesic are modifiable factors for early postoperative delirium. Eur J Anaesthesiol. May 2010;27(5):411-6. doi:10.1097/EJA.0b013e3283335cee

• Subramaniam B, Shankar P, Shaefi S, et al. Effect of Intravenous Acetaminophen vs Placebo Combined With Propofol or Dexmedetomidine on Postoperative Delirium Among Older Patients Following Cardiac Surgery: The DEXACET Randomized Clinical Trial. JAMA. Feb 19 2019;321(7):686-696. doi:10.1001/jama.2019.0234

• Temmermand R, Centimole Z, Morgan B, Greenier E. The Utility of BIS™ Monitoring in Anesthesia for Elderly Patients. AANA J. 2024;92(3):7-13.

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• Wildes TS, Avidan MS. Critical appraisal of ENGAGES: cognitive dissonance and anesthesia research. Ann Transl Med. Oct 2019;7(20):599. doi:10.21037/atm.2019.09.48

• Wildes TS, Mickle AM, Ben Abdallah A, et al. Effect of Electroencephalography-Guided Anesthetic Administration on Postoperative Delirium Among Older Adults Undergoing Major Surgery: The ENGAGES Randomized Clinical Trial. JAMA. Feb 5 2019;321(5):473-483. doi:10.1001/jama.2018.22005

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